Average Medicaid Emergency Room Visit Payments in Clairton, PA: $92.35
Avg. Paid
$92.35
Range
$0.00 – $219.74
Total Claims
16,807
Providers
8
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 Clairton, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jason K Wong
565 Coal Valley Rd |
$87.00 | 5,482 | 5,349 |
|
Scott Glazier
565 Coal Valley Rd |
$82.34 | 5,262 | 5,198 |
|
Autumn Rae Mrosko
575 Coal Valley Rd Ste 300 |
$77.90 | 4,232 | 4,170 |
|
Brandon Z Bell
575 Coal Valley Rd Ste 300 |
$139.95 | 849 | 753 |
|
Jennifer Nadine Sallinger
565 Coal Valley Rd |
$219.74 | 847 | 813 |
|
Jefferson Regional Medical Center
565 Coal Valley Rd |
$64.97 | 88 | 82 |
|
Amanda Shafton
575 Coal Valley Road |
$46.89 | 34 | 33 |
|
Anthony Niyamuddin
565 Coal Valley Rd |
$0.00 | 13 | 13 |
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 Clairton, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Clairton, PA is $92.35 per claim, based on 16,807 claims from 8 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 Clairton, PA?
There are 8 Medicaid providers offering Emergency Room Visit related services in Clairton, PA according to public payment data.
What is the price range for Emergency Room Visit in Clairton, PA?
Medicaid reimbursement for Emergency Room Visit in Clairton, PA ranges from $0.00 to $219.74 per claim, with an average of $92.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
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Philadelphia, PA
Avg $135.52
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Other Procedures in Clairton, PA
Office Visit
Avg $52.63
16,427 claims
Dental Cleaning & Exam
Avg $32.36
14,686 claims
Blood Work & Lab Tests
Avg $3.32
12,080 claims
Dental Filling
Avg $96.45
7,124 claims
X-Ray
Avg $4.30
7,033 claims
Urinalysis & Urine Tests
Avg $3.45
3,907 claims
Speech Therapy
Avg $3.83
3,485 claims
Tooth Extraction
Avg $91.90
3,174 claims