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
Selma, AL	$67.11	$10.83 – $102.99	112,874	17
Henderson, NC	$101.00	$31.30 – $195.61	112,702	21
Attleboro, MA	$128.91	$25.49 – $154.33	112,692	21
Framingham, MA	$132.57	$35.56 – $211.51	112,323	30
Greenville, IL	$74.59	$28.29 – $125.42	111,978	31
Ruidoso, NM	$161.63	$55.96 – $266.55	111,752	14
Minden, LA	$79.76	$47.84 – $109.67	111,556	14
Denville, NJ	$235.35	$35.76 – $331.23	111,404	16
Mchenry, IL	$58.15	$21.37 – $160.52	111,254	46
East Liverpool, OH	$95.04	$1.02 – $156.41	111,217	24
Helena, MT	$58.38	$0.00 – $152.49	111,160	28
Pleasanton, CA	$59.54	$0.00 – $251.12	111,107	27
Dunn, NC	$123.15	$42.72 – $237.17	111,005	16
Clinton, MD	$142.98	$43.77 – $218.32	110,990	40
Wright Patterson Afb, OH	$92.84	$33.63 – $171.68	110,948	26
Irving, TX	$117.79	$5.94 – $191.95	110,758	39
Blacksburg, VA	$121.97	$41.87 – $161.82	110,592	22
Ranson, WV	$86.80	$53.16 – $171.09	110,271	11
Fond Du Lac, WI	$46.88	$20.70 – $137.26	110,069	26
Fort Hood, TX	$138.33	$43.69 – $358.57	110,061	37
Hillsdale, MI	$107.75	$56.76 – $153.68	110,044	6
Greeley, CO	$102.88	$0.00 – $175.73	109,847	29
National City, CA	$67.41	$0.28 – $438.27	109,792	24
Maryville, TN	$93.16	$6.71 – $134.46	109,711	31
O Fallon, IL	$80.52	$17.54 – $210.53	109,477	29
Washington, MO	$137.38	$38.30 – $391.96	109,426	37
Waco, TX	$111.38	$18.70 – $640.56	109,207	55
Columbia, MD	$101.51	$19.09 – $354.35	109,166	61
Paintsville, KY	$128.08	$51.33 – $163.50	109,164	9
Great Neck, NY	$97.97	$23.65 – $118.24	108,966	12
Philadelphia, MS	$109.14	$21.11 – $148.59	108,860	23
Louisa, KY	$141.78	$4.13 – $184.45	108,719	11
Yreka, CA	$112.41	$0.00 – $130.63	108,687	15
Bridgeport, WV	$143.56	$65.01 – $324.70	108,667	27
Corinth, MS	$104.47	$27.21 – $175.57	108,626	33
Cullman, AL	$54.81	$21.92 – $193.90	108,416	26
Poplar Bluff, MO	$108.69	$31.56 – $448.51	108,016	27
Clovis, CA	$17.09	$1.02 – $333.88	107,857	23
Massillon, OH	$80.81	$0.00 – $217.26	107,735	19
Gallup, NM	$166.21	$9.95 – $219.09	107,683	22
Pulaski, VA	$111.46	$52.70 – $153.77	107,680	10
Silverton, OR	$153.65	$71.80 – $175.14	107,528	11
Nyack, NY	$122.63	$9.67 – $158.46	107,451	15
Durant, OK	$139.16	$67.51 – $206.32	107,142	30
Hartsville, SC	$35.60	$23.55 – $85.54	107,057	9
Mullins, SC	$44.57	$31.24 – $65.71	106,901	12
Newport, OR	$139.44	$31.70 – $213.22	106,877	15
Waukesha, WI	$47.70	$17.46 – $330.03	106,864	21
Passaic, NJ	$193.49	$6.75 – $270.64	106,833	19
Kingston, NY	$101.57	$19.64 – $234.62	106,755	23

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.