Average Medicaid Emergency Room Visit Payments in Bronx, NY: $138.65
Avg. Paid
$138.65
Range
$0.00 – $971.50
Total Claims
3,278,500
Providers
846
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 Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Montefiore Medical Center
111 E 210Th St |
$197.26 | 536,093 | 509,302 |
|
Bronxcare Health System
1650 Grand Concourse |
$212.06 | 272,321 | 257,597 |
|
New York City Health And Hospitals Corporation
234 E 149Th St |
$183.42 | 267,390 | 246,949 |
|
New York City Health And Hospitals Corporation
1400 Pelham Pkwy S |
$188.96 | 252,270 | 236,570 |
|
St. Barnabas Hospital
4422 Third Avenue |
$213.05 | 159,142 | 149,421 |
|
Montefiore Medical Center
111 E 210Th St |
$126.81 | 78,043 | 67,339 |
|
Bronxcare Health System
1650 Grand Concourse |
$105.76 | 51,872 | 46,822 |
|
Sbh Physicians, Pc
4422 Third Avenue |
$61.96 | 40,188 | 35,848 |
|
Hospitalist Medicine Physicians Of New York, Pllc
2475 Saint Raymonds Ave |
$42.04 | 37,025 | 35,590 |
|
New York City Health And Hospitals Corporation
3424 Kossuth Ave |
$162.05 | 25,385 | 23,746 |
|
Brett William Moerke
4422 3Rd Ave |
$106.43 | 23,900 | 23,566 |
|
Sivasubramanian T Narayanan
234 E 149Th St |
$50.37 | 17,798 | 16,927 |
|
Dulce Gonzalez
234 E 149Th St |
$97.91 | 12,332 | 10,948 |
|
Shauna Seaman
234 E 149Th St |
$107.17 | 11,623 | 10,602 |
|
Blanca Grand
4422 3Rd Ave |
$64.28 | 11,391 | 11,107 |
|
Kerianne B Brady
Mmc - Dept Of Pediatrics |
$55.62 | 11,255 | 11,179 |
|
Brian Fahnrich
2475 Saint Raymonds Ave |
$46.37 | 10,768 | 10,487 |
|
Tahisha Nicole Tolbert
234 E 149Th St |
$57.60 | 10,645 | 10,480 |
|
Ramnath Kapoor
234 E 149Th St |
$53.88 | 10,433 | 9,930 |
|
Andres Baquero
1825 Eastchester Rd |
$52.98 | 10,158 | 9,544 |
|
Alice Seidler
1400 Pelham Pkwy S |
$58.68 | 10,014 | 9,932 |
|
Jude Kwame Arthur
860 Grand Concourse |
$91.64 | 9,467 | 9,387 |
|
Edward Djan-Kwansa
2228 Boller Ave |
$57.82 | 9,441 | 7,748 |
|
Heather Joan Becker
4422 3Rd Ave |
$44.08 | 9,430 | 9,102 |
|
Saqib Hafeez
1276 Fulton Ave |
$61.14 | 9,427 | 9,058 |
|
Michele J Fagan
Mmc - Peds. Emergency Medicine |
$103.56 | 9,373 | 9,322 |
|
Walid Zaza
1650 Grand Concourse |
$143.88 | 9,198 | 8,732 |
|
Jennifer Grossman
3415 Bainbridge Ave |
$96.80 | 9,065 | 9,023 |
|
Robert Harrison Brandon
470 E Fordham Rd |
$72.36 | 9,052 | 7,763 |
|
Anele Slezinger
1301 Southern Blvd 2Nd Floor |
$80.99 | 8,932 | 8,492 |
|
Gerrad Augustine
1650 Grand Concourse |
$86.08 | 8,676 | 8,620 |
|
Christian Gianopoulos
4422 3Rd Ave |
$57.02 | 8,639 | 7,017 |
|
Paul Howard Beyer
4422 3Rd Ave |
$71.58 | 8,578 | 8,484 |
|
Michael Joshua Atkin
600 E 233Rd St |
$53.38 | 8,498 | 8,017 |
|
Westchester Square Emergency Physicians
2475 Saint Raymonds Ave |
$39.16 | 8,448 | 8,163 |
|
Lani Mei Lee
1400 Pelham Pkwy S |
$83.28 | 8,429 | 8,202 |
|
Andrew Rende
4422 3Rd Ave |
$86.69 | 8,394 | 6,974 |
|
Viet Vuong
4422 3Rd Ave |
$65.48 | 8,185 | 8,062 |
|
Michal M Gombos
Mmc - Peds. Emergency Medicine |
$94.98 | 8,070 | 8,029 |
|
Frances W Quee
545 E 142Nd Street |
$72.31 | 7,974 | 7,929 |
|
Hnin Khine
Mmc - Pediatric Emergency Med |
$96.23 | 7,932 | 7,893 |
|
Downtown Bronx Medical Associates Pc
234 E 149Th St |
$29.12 | 7,924 | 7,658 |
|
Fanny Mantilla
4422 3Rd Ave |
$81.28 | 7,802 | 7,745 |
|
Liza Victoria Seno Escobedo
1650 Grand Concourse |
$79.86 | 7,626 | 7,398 |
|
Matthew Richard Bludorn
1400 Pelham Pkwy S |
$99.31 | 7,443 | 7,154 |
|
Christine Rizkalla
111 E 210Th St |
$93.93 | 7,393 | 7,372 |
|
Peter Tai
4422 3Rd Ave |
$80.49 | 7,294 | 7,179 |
|
Young-Jin Sue
Mmc - Emergency Medicine |
$102.04 | 7,267 | 7,251 |
|
Mark Fuentes
234 E 149Th St |
$77.23 | 7,169 | 7,107 |
|
I-Lo Hung
234 E 149Th St |
$55.27 | 7,073 | 6,897 |
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 Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Bronx, NY is $138.65 per claim, based on 3,278,500 claims from 846 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 Bronx, NY?
There are 846 Medicaid providers offering Emergency Room Visit related services in Bronx, NY according to public payment data.
What is the price range for Emergency Room Visit in Bronx, NY?
Medicaid reimbursement for Emergency Room Visit in Bronx, NY ranges from $0.00 to $971.50 per claim, with an average of $138.65. 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 Bronx, NY
Home Health Visit
Avg $150.53
23,767,796 claims
Office Visit
Avg $82.40
13,626,712 claims
Blood Work & Lab Tests
Avg $9.72
7,432,399 claims
Substance Abuse Treatment
Avg $38.59
6,144,578 claims
Non-Emergency Medical Transportation
Avg $52.94
4,662,523 claims
Physical Therapy
Avg $33.00
3,372,618 claims
Dental Cleaning & Exam
Avg $31.12
3,317,284 claims
Vaccines & Immunizations
Avg $14.84
3,068,629 claims