Average Medicaid Emergency Room Visit Payments in Abington, PA: $112.96
Avg. Paid
$112.96
Range
$38.70 – $198.99
Total Claims
50,807
Providers
35
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.
Emergency department visits for urgent and emergency medical care. Costs vary significantly based on severity level and treatments needed.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Emergency Room Visit in Abington, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph Muscara
1200 Old York Rd |
$127.46 | 8,149 | 7,870 |
|
Daniel Joseph O'Sullivan
1200 Old York Rd |
$118.23 | 4,506 | 4,402 |
|
David M Comperatore
1200 Old York Rd |
$112.61 | 3,453 | 3,386 |
|
Gary E Penner
1200 Old York Rd |
$111.91 | 3,224 | 3,130 |
|
Jason R Mclaughlin
1200 Old York Road |
$123.66 | 3,150 | 3,065 |
|
Sydney Tabaac
1200 Old York Rd |
$117.10 | 3,099 | 3,018 |
|
Matthew Alan Shubert
1200 Old York Rd |
$116.91 | 3,029 | 2,955 |
|
Michael Nelson
1200 Old Yolk Road |
$116.61 | 2,808 | 2,733 |
|
Chad Walter Garson
1200 Old York Rd |
$125.29 | 2,502 | 2,448 |
|
Michael Anthony Yokell
938 Old York Rd |
$61.52 | 2,484 | 2,022 |
|
Danielle Parker
1200 Old York Rd |
$122.92 | 2,261 | 2,222 |
|
Steven N Johnsson
1200 Old York Rd |
$115.40 | 2,149 | 2,102 |
|
Amrit Bahadur Khatrichettri
938 Old York Rd |
$44.62 | 2,121 | 2,000 |
|
Paul R Hope
1200 Old York Rd |
$108.19 | 1,604 | 1,577 |
|
Abington Memorial Hospital
1200 Old York Rd |
$194.70 | 1,494 | 1,401 |
|
Abington Emergency Physician Associates Pc
1200 Old York Rd |
$77.50 | 928 | 852 |
|
Philippe Dekerillis
1200 Old York Rd |
$90.96 | 869 | 851 |
|
Andrew G Ball
1200 Old Yolk Road |
$97.00 | 640 | 632 |
|
Kevin P Mccaffrey
1200 Old York Rd |
$38.70 | 529 | 484 |
|
Elizabeth Ann Gabriele
1840 Susquehanna Rd |
$77.91 | 256 | 254 |
|
Sarah Hall
1200 Old York Rd |
$134.24 | 226 | 162 |
|
Bruce D Rubin
1200 Old York Rd |
$128.33 | 221 | 220 |
|
Atsoufui Nyuiegome Elom Amewuame Epse Kpehor
1200 Old York Rd |
$164.28 | 214 | 192 |
|
Steven F Fisher
1200 Old York Road |
$108.74 | 205 | 202 |
|
John E Bair
1200 Old York Road |
$42.43 | 194 | 193 |
|
David R Theodorson
1200 Old York Rd |
$44.44 | 102 | 102 |
|
Curt Mullendore
1200 Old York Rd |
$176.60 | 67 | 66 |
|
Cornelia A. Winkler
1200 Old York Rd |
$62.94 | 63 | 63 |
|
Richard E Friedenheim
1235 Old York Road |
$114.18 | 61 | 26 |
|
F. Thomas Harkins
1200 Old York Rd |
$198.99 | 47 | 47 |
|
Joseph Guererri Crocetti
1235 Old York Rd |
$137.86 | 38 | 12 |
|
Michael J Reilly
1235 Old York Rd Ste 121 |
$148.40 | 34 | 13 |
|
Justin H Wang
1200 Old York Rd |
$65.74 | 33 | 30 |
|
Conrad Christopher Reed
1235 Old York Rd |
$115.51 | 28 | 14 |
|
Tushar Thakur
1200 Old York Rd Ste 2B |
$151.62 | 19 | 13 |
What to Expect: Emergency Room Visit
Emergency room visits begin with triage, where your condition is assessed to determine urgency. Wait times vary from minutes to hours depending on severity. You'll be seen by an ER physician who may order tests, imaging, or procedures. Costs include the facility fee, physician fee, and any tests or treatments. Most ER visits last 2-6 hours.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| 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 are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Emergency Room Visit cost in Abington, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Abington, PA is $112.96 per claim, based on 50,807 claims from 35 providers. Typical payments fall between $56.00 and $114.21. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Emergency Room Visit in Abington, PA?
There are 35 Medicaid providers offering Emergency Room Visit related services in Abington, PA according to public payment data.
What is the price range for Emergency Room Visit in Abington, PA?
Medicaid reimbursement for Emergency Room Visit in Abington, PA ranges from $38.70 to $198.99 per claim, with an average of $112.96. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
4,694,783 claims · 272 providers
Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
4,304,161 claims · 851 providers
Indianapolis, IN
Avg $116.65
4,172,341 claims · 898 providers
New York, NY
Avg $130.02
3,905,512 claims · 1591 providers
Columbus, OH
Avg $98.63
3,813,295 claims · 929 providers
Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Abington, PA
Office Visit
Avg $39.66
62,123 claims
Ultrasound
Avg $72.52
51,798 claims
Physical Therapy
Avg $44.98
41,060 claims
X-Ray
Avg $5.65
32,588 claims
Blood Work & Lab Tests
Avg $6.90
16,244 claims
EKG / ECG (Electrocardiogram)
Avg $8.11
13,293 claims
Pathology & Lab Services
Avg $54.08
11,344 claims
CT Scan (Computed Tomography)
Avg $40.70
9,862 claims