Average Medicaid Emergency Room Visit Payments in Du Bois, PA: $88.65
Avg. Paid
$88.65
Range
$0.21 – $269.95
Total Claims
59,529
Providers
26
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 Du Bois, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen Patrick St.Pierre
100 Hospital Ave |
$100.91 | 13,744 | 11,844 |
|
Darin Adams
100 Hospital Ave |
$102.41 | 6,544 | 6,389 |
|
Renu Shrinivas Shirguppi
100 Hospital Ave |
$73.31 | 6,294 | 6,105 |
|
Cortnie Carlheim
100 Hospital Ave |
$92.59 | 4,511 | 4,390 |
|
Ann Marguerite Lopez
100 Hospital Ave |
$130.91 | 4,462 | 4,237 |
|
Gerald Michael Smith
100 Hospital Ave |
$78.84 | 3,558 | 3,488 |
|
Brian M Gates
100 Hospital Ave |
$82.89 | 3,156 | 3,092 |
|
John Edward Quinlan
100 Hospital Ave |
$48.10 | 2,512 | 2,187 |
|
David Nathaniel Kincel
100 Hospital Ave |
$52.22 | 2,213 | 2,120 |
|
Joseph E. Mcandrew
100 Hospital Ave |
$89.59 | 2,168 | 2,123 |
|
Tabatha L. Jeffers
100 Hospital Ave |
$74.16 | 1,611 | 1,542 |
|
Kaitlyn Rae Shaffer
100 Hospital Ave |
$68.10 | 1,158 | 1,142 |
|
Ashley Lynn Borden
100 Hospital Ave |
$76.97 | 1,102 | 1,084 |
|
Christopher Paul Hall
100 Hospital Ave |
$94.30 | 979 | 962 |
|
Conda Joseph Weimer
655 E Dubois Ave |
$75.96 | 923 | 905 |
|
Dustin Mcrae
100 Hospital Ave |
$59.87 | 864 | 745 |
|
Gretchen Lee Snider
100 Hospital Ave |
$68.69 | 720 | 709 |
|
Joseph C Clark
100 Hospital Ave |
$60.46 | 698 | 672 |
|
Morgan L Boyce
100 Hospital Ave |
$107.89 | 544 | 543 |
|
Michael Christopher Blose
100 Hospital Ave |
$75.10 | 540 | 532 |
|
John Georgino
100 Hospital Ave |
$114.27 | 425 | 416 |
|
Arindam Ghatak
100 Hospital Ave |
$56.19 | 289 | 99 |
|
James Foster Beck
100 Hospital Ave |
$32.82 | 240 | 205 |
|
Feyisitan Adekunle Adebajo
145 Hospital Ave |
$0.21 | 128 | 127 |
|
Sanjay Mohan Ramchandani
145 Hospital Ave |
$60.86 | 77 | 69 |
|
Dubois Regional Medical Center
100 Hospital Ave |
$269.95 | 69 | 62 |
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 Du Bois, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Du Bois, PA is $88.65 per claim, based on 59,529 claims from 26 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 Du Bois, PA?
There are 26 Medicaid providers offering Emergency Room Visit related services in Du Bois, PA according to public payment data.
What is the price range for Emergency Room Visit in Du Bois, PA?
Medicaid reimbursement for Emergency Room Visit in Du Bois, PA ranges from $0.21 to $269.95 per claim, with an average of $88.65. 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 Du Bois, PA
Office Visit
Avg $40.55
127,708 claims
Home Health Visit
Avg $215.63
47,080 claims
Blood Work & Lab Tests
Avg $14.83
44,534 claims
Speech Therapy
Avg $5.93
33,996 claims
Chiropractic Care
Avg $12.04
29,473 claims
EKG / ECG (Electrocardiogram)
Avg $7.65
28,538 claims
Physical Therapy
Avg $24.12
22,504 claims
Nursing Facility Care
Avg $15.76
15,289 claims