Average Medicaid Emergency Room Visit Payments in Altoona, PA: $96.35
Avg. Paid
$96.35
Range
$48.99 – $158.98
Total Claims
117,922
Providers
30
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 Altoona, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Benado
620 Howard Ave |
$104.75 | 13,398 | 12,952 |
|
Jaime Lent
620 Howard Ave |
$92.71 | 10,407 | 9,985 |
|
James Allen Pruitt
501 Howard Ave |
$69.45 | 7,991 | 6,263 |
|
Kevin Gerrity
620 Howard Ave |
$98.99 | 6,967 | 6,782 |
|
Nicholas Governatori
620 Howard Avenue |
$97.30 | 6,860 | 6,609 |
|
Ryan A Wetzel
620 Howard Ave |
$100.55 | 6,526 | 6,361 |
|
Monique Vanrenterghem
620 Howard Avenue |
$98.51 | 6,462 | 6,324 |
|
Matthew P Bouchard
620 Howard Ave |
$94.58 | 6,363 | 6,209 |
|
Imran I Chaudhri
620 Howard Ave |
$97.95 | 6,029 | 5,886 |
|
George Anthony Fidacaro
Upmc Altoona |
$101.74 | 5,567 | 5,469 |
|
Adam Blescia
620 Howard Ave |
$95.08 | 5,326 | 5,206 |
|
Anthony Young
620 Howard Ave |
$100.87 | 5,268 | 5,185 |
|
Linnane R Batzel
620 Howard Ave |
$98.92 | 5,257 | 5,139 |
|
Craig James Callovini
620 Howard Ave |
$94.59 | 5,093 | 4,996 |
|
Ryan Jennings
620 Howard Ave |
$97.16 | 4,453 | 4,383 |
|
Matthew Murphy
620 Howard Ave |
$92.45 | 4,002 | 3,890 |
|
Holly Jean Thompson
620 Howard Ave |
$62.16 | 2,085 | 1,675 |
|
Kelvin Ellis
501 Howard Avenue |
$114.26 | 1,901 | 1,869 |
|
Lisa A Golden
620 Howard Ave |
$107.17 | 1,887 | 1,863 |
|
Alan Stein
620 Howard Ave |
$107.37 | 1,672 | 1,646 |
|
Shaun Sheehan
620 Howard Ave |
$100.04 | 1,629 | 1,586 |
|
Allen A Lill
501 Howard Ave |
$158.98 | 1,055 | 948 |
|
Upmc Altoona
620 Howard Ave. |
$69.31 | 734 | 662 |
|
Alexander Weigman
620 Howard Ave |
$72.44 | 643 | 641 |
|
Christina Rombouts
1915 Valley View Blvd |
$82.04 | 218 | 197 |
|
Gregory Martinek
620 Howard Ave |
$122.77 | 56 | 55 |
|
Upmc Altoona
620 Howard Ave. |
$96.39 | 28 | 24 |
|
Caitlin Ann Kimberly Baker
620 Howard Ave |
$80.53 | 20 | 12 |
|
Ji Won Lee
620 Howard Ave |
$48.99 | 13 | 13 |
|
Suraj Chopra
620 Howard Ave |
$93.04 | 12 | 12 |
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 Altoona, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Altoona, PA is $96.35 per claim, based on 117,922 claims from 30 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 Altoona, PA?
There are 30 Medicaid providers offering Emergency Room Visit related services in Altoona, PA according to public payment data.
What is the price range for Emergency Room Visit in Altoona, PA?
Medicaid reimbursement for Emergency Room Visit in Altoona, PA ranges from $48.99 to $158.98 per claim, with an average of $96.35. 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 Altoona, PA
Office Visit
Avg $43.28
277,649 claims
Home Health Visit
Avg $51.85
154,918 claims
Physical Therapy
Avg $38.68
142,677 claims
Speech Therapy
Avg $23.68
133,560 claims
Ambulance Transport
Avg $67.86
103,420 claims
Case Management Services
Avg $63.76
73,562 claims
Blood Work & Lab Tests
Avg $7.73
73,010 claims
X-Ray
Avg $7.70
59,415 claims