Average Medicaid Emergency Room Visit Payments in Darby, PA: $132.75
Avg. Paid
$132.75
Range
$13.79 – $296.63
Total Claims
35,095
Providers
16
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 Darby, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adam Gamse
1501 Lansdowne Ave |
$137.00 | 9,649 | 9,400 |
|
Steven Casey Hand
1500 Lansdowne Ave |
$168.11 | 8,287 | 8,025 |
|
John Russell Gooch
1500 Lansdowne Ave |
$75.97 | 7,434 | 7,390 |
|
Brad Bendesky
1500 Lansdowne Ave |
$158.96 | 4,527 | 4,372 |
|
Pollianne W Bianchi
1500 Lansdowne Ave |
$109.15 | 2,742 | 2,669 |
|
Trinity Health Mid-Atlantic Medical Group
1500 Lansdowne Ave |
$71.36 | 1,194 | 1,155 |
|
Mercy Catholic Medical Center Of Southeastern Pa
1500 Lansdowne Ave |
$296.63 | 786 | 732 |
|
Mari A Siegel
1500 Lansdowne Ave |
$123.68 | 207 | 204 |
|
Kathryn Rose Paparella
1500 Lansdowne Ave |
$101.21 | 93 | 71 |
|
Ayman Seifin
1500 Lansdowne Ave |
$28.23 | 59 | 47 |
|
Kimberly Downing
1500 Lansdowne Ave |
$22.19 | 28 | 24 |
|
Vincent Salvatore Mirabile
1503 Lansdowne Ave Ste 2000 |
$47.38 | 22 | 12 |
|
Maryann Bright
1500 Lansdowne Ave |
$107.13 | 22 | 12 |
|
Abubaker Khan Jilani
1500 Lansdowne Ave |
$36.94 | 18 | 18 |
|
Manzoor Rather
1500 Lansdowne Ave |
$13.79 | 14 | 14 |
|
William M Urbas
1501 Lansdowne Ave |
$28.00 | 13 | 12 |
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 Darby, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Darby, PA is $132.75 per claim, based on 35,095 claims from 16 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 Darby, PA?
There are 16 Medicaid providers offering Emergency Room Visit related services in Darby, PA according to public payment data.
What is the price range for Emergency Room Visit in Darby, PA?
Medicaid reimbursement for Emergency Room Visit in Darby, PA ranges from $13.79 to $296.63 per claim, with an average of $132.75. 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 Darby, PA
Office Visit
Avg $55.31
76,138 claims
X-Ray
Avg $7.03
46,172 claims
Blood Work & Lab Tests
Avg $2.94
35,855 claims
EKG / ECG (Electrocardiogram)
Avg $12.87
27,065 claims
CT Scan (Computed Tomography)
Avg $45.86
26,843 claims
Ambulance Transport
Avg $192.65
9,276 claims
Physical Therapy
Avg $72.16
9,056 claims
Pathology & Lab Services
Avg $28.22
9,020 claims