Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments

Typical Medicaid Emergency Room Visit reimbursement across 7,184 cities

Avg. Medicaid Paid

$119.20

Price Range

$0.00 – $985.41

Total Claims

450.3M

Cities

7184

Typical Payment Range

Typical Medicaid Emergency Room Visit payments fall between $56.00 and $114.21 per claim (median: $78.41). The top 10% of payments exceed $164.43.

Based on per-provider averages across all Medicaid claims in this category.

About This Procedure

Emergency department visits for urgent and emergency medical care. Costs vary significantly based on severity level and treatments needed.

Why do these costs look low?

These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City	Avg. Paid	Min / Max	Claims	Providers
Mt Sterling, KY	$129.76	$39.48 – $135.60	79,331	4
Jefferson, LA	$137.31	$59.24 – $354.27	79,357	13
Berea, KY	$151.56	$44.42 – $173.96	79,434	4
Crescent City, CA	$109.78	$0.00 – $116.80	79,526	20
Surprise, AZ	$149.17	$25.49 – $243.86	79,587	29
West Memphis, AR	$100.60	$45.88 – $155.15	79,689	10
Clovis, NM	$183.73	$50.59 – $196.20	79,855	9
Christiansburg, VA	$144.25	$37.01 – $168.05	79,975	17
Oxford, NC	$112.07	$84.83 – $167.48	80,092	7
Cherry Hill, NJ	$78.88	$36.76 – $145.97	80,266	24
Encinitas, CA	$74.39	$46.29 – $118.34	80,635	40
Mount Airy, NC	$87.22	$42.52 – $149.47	80,670	10
Summersville, WV	$120.02	$44.65 – $438.13	80,749	15
Opelika, AL	$46.71	$2.11 – $90.41	80,800	39
Hastings, MI	$133.82	$54.89 – $234.81	81,042	7
Bardstown, KY	$136.42	$40.31 – $175.23	81,108	11
Wellington, FL	$69.68	$11.66 – $311.80	81,236	34
Chambersburg, PA	$116.69	$18.35 – $328.64	81,432	29
Martinez, CA	$32.18	$0.17 – $112.96	81,638	31
Layton, UT	$33.43	$18.71 – $169.01	81,673	14
Georgetown, SC	$48.14	$32.25 – $155.59	81,767	24
Toppenish, WA	$98.02	$0.00 – $103.69	81,771	5
Beverly, MA	$134.59	$20.16 – $1,613	81,789	29
Cape Coral, FL	$80.50	$7.20 – $389.73	81,798	28
Belfast, ME	$13.94	$0.11 – $94.49	81,988	7
Michigan City, IN	$91.31	$37.50 – $150.40	82,120	30
Homestead, FL	$83.27	$11.58 – $199.68	82,184	32
Lakewood, CA	$75.66	$36.97 – $111.10	82,269	17
Clinton Twp, MI	$221.74	$70.11 – $224.33	82,322	5
Saint Petersburg, FL	$91.27	$25.64 – $276.67	82,405	27
Sugar Land, TX	$148.39	$14.32 – $596.77	82,564	63
Carmel, IN	$100.94	$23.36 – $210.35	82,666	49
Bayonne, NJ	$120.51	$22.47 – $156.97	82,797	18
Americus, GA	$84.89	$35.62 – $102.82	82,815	12
Pocatello, ID	$88.80	$40.14 – $236.93	82,836	28
Florissant, MO	$154.50	$22.34 – $575.25	82,935	17
Clinton, SC	$39.83	$14.63 – $67.80	82,977	10
Abilene, TX	$133.80	$16.97 – $371.82	82,993	41
Lewistown, PA	$84.64	$34.85 – $167.89	83,358	20
Booneville, MS	$73.97	$15.41 – $118.27	83,399	8
Valencia, CA	$71.56	$20.63 – $137.66	83,418	22
Shawnee, OK	$149.42	$22.10 – $226.20	83,429	19
La Porte, IN	$108.37	$34.14 – $132.39	83,450	12
Newton, NJ	$234.01	$12.59 – $292.07	83,538	13
North Miami Beach, FL	$73.30	$0.00 – $98.79	83,620	29
Lincoln City, OR	$152.58	$49.57 – $283.75	83,692	21
Cortez, CO	$92.54	$11.36 – $130.02	83,762	19
Mayfield Hts, OH	$108.88	$51.18 – $169.66	83,768	9
Fort Walton Beach, FL	$62.71	$0.00 – $115.35	83,812	39
Sebring, FL	$68.14	$30.73 – $119.43	84,032	20

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

Code	Description	Avg. Paid	Claims	Providers
99284	ER visit high severity	$118.05	170,705,529	95,397
99283	ER visit moderate severity	$106.85	157,926,994	92,923
99285	ER visit high sev w/threat	$136.01	111,002,396	79,755
99282	ER visit low severity	$104.38	24,203,945	35,900
99291	Critical care first 30-74 min	$120.48	10,902,745	28,076
99281	ER visit minor problem	$92.67	8,018,086	9,327
99292	Critical care each addl 30 min	$72.51	273,485	1,267

These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.