Average Medicaid Emergency Room Visit Payments in Amherst, NY: $97.76
Avg. Paid
$97.76
Range
$30.52 – $156.35
Total Claims
21,788
Providers
15
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 Amherst, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nathan Proch Billings
1 John James Audubon Pkwy |
$107.88 | 6,716 | 6,620 |
|
Richard J. Hallock
3980 Sheridan Dr |
$156.35 | 5,283 | 4,948 |
|
Benjamin Watkins
262 Woodcrest Dr |
$70.10 | 3,434 | 3,226 |
|
Corey Costa
3980A Sheridan Dr Ste 200 |
$59.37 | 1,142 | 1,130 |
|
Emily Marie Ludwig
3980A Sheridan Dr Ste 200 |
$40.85 | 935 | 926 |
|
Nycole Brong
207 Commerce Dr |
$30.52 | 849 | 841 |
|
Patrick M Rood
3980 Sheridan Dr |
$61.41 | 719 | 715 |
|
Jessica Nicole Mercer
3925 Sheridan Dr |
$71.91 | 650 | 645 |
|
Shellee Anne Lusung Quaglia
4979 Harlem Rd |
$58.53 | 526 | 524 |
|
Erin Kennedy
3925 Sheridan Dr |
$65.83 | 479 | 472 |
|
Stacy Vohwinkel
3980 Sheridan Dr |
$49.90 | 466 | 465 |
|
Alyssa Christine Vasiloff
1 John James Audubon Pkwy |
$35.17 | 237 | 194 |
|
Brian Michael Walters
3980 Sheridan Dr |
$53.80 | 202 | 200 |
|
Sebastian Reese
3980 Sheridan Dr |
$71.69 | 135 | 134 |
|
Armen Kirakosyan
2072 Kensington Ave |
$94.13 | 15 | 15 |
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 Amherst, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Amherst, NY is $97.76 per claim, based on 21,788 claims from 15 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 Amherst, NY?
There are 15 Medicaid providers offering Emergency Room Visit related services in Amherst, NY according to public payment data.
What is the price range for Emergency Room Visit in Amherst, NY?
Medicaid reimbursement for Emergency Room Visit in Amherst, NY ranges from $30.52 to $156.35 per claim, with an average of $97.76. 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 Amherst, NY
Home Health Visit
Avg $110.37
619,390 claims
Office Visit
Avg $70.26
432,666 claims
Substance Abuse Treatment
Avg $34.10
316,484 claims
Ambulance Transport
Avg $100.09
127,155 claims
Physical Therapy
Avg $46.45
79,084 claims
Dental Cleaning & Exam
Avg $37.90
78,431 claims
Pathology & Lab Services
Avg $36.92
71,985 claims
Speech Therapy
Avg $56.38
48,953 claims