Average Medicaid Emergency Room Visit Payments in Buffalo, NY: $120.86
Avg. Paid
$120.86
Range
$0.00 – $406.99
Total Claims
1,082,052
Providers
327
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 Buffalo, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaleida Health
818 Ellicott St |
$179.63 | 89,747 | 85,918 |
|
Erie County Medical Center Corporation
462 Grider St |
$186.23 | 69,797 | 63,222 |
|
John Marshall Tyo
219 Bryant Street |
$114.56 | 63,376 | 54,230 |
|
Mercy Hospital Of Buffalo
565 Abbott Rd |
$176.54 | 55,019 | 52,506 |
|
Sisters Of Charity Hospital Of Buffalo New York
2157 Main St |
$169.76 | 51,208 | 48,402 |
|
Kaleida Health
100 High St |
$186.16 | 43,257 | 40,738 |
|
Kaleida Health
100 High St |
$120.12 | 32,263 | 30,505 |
|
Varun Koneru
100 High St |
$122.92 | 16,687 | 14,233 |
|
John Richard Santillo
2157 Main St |
$126.31 | 15,187 | 14,910 |
|
Matthew James Kratochvil
6 Fountain Plz |
$72.76 | 14,517 | 14,217 |
|
Tom Huu Le
565 Abbott Rd |
$137.78 | 14,237 | 13,378 |
|
Kunal Chadha
818 Ellicott St |
$119.32 | 13,282 | 13,222 |
|
Mark Anthony Kenyon
818 Ellicott St |
$133.81 | 13,082 | 13,014 |
|
Mark R Podlas
2157 Main St |
$116.83 | 12,652 | 12,448 |
|
Erick Matthew O'Brien
100 High St |
$99.53 | 11,998 | 11,479 |
|
Alexandre Roth Picard
219 Bryant St |
$144.87 | 11,027 | 9,986 |
|
Berly Ann Jaison
100 High St |
$70.96 | 10,801 | 10,723 |
|
Shelby Stryker
100 High St |
$157.35 | 10,253 | 8,733 |
|
Azima Rasiwala
2157 Main St |
$97.33 | 9,685 | 8,983 |
|
Mary Ellen Emborsky
1001 Main St Fl 5 |
$124.29 | 9,612 | 9,573 |
|
Josette Anna Teuscher
219 Bryant Street |
$105.99 | 9,582 | 9,532 |
|
Lynn Marie Lawrence
219 Bryant St |
$85.24 | 9,355 | 9,142 |
|
Kristina Bradfield-Mcgee
818 Ellicott St |
$128.34 | 9,308 | 9,278 |
|
Cheryl Drabik
1001 Main St Fl 4 |
$87.56 | 9,232 | 9,212 |
|
Jordan Kross
6 Fountain Plz |
$82.69 | 8,791 | 8,395 |
|
John Francis Kah
100 High St |
$117.35 | 8,205 | 7,915 |
|
Bindesh Patel
462 Grider St Dept Of |
$83.38 | 7,848 | 7,812 |
|
James H Lim
462 Grider St |
$19.95 | 7,659 | 7,493 |
|
Jill Fennell
818 Ellicott St |
$148.58 | 7,286 | 7,251 |
|
Rebecca Roloff
818 Ellicott St |
$94.38 | 7,200 | 7,186 |
|
Heather Marie Territo
818 Ellicott St |
$128.71 | 7,137 | 7,117 |
|
Gerald Igoe
462 Grider St |
$100.08 | 6,973 | 6,848 |
|
Medhat E. Barsoom
2157 Main St |
$91.24 | 6,951 | 6,860 |
|
Elizabeth Ann Hendricks
100 High St |
$94.16 | 6,744 | 6,691 |
|
Mara Seree Kasputis
100 High St |
$105.54 | 6,639 | 6,552 |
|
Jeremy J Killion
818 Ellicott St |
$114.43 | 6,552 | 6,543 |
|
Saikat Pal
219 Bryant St |
$69.86 | 6,304 | 5,951 |
|
Dru Stephen Sappington
100 High St |
$120.18 | 5,980 | 5,307 |
|
Brian Anthony Monaco
100 High St |
$74.49 | 5,781 | 5,742 |
|
Linda L Bush
219 Bryant Street |
$92.31 | 5,710 | 5,696 |
|
Donna Jones
22 Organ Cres |
$69.28 | 5,623 | 5,617 |
|
Jonathan Norwood Coolidge
100 High St |
$80.04 | 5,542 | 5,417 |
|
Jason A Borton
100 High St |
$82.05 | 5,191 | 5,157 |
|
Kayleigh Gromilovitz Pung
565 Abbott Rd |
$86.96 | 5,117 | 5,042 |
|
Daniel Anthony Victor
100 High St |
$83.93 | 5,088 | 5,043 |
|
Mika Iwano
1001 Main St Fl 5 |
$60.15 | 5,007 | 4,818 |
|
Raymond Kelly
2950 Elmwood Ave |
$125.83 | 4,900 | 4,798 |
|
Marycatherine Aungst
Elm And Carlton Streets |
$78.41 | 4,796 | 4,776 |
|
Matthew L. Wiese
818 Ellicott St |
$190.27 | 4,755 | 4,732 |
|
Colleen Ann Hurley
1001 Main St Fl 4 |
$64.96 | 4,733 | 4,722 |
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 Buffalo, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Buffalo, NY is $120.86 per claim, based on 1,082,052 claims from 327 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 Buffalo, NY?
There are 327 Medicaid providers offering Emergency Room Visit related services in Buffalo, NY according to public payment data.
What is the price range for Emergency Room Visit in Buffalo, NY?
Medicaid reimbursement for Emergency Room Visit in Buffalo, NY ranges from $0.00 to $406.99 per claim, with an average of $120.86. 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 Buffalo, NY
Home Health Visit
Avg $138.93
2,641,639 claims
Office Visit
Avg $60.22
2,438,221 claims
Blood Work & Lab Tests
Avg $8.36
2,385,372 claims
Substance Abuse Treatment
Avg $44.27
1,684,325 claims
Dental Cleaning & Exam
Avg $30.59
790,427 claims
Case Management Services
Avg $250.24
760,219 claims
Psychiatric Evaluation
Avg $135.39
730,584 claims
Ambulance Transport
Avg $114.37
601,138 claims