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 |
|---|---|---|---|
|
Rachelle M St.Onge
1001 Main Street |
$77.11 | 13 | 13 |
|
Toni Marie Ventrilla
515 Abbott Rd |
$50.79 | 14 | 14 |
|
Stacey E Pynn
701 Seneca St Ste 646C |
$39.35 | 16 | 16 |
|
Shamim M Islam
1001 Main St Fl 4 |
$406.99 | 18 | 12 |
|
Andrew J Stansberry
565 Abbott Rd |
$23.69 | 19 | 19 |
|
Kimberly L Jackson
818 Ellicott St |
$68.48 | 19 | 19 |
|
Ripal Patel
818 Ellicott St |
$180.81 | 25 | 12 |
|
Ayesha Lauren Turner
219 Bryant St |
$78.40 | 25 | 25 |
|
Ted James Andrews
1001 Main St Fl 2 |
$56.63 | 26 | 26 |
|
Shelby Leanne Hall
818 Ellicott St |
$99.73 | 27 | 27 |
|
Stavros Lalos
77 Goodell St Ste 340 |
$53.48 | 27 | 27 |
|
Amanda Werthman-Ehrenreich
77 Goodell St Ste 340 |
$68.42 | 27 | 27 |
|
Christine M Verni
184 Barton St |
$53.52 | 27 | 27 |
|
Patricia Mary Schwarzkopf
219 Bryant St |
$43.69 | 28 | 28 |
|
Arthur E. Orlick
100 High St |
$126.33 | 28 | 28 |
|
Clairice Ann Cooper
462 Grider St |
$126.57 | 33 | 13 |
|
Kari Seep
565 Abbott Rd |
$61.14 | 34 | 33 |
|
Catherine Elaine Almeter
565 Abbott Rd |
$41.29 | 38 | 38 |
|
Yifan Lu
462 Grider St |
$38.61 | 38 | 13 |
|
Matthew David Swatski
1001 Main St Fl 5 |
$77.41 | 39 | 39 |
|
Lauren F Weeks
1285 Main St |
$58.96 | 41 | 41 |
|
James K Lukan
462 Grider St |
$121.22 | 42 | 12 |
|
Kathleen F Courtney
219 Bryant St |
$125.27 | 45 | 45 |
|
Amy Lee Foster
3495 Bailey Ave |
$51.46 | 45 | 45 |
|
Sophia Raptopoulos
712 City Hall |
$84.93 | 47 | 45 |
|
Barbara Kim Badgley
100 High St |
$62.97 | 49 | 49 |
|
Haley Martin
77 Goodell St Ste 304 |
$108.60 | 53 | 50 |
|
Shahzad Bin Waheed
1001 Main St Fl 5 |
$264.15 | 59 | 39 |
|
Raed M. Alnaji
565 Abbott Rd |
$43.09 | 59 | 13 |
|
Ryan Kenneth Breuer
818 Ellicott St |
$171.26 | 60 | 32 |
|
Jillian A Trehy
100 High St |
$63.68 | 62 | 62 |
|
Alexis Latrice Lynch
100 High St |
$42.50 | 64 | 60 |
|
James Cozza
701 Seneca St Ste 646C |
$35.12 | 65 | 65 |
|
Michael James Bowler
818 Ellicott St |
$221.45 | 65 | 27 |
|
Anna Claire Herberger
Elm And Carlton Streets |
$74.52 | 71 | 71 |
|
Nathaniel Mark Ivanick
Elm And Carlton Streets |
$105.39 | 71 | 39 |
|
Nathan O'Brien
77 Goodell St Ste 340 |
$79.52 | 74 | 74 |
|
Stefany Vinokur
77 Goodell St Ste 340 |
$125.79 | 74 | 74 |
|
Seth Paul Butler
77 Goodell St Ste 340 |
$85.27 | 80 | 80 |
|
Donald F Pickhardt
515 Abbott Rd Ste 304 |
$27.51 | 82 | 82 |
|
Alberto F. Monegro
1001 Main St Fl 4 |
$18.05 | 83 | 25 |
|
Kathleen Hoban
955 Main St Ste 7230 |
$90.60 | 86 | 86 |
|
Benny L Joyner
818 Ellicott St |
$166.70 | 96 | 42 |
|
Robert Mccormack
100 High St |
$105.26 | 98 | 98 |
|
Denise Ann Rokitka
Elm And Carlton Streets |
$68.97 | 102 | 101 |
|
Musa Saeed
Elm And Carlton Streets |
$108.97 | 108 | 54 |
|
Weidun Alan Guo
462 Grider St |
$140.72 | 110 | 25 |
|
Madeline Guido
818 Ellicott St |
$35.39 | 111 | 111 |
|
Usman Younus
462 Grider St |
$129.42 | 111 | 43 |
|
Sergio J Anillo
100 High St |
$112.81 | 112 | 55 |
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