Average Medicaid Emergency Room Visit Payments in Derby, CT: $257.91
Avg. Paid
$257.91
Range
$11.85 – $332.92
Total Claims
143,485
Providers
23
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 Derby, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Griffin Hospital
130 Division St |
$332.92 | 103,918 | 89,055 |
|
Samantha Ann Holzman
130 Division St |
$46.32 | 5,134 | 4,978 |
|
Russell Scott Holliday
130 Division St |
$102.94 | 4,439 | 4,327 |
|
Nikolett Kocsis
78 Pershing Dr |
$75.50 | 3,903 | 2,985 |
|
Brenton Richard Dempsey
130 Division St |
$42.83 | 3,780 | 3,593 |
|
Tatyana Lyapustina
130 Division St |
$60.04 | 3,648 | 3,418 |
|
Laura Butler
130 Division St |
$60.95 | 3,301 | 3,167 |
|
Gregory Boris
130 Division St |
$55.46 | 2,967 | 2,848 |
|
Shane Leslie Leighton
130 Division St |
$65.17 | 2,278 | 2,074 |
|
Stephen Michael Kelly
130 Division St |
$57.64 | 2,140 | 2,067 |
|
Alexis Cardinali
130 Division St |
$34.45 | 1,789 | 1,493 |
|
Gregory James Przedpelski
130 Division St |
$51.96 | 1,477 | 1,440 |
|
Neha Jashwantlal Rana
130 Division St |
$56.12 | 1,223 | 1,166 |
|
Ryan Edward Weiss
130 Division St |
$53.35 | 1,087 | 1,053 |
|
Nicholas Charles Adams
130 Division St |
$52.64 | 801 | 754 |
|
Kathleen M Chaisson
130 Division St |
$62.66 | 595 | 180 |
|
Astrid B Garza Posadas
435 New Haven Ave Ste 2 |
$11.85 | 393 | 235 |
|
Gabriel Gebhart Paul
130 Division St |
$71.24 | 220 | 215 |
|
Jorge Augusto Aguilar Espinal
130 Division St |
$211.81 | 108 | 94 |
|
Jessica Gonzalez
130 Division St |
$46.10 | 107 | 106 |
|
Dwayne Alansier Hall
130 Division St |
$48.38 | 90 | 79 |
|
Michael Sung Lee
130 Division St |
$82.57 | 54 | 15 |
|
Olivia Thomas
130 Division St |
$49.16 | 33 | 32 |
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 Derby, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Derby, CT is $257.91 per claim, based on 143,485 claims from 23 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 Derby, CT?
There are 23 Medicaid providers offering Emergency Room Visit related services in Derby, CT according to public payment data.
What is the price range for Emergency Room Visit in Derby, CT?
Medicaid reimbursement for Emergency Room Visit in Derby, CT ranges from $11.85 to $332.92 per claim, with an average of $257.91. 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 Derby, CT
Blood Work & Lab Tests
Avg $4.40
683,762 claims
Office Visit
Avg $48.01
177,636 claims
Physical Therapy
Avg $31.32
120,522 claims
Urinalysis & Urine Tests
Avg $1.73
98,510 claims
Psychiatric Evaluation
Avg $46.25
88,408 claims
EKG / ECG (Electrocardiogram)
Avg $4.89
79,694 claims
Dental Cleaning & Exam
Avg $40.36
62,280 claims
X-Ray
Avg $34.95
50,342 claims