Emergency room visit (high complexity)

An ER visit for a serious problem needing extensive evaluation.
Code 99284 · Emergency & hospital · statewide summary · negotiated in-network prices
Payers shown: Ohio Health Choice
Prices shown: emergency department visits
Doctor’s fee or facility fee? These are the emergency doctor's fees only. The hospital bills its own emergency-room facility fee on top, usually several times larger, and it is not included here.
Who is counted: Ohio Health Choice lists clinicians individually: 99% of the 33,174 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs. Ohio Health Choice’s files name 17,017 providers for this procedure; 4,918 are counted here: the clinicians whose specialty performs it — mostly Nurse Practitioner, Family Medicine and Physician Assistant — and the practices, clinics and hospitals. Insurers attach their whole fee schedule to every contracted provider, so the rest are clinicians listed at a price for something they never do; counting them would inflate the provider count and pull the typical price towards the fee schedule’s floor.
Not on this map: No index of files: Ohio Health Choice publishes no table of contents, so its numbered files were found one by one (18 of numbers 1-40 exist, October 2026).
StateProvidersNamed in filesOrganisationsZip codes Lowest25th pctMedian75th pctHighestvs Medicare
“x Medicare” compares each price with what original Medicare pays a doctor for the same service in the same state under its physician fee schedule (RVU26D, in force from 2026-10-01) — the lower price a doctor is paid when a hospital or surgery center provides the room and equipment. Insurers write their contracts as a share of Medicare, so 1.3x means the insurer pays 30% more than Medicare would; Medicare Advantage plans generally pay close to 1.0x.
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here; this specific data can be requested here.