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
Lake Geneva, WI	$130.29	$18.83 – $169.50	33,860	16
Saint Gabriel, LA	$96.26	$80.79 – $121.49	33,852	2
Kaufman, TX	$115.09	$25.82 – $402.05	33,838	8
State College, PA	$71.71	$45.32 – $148.14	33,837	17
Woodbury, MN	$153.67	$16.01 – $308.05	33,825	26
Hoover, AL	$54.97	$16.55 – $154.86	33,811	11
Owasso, OK	$163.35	$34.84 – $359.93	33,763	11
Commerce Township, MI	$169.61	$169.61 – $169.61	33,763	1
Junction City, KS	$57.83	$26.66 – $106.08	33,749	13
Bettendorf, IA	$84.33	$35.29 – $234.61	33,729	18
Kenton, OH	$105.36	$35.78 – $131.73	33,655	10
Youngsville, LA	$83.54	$50.21 – $128.87	33,592	6
Branson, MO	$119.03	$19.28 – $251.29	33,538	18
Boron, CA	$61.38	$61.38 – $61.38	33,497	1
Margate, FL	$67.52	$0.00 – $112.97	33,443	21
Beverly Hills, CA	$71.89	$0.00 – $262.83	33,416	24
Powell, TN	$124.60	$41.32 – $153.90	33,395	12
Hardin, MT	$21.93	$5.89 – $108.52	33,381	8
Cypress, TX	$158.05	$12.66 – $1,556	33,309	36
Shakopee, MN	$191.09	$113.03 – $393.19	33,241	12
Joint Base Lewis Mcchord, WA	$110.06	$29.08 – $198.89	33,236	18
Grants, NM	$333.23	$41.85 – $334.45	33,224	2
Jellico, TN	$116.11	$48.81 – $131.06	33,214	4
Norwich, NY	$209.38	$20.66 – $211.09	33,191	3
Pottstown, PA	$110.51	$28.37 – $237.37	33,179	16
Medford, WI	$190.86	$47.48 – $213.94	33,126	8
Burr Ridge, IL	$90.60	$23.66 – $205.13	33,099	16
Blythe, CA	$57.88	$54.03 – $60.73	33,087	3
Geneva, IL	$62.94	$41.19 – $115.00	33,083	22
Whitefish, MT	$40.26	$13.92 – $116.50	33,036	8
Burleson, TX	$85.34	$34.24 – $138.90	33,022	19
Zachary, LA	$76.10	$20.19 – $132.01	33,006	14
Florence, AZ	$182.87	$116.40 – $198.91	32,976	2
Apopka, FL	$67.23	$15.89 – $111.47	32,971	16
Lees Summit, MO	$122.21	$16.11 – $332.58	32,934	31
Oakdale, CA	$64.70	$56.83 – $167.30	32,894	9
New Castle, PA	$78.61	$45.43 – $108.46	32,889	10
Leonardtown, MD	$94.94	$34.18 – $196.64	32,889	16
Burkesville, KY	$52.62	$19.61 – $63.93	32,862	6
Aurora, MO	$130.47	$0.26 – $193.67	32,836	13
Sweetwater, TN	$97.02	$0.00 – $118.98	32,801	8
Gouverneur, NY	$169.35	$22.29 – $233.45	32,634	8
Vernal, UT	$52.71	$12.40 – $335.90	32,625	7
Newburyport, MA	$119.65	$40.35 – $194.42	32,602	18
West Des Moines, IA	$123.26	$35.30 – $259.53	32,552	42
Weston, WV	$147.90	$107.66 – $581.63	32,544	7
Parsons, KS	$39.01	$32.12 – $91.45	32,509	8
Newport, RI	$71.45	$36.82 – $232.44	32,455	19
Ontario, OH	$92.70	$40.59 – $101.68	32,450	3
Greensburg, IN	$96.29	$31.49 – $190.62	32,296	12

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.