Average Medicaid Emergency Room Visit Payments in Denville, NJ: $235.35
Avg. Paid
$235.35
Range
$35.76 – $331.23
Total Claims
111,404
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 Denville, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prime Healthcare Services - Saint Clare'S Llc
25 Pocono Rd |
$331.23 | 70,565 | 64,511 |
|
Judith Nwalibeaku Umeukeje
25 Pocono Rd |
$77.55 | 12,952 | 12,368 |
|
Dean Adam Berman
25 Pocono Rd |
$91.42 | 6,846 | 6,645 |
|
Ronald P Guzas
25 Pocono Rd |
$56.76 | 6,470 | 6,261 |
|
Vincent Paul Retirado
25 Pocono Rd |
$57.06 | 5,729 | 5,543 |
|
Kevin J Tierney
25 Pocono Rd |
$59.52 | 5,070 | 4,916 |
|
Mariya Cherneykina
25 Pocono Rd |
$58.23 | 1,980 | 1,928 |
|
Stephanie Lynn Scham Ortega
25 Pocono Rd |
$66.05 | 746 | 715 |
|
Avital Tsymbal
25 Pocono Rd |
$38.73 | 474 | 474 |
|
Michael Mammon
25 Pocono Rd |
$35.76 | 169 | 160 |
|
Aimee Chua Mehta
25 Pocono Rd |
$40.78 | 141 | 141 |
|
Michael Anthony Maddaloni
25 Pocono Rd |
$41.80 | 139 | 138 |
|
Kristen Denaro
276 E Main St Ste 10 |
$198.31 | 75 | 73 |
|
Michael Russoniello
16 Pocono Rd |
$70.04 | 22 | 12 |
|
Siddhi Kaushik Patel
25 Pocono Rd |
$81.59 | 13 | 13 |
|
Emergency Physicians Of Saint Clares Llc
25 Pocono Road |
$46.03 | 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 Denville, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Denville, NJ is $235.35 per claim, based on 111,404 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 Denville, NJ?
There are 16 Medicaid providers offering Emergency Room Visit related services in Denville, NJ according to public payment data.
What is the price range for Emergency Room Visit in Denville, NJ?
Medicaid reimbursement for Emergency Room Visit in Denville, NJ ranges from $35.76 to $331.23 per claim, with an average of $235.35. 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 Denville, NJ
Blood Work & Lab Tests
Avg $10.34
134,230 claims
Ambulance Transport
Avg $199.96
123,538 claims
Office Visit
Avg $57.98
119,375 claims
Psychiatric Evaluation
Avg $99.52
101,905 claims
Substance Abuse Treatment
Avg $90.85
55,510 claims
X-Ray
Avg $20.88
53,080 claims
Dental Cleaning & Exam
Avg $36.58
50,294 claims
Urinalysis & Urine Tests
Avg $3.02
41,086 claims