Average Medicaid Emergency Room Visit Payments in East Stroudsburg, PA: $121.03
Avg. Paid
$121.03
Range
$0.00 – $165.85
Total Claims
49,927
Providers
15
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 Stroudsburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Megan Wheatley
206 E Brown St |
$3.00 | 15 | 15 |
|
Hubert Kostek
206 E Brown St |
$11.59 | 16 | 15 |
|
Pavel Jaworski
422 Normal St |
$0.00 | 17 | 13 |
|
Leah Paige Makarevich
206 E Brown St |
$11.52 | 20 | 20 |
|
Steven John Zanders
206 E Brown St |
$52.49 | 49 | 15 |
|
Michael L. Yucha
206 E Brown St |
$23.69 | 83 | 75 |
|
John Joseph Sobuto
400 Plaza Ct Ste A |
$115.62 | 199 | 68 |
|
Agnes Wane-Slory
200 E Brown St |
$37.63 | 627 | 623 |
|
Richard Cornish
206 E Brown St |
$54.58 | 1,773 | 1,723 |
|
Lauren Demers
206 E Brown St |
$165.85 | 4,834 | 4,246 |
|
Lehigh Valley Hospital Pocono
206 E Brown St |
$156.15 | 6,120 | 5,555 |
|
Christopher Joseph Amrick
206 E Brown St |
$98.15 | 8,386 | 8,230 |
|
Colleen Kennedy
206 E Brown St |
$99.69 | 8,697 | 8,530 |
|
Will Thomas Russell
206 E Brown St |
$103.11 | 8,926 | 8,758 |
|
Basil Albert Defranco
206 E Brown St |
$150.17 | 10,165 | 10,028 |
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 Stroudsburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in East Stroudsburg, PA is $121.03 per claim, based on 49,927 claims from 15 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 Stroudsburg, PA?
There are 15 Medicaid providers offering Emergency Room Visit related services in East Stroudsburg, PA according to public payment data.
What is the price range for Emergency Room Visit in East Stroudsburg, PA?
Medicaid reimbursement for Emergency Room Visit in East Stroudsburg, PA ranges from $0.00 to $165.85 per claim, with an average of $121.03. 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 Stroudsburg, PA
Office Visit
Avg $51.74
178,807 claims
Home Health Visit
Avg $179.15
45,338 claims
EKG / ECG (Electrocardiogram)
Avg $7.87
40,825 claims
Blood Work & Lab Tests
Avg $7.02
32,585 claims
X-Ray
Avg $10.84
24,449 claims
Vaccines & Immunizations
Avg $12.22
24,448 claims
CT Scan (Computed Tomography)
Avg $47.83
20,570 claims
Physical Therapy
Avg $21.87
17,720 claims