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
Wauseon, OH	$97.13	$44.69 – $125.01	35,511	5
Waverly, OH	$98.62	$40.84 – $122.74	35,478	5
Watervliet, MI	$158.34	$158.34 – $158.34	35,478	1
West Liberty, KY	$227.67	$40.45 – $262.60	35,475	4
Christiansted, St. Croix, VI	$68.86	$68.86 – $68.86	35,469	1
Sharon, CT	$122.47	$30.08 – $190.39	35,421	8
Conroe, TX	$111.44	$24.81 – $843.11	35,397	30
Menomonie, WI	$142.47	$17.52 – $259.04	35,352	11
Ferriday, LA	$98.53	$11.75 – $125.34	35,324	7
Port Saint Lucie, FL	$80.80	$4.13 – $111.73	35,284	17
Homer, LA	$131.69	$50.05 – $159.86	35,235	9
Auburn, CA	$65.98	$0.44 – $850.19	35,231	13
Norwood, MA	$103.84	$39.75 – $196.73	35,132	22
Noblesville, IN	$98.81	$35.54 – $226.65	35,122	18
Porterville, CA	$47.90	$0.00 – $99.56	35,114	19
Crystal River, FL	$66.77	$10.72 – $79.06	35,113	15
Darby, PA	$132.75	$13.79 – $296.63	35,095	16
Rockport, TX	$109.11	$45.39 – $870.52	35,082	8
Plainview, NY	$139.18	$33.49 – $182.49	35,022	16
Pennington Gap, VA	$182.42	$61.88 – $509.39	35,011	5
Pitkin, LA	$124.13	$124.13 – $124.13	34,903	1
Batesville, MS	$138.84	$18.95 – $148.95	34,865	6
Oneida, TN	$118.66	$0.00 – $161.45	34,862	8
Saint Peters, MO	$135.54	$43.88 – $407.34	34,682	32
Alice, TX	$163.10	$41.04 – $204.35	34,597	6
Tooele, UT	$42.26	$20.66 – $100.91	34,558	4
New Castle, IN	$91.28	$31.03 – $118.21	34,555	7
Vernon, CT	$233.48	$39.06 – $364.66	34,522	8
Palestine, TX	$125.08	$25.66 – $411.71	34,492	14
Hancock, MI	$121.34	$25.67 – $182.67	34,454	5
Petersburg, WV	$189.42	$45.75 – $303.34	34,356	10
Uniontown, OH	$71.21	$27.32 – $124.68	34,311	11
San Marcos, TX	$110.21	$53.62 – $170.61	34,254	16
Lauderdale Lakes, FL	$54.22	$5.82 – $70.23	34,234	16
Ft Washington, MD	$159.42	$53.45 – $159.51	34,232	2
Berlin, WI	$133.44	$20.58 – $173.33	34,231	8
Boone, NC	$93.67	$35.08 – $113.30	34,181	16
West Chester, PA	$128.64	$44.41 – $340.92	34,181	18
Belmont, NC	$113.55	$42.98 – $177.90	34,179	10
Magee, MS	$105.69	$8.59 – $116.97	34,130	6
Hope Mills, NC	$129.30	$129.30 – $129.30	34,086	1
Big Bear Lake, CA	$78.26	$51.90 – $134.01	34,077	8
Humacao, PR	$49.84	$0.00 – $95.19	34,067	32
Wilson, NC	$89.89	$0.00 – $294.23	34,060	17
Marshall, MO	$98.32	$54.44 – $150.43	34,023	14
Grafton, WI	$48.62	$18.50 – $566.82	34,000	18
Southington, CT	$46.23	$11.67 – $54.92	33,985	11
Norfolk, NE	$98.94	$6.31 – $542.36	33,982	22
Miami, OK	$131.35	$91.16 – $280.94	33,895	8
Roswell, GA	$156.25	$16.14 – $196.53	33,867	9

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.