Average Medicaid Emergency Room Visit Payments in Edison, NJ: $201.48
Avg. Paid
$201.48
Range
$28.00 – $286.46
Total Claims
285,731
Providers
43
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 Edison, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Hospital Group Inc
65 James St |
$259.88 | 98,935 | 94,025 |
|
Hmh Hospitals Corporation
65 James St |
$286.46 | 89,710 | 82,120 |
|
Middlesex Emergency Physicians, P.A.
65 James St |
$60.66 | 15,958 | 15,314 |
|
Shilpa K Amin
166 Winthrop Rd |
$71.33 | 10,299 | 9,244 |
|
Amarpal Kaur Purewal
65 James St |
$67.26 | 7,163 | 6,371 |
|
Rashmin Hingrajia
65 James St |
$62.95 | 6,285 | 6,172 |
|
Madhoolika Verma
52 State Route 27 Ste 1A |
$59.83 | 6,119 | 6,019 |
|
Ryan Davidson Hill
65 James St |
$84.88 | 6,036 | 5,975 |
|
Geetha Gurrala
65 James St |
$60.17 | 5,163 | 4,986 |
|
Aaditya Desai
6 Sandra Dr |
$74.83 | 5,031 | 4,893 |
|
Christine Marie Welsch
259 Talmadge Rd |
$63.31 | 4,791 | 4,399 |
|
Hetal C Joshi
65 James St |
$48.85 | 4,626 | 4,472 |
|
Ofunne Obaze
65 James St |
$78.12 | 4,034 | 3,773 |
|
Prateek Vijay
65 James St |
$53.18 | 3,981 | 3,799 |
|
Adrian Alberto Diez
65 James St |
$49.56 | 3,038 | 2,873 |
|
Vikas Khanna
65 James St |
$47.30 | 2,596 | 2,516 |
|
Gurvindra Singh Johal
1813 Oak Tree Rd |
$43.93 | 1,907 | 1,867 |
|
Shane Devanand Naidoo
65 James St |
$69.09 | 1,901 | 1,775 |
|
Jaime Alex Morales
4073 Woodbridge Ave |
$55.93 | 1,318 | 1,223 |
|
Phyllis Noel Huang
65 James St |
$59.65 | 1,190 | 1,182 |
|
Manuel Ramos Tan
38 Laura Ave |
$39.32 | 961 | 935 |
|
Daniel E Rosenblatt
65 James St |
$66.41 | 887 | 261 |
|
Erica Addesa
65 James St |
$43.92 | 656 | 642 |
|
Jonathan Medina Borja
65 James St |
$49.16 | 481 | 480 |
|
Siddharth A Shah
817 Inman Ave |
$81.85 | 401 | 160 |
|
Vijaya Tirunahari
2 State Route 27 |
$73.93 | 369 | 131 |
|
Barry Z Wolf
2 State Route 27 |
$57.29 | 338 | 104 |
|
Christine Gentile
65 James St |
$39.68 | 245 | 225 |
|
Haralabos Zacharatos
65 James St |
$96.65 | 192 | 63 |
|
Vasilios Velmahos
113 James St |
$59.02 | 188 | 68 |
|
Lisa M Casale
2 State Route 27 |
$39.96 | 188 | 55 |
|
Carolyne Jean-Philippe
65 James St |
$74.39 | 184 | 183 |
|
Andrew Farkas
65 James Street |
$33.86 | 161 | 161 |
|
Vincent Donnabella
2 Lincoln Hwy Ste 301 |
$88.03 | 116 | 45 |
|
Mark I. Zimmerman
2 Lincoln Hwy Ste 301 |
$44.92 | 62 | 12 |
|
Pooja Shah
1964 Oak Tree Rd |
$60.56 | 56 | 14 |
|
Aaron Afraim Desai
65 James St |
$146.08 | 42 | 24 |
|
Samir Sutaria
2177 Oak Tree Rd |
$107.63 | 30 | 12 |
|
Deepak Dhaliwal
2 Lincoln Hwy Ste 302 |
$28.00 | 29 | 27 |
|
Kavitha Velicheti
65 James St |
$50.61 | 25 | 12 |
|
Shiraz Ahmed Nisar
1895 Oak Tree Rd |
$36.41 | 15 | 12 |
|
Bankimchandra D Desai
3815 Park Ave |
$54.67 | 12 | 12 |
|
Andrew R Freedman
7 Marshall Dr |
$64.32 | 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 Edison, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Edison, NJ is $201.48 per claim, based on 285,731 claims from 43 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 Edison, NJ?
There are 43 Medicaid providers offering Emergency Room Visit related services in Edison, NJ according to public payment data.
What is the price range for Emergency Room Visit in Edison, NJ?
Medicaid reimbursement for Emergency Room Visit in Edison, NJ ranges from $28.00 to $286.46 per claim, with an average of $201.48. 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 Edison, NJ
Home Health Visit
Avg $72.70
1,738,327 claims
Office Visit
Avg $46.03
753,071 claims
Blood Work & Lab Tests
Avg $8.48
735,324 claims
Physical Therapy
Avg $26.81
302,797 claims
Ambulance Transport
Avg $135.04
200,274 claims
Vaccines & Immunizations
Avg $13.11
181,694 claims
Dental Cleaning & Exam
Avg $26.48
177,448 claims
X-Ray
Avg $18.91
144,439 claims