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Based on public Medicaid payment data.

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

Other Procedures in Buffalo, NY