Average Medicaid Emergency Room Visit Payments in Doylestown, PA: $69.21
Avg. Paid
$69.21
Range
$14.60 – $165.58
Total Claims
4,851
Providers
13
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 Doylestown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert N Slade
595 West State Street |
$76.19 | 1,387 | 1,354 |
|
Michael Patrick Chiarelli
595 W State St |
$78.19 | 1,232 | 1,198 |
|
Robert W Linkenheimer
595 W State St |
$63.08 | 1,141 | 1,116 |
|
Maria Halluska-Handy
801 W State St |
$14.60 | 600 | 566 |
|
Doylestown Hospital
595 W State St |
$165.58 | 196 | 191 |
|
Lawrence C Brilliant
595 W State St |
$66.13 | 108 | 106 |
|
Doylestown Emergency Associates Pc
595 W State St |
$110.05 | 61 | 58 |
|
Stephanie Barbetta
14 Memorial Dr Ste B |
$43.49 | 51 | 51 |
|
Joseph J Mchugh
595 W State St |
$45.34 | 25 | 25 |
|
Mark Choi
595 W State St |
$47.69 | 13 | 12 |
|
Khanh Thihong Do
595 W State St |
$37.60 | 13 | 12 |
|
Donna M Grandizio
595 West State St |
$67.72 | 12 | 12 |
|
Bonnie Ann Seipt
595 W State St |
$115.62 | 12 | 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 Doylestown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Doylestown, PA is $69.21 per claim, based on 4,851 claims from 13 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 Doylestown, PA?
There are 13 Medicaid providers offering Emergency Room Visit related services in Doylestown, PA according to public payment data.
What is the price range for Emergency Room Visit in Doylestown, PA?
Medicaid reimbursement for Emergency Room Visit in Doylestown, PA ranges from $14.60 to $165.58 per claim, with an average of $69.21. 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 Doylestown, PA
Speech Therapy
Avg $25.55
218,342 claims
Physical Therapy
Avg $29.79
126,578 claims
Case Management Services
Avg $74.64
80,772 claims
Ambulance Transport
Avg $40.58
49,274 claims
Home Health Visit
Avg $88.50
39,851 claims
Office Visit
Avg $46.44
21,859 claims
Dental Cleaning & Exam
Avg $27.78
11,946 claims
X-Ray
Avg $3.53
9,274 claims