Average Medicaid Emergency Room Visit Payments in East Norriton, PA: $113.54
Avg. Paid
$113.54
Range
$44.77 – $283.63
Total Claims
8,975
Providers
10
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 East Norriton, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian Paul Duffell
400 E Germantown Pike |
$116.81 | 4,840 | 4,218 |
|
Scott Louis Walters
559 W Germantown Pike |
$59.99 | 1,672 | 1,319 |
|
Michela Mickler
559 W Germantown Pike |
$75.90 | 1,013 | 993 |
|
Edward H. Gray
325 W Germantown Pike Ste 301 |
$212.95 | 813 | 342 |
|
Einstein Medical Center Montgomery
559 W Germantown Pike |
$202.34 | 230 | 215 |
|
Robert Fine
400 E Germantown Pike |
$44.77 | 114 | 104 |
|
Ann Mclaughlan
325 W Germantown Pike Ste 301 |
$109.29 | 96 | 41 |
|
Prime Healthcare Services-Suburban Hospital Llc
2701 Dekalb Pike |
$283.63 | 93 | 89 |
|
Carisa Rose Champion
2701 Dekalb Pike |
$177.06 | 58 | 58 |
|
Prachi Mahendra Modi
559 W Germantown Pike |
$99.19 | 46 | 45 |
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 East Norriton, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in East Norriton, PA is $113.54 per claim, based on 8,975 claims from 10 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 East Norriton, PA?
There are 10 Medicaid providers offering Emergency Room Visit related services in East Norriton, PA according to public payment data.
What is the price range for Emergency Room Visit in East Norriton, PA?
Medicaid reimbursement for Emergency Room Visit in East Norriton, PA ranges from $44.77 to $283.63 per claim, with an average of $113.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
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Other Procedures in East Norriton, PA
Office Visit
Avg $36.88
34,956 claims
EKG / ECG (Electrocardiogram)
Avg $10.84
24,544 claims
Blood Work & Lab Tests
Avg $3.00
16,105 claims
Home Health Visit
Avg $191.66
15,662 claims
X-Ray
Avg $7.79
9,861 claims
CT Scan (Computed Tomography)
Avg $54.56
8,708 claims
Ultrasound
Avg $62.60
7,836 claims
Mammogram
Avg $38.19
7,458 claims