Average Medicaid Emergency Room Visit Payments in East Setauket, NY: $56.87
Avg. Paid
$56.87
Range
$32.25 – $83.44
Total Claims
3,347
Providers
9
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 Setauket, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shelly Beth Waldman
4 Technology Dr |
$56.12 | 2,801 | 2,786 |
|
Mohamed Mohsen Mansour
26 Research Way |
$71.56 | 146 | 53 |
|
David Christopher Cesarino
6 Technology Dr Ste 100 |
$83.01 | 119 | 119 |
|
Hillary R Scheier
14 Technology Dr |
$32.25 | 87 | 86 |
|
Lucy Palmer
26 Research Way |
$39.74 | 76 | 39 |
|
Paul Richman
26 Research Way |
$40.85 | 39 | 14 |
|
Matthew P Vetrano
6 Technology Dr Ste 100 |
$83.44 | 37 | 37 |
|
Melissa Peskin-Stolze
140 Bellemeade Rd |
$58.23 | 30 | 29 |
|
Danielle Marie Zick
6 Technology Dr Ste 100 |
$46.20 | 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 East Setauket, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in East Setauket, NY is $56.87 per claim, based on 3,347 claims from 9 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 Setauket, NY?
There are 9 Medicaid providers offering Emergency Room Visit related services in East Setauket, NY according to public payment data.
What is the price range for Emergency Room Visit in East Setauket, NY?
Medicaid reimbursement for Emergency Room Visit in East Setauket, NY ranges from $32.25 to $83.44 per claim, with an average of $56.87. 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
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Philadelphia, PA
Avg $135.52
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Other Procedures in East Setauket, NY
Office Visit
Avg $87.84
163,824 claims
EKG / ECG (Electrocardiogram)
Avg $6.74
40,977 claims
Ultrasound
Avg $120.29
35,649 claims
Eye Exam
Avg $53.21
29,552 claims
Dental Cleaning & Exam
Avg $1.59
26,356 claims
Vaccines & Immunizations
Avg $12.60
20,441 claims
Blood Work & Lab Tests
Avg $4.93
13,430 claims
Physical Therapy
Avg $22.48
8,503 claims