Average Medicaid Emergency Room Visit Payments in Englewood Cliffs, NJ: $45.43
Avg. Paid
$45.43
Range
$43.14 – $89.34
Total Claims
21,058
Providers
3
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 Englewood Cliffs, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fernando Guerrero
17 W Bayview Ave |
$43.14 | 20,004 | 19,484 |
|
Weekon Choi
6 Sylvan Avenue |
$89.34 | 1,042 | 403 |
|
Sammantha Cacioppo-Cruz
910 Sylvan Ave Ste 100 |
$44.65 | 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 Englewood Cliffs, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Englewood Cliffs, NJ is $45.43 per claim, based on 21,058 claims from 3 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 Englewood Cliffs, NJ?
There are 3 Medicaid providers offering Emergency Room Visit related services in Englewood Cliffs, NJ according to public payment data.
What is the price range for Emergency Room Visit in Englewood Cliffs, NJ?
Medicaid reimbursement for Emergency Room Visit in Englewood Cliffs, NJ ranges from $43.14 to $89.34 per claim, with an average of $45.43. 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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Avg $116.65
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New York, NY
Avg $130.02
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Avg $98.63
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Avg $130.10
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Avg $135.52
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Other Procedures in Englewood Cliffs, NJ
Home Health Visit
Avg $144.74
159,039 claims
Office Visit
Avg $39.71
84,516 claims
Physical Therapy
Avg $24.18
52,557 claims
Blood Work & Lab Tests
Avg $1.35
22,353 claims
X-Ray
Avg $20.05
16,002 claims
Vaccines & Immunizations
Avg $15.01
10,133 claims
Dental Cleaning & Exam
Avg $14.83
7,730 claims
Tooth Extraction
Avg $18.23
6,380 claims