Average Medicaid Emergency Room Visit Payments in Ephrata, PA: $114.31
Avg. Paid
$114.31
Range
$49.79 – $398.97
Total Claims
46,599
Providers
25
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 Ephrata, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adam Batog
169 Martin Ave |
$105.16 | 6,232 | 6,068 |
|
Jeffrey Newswanger
446 N Reading Rd |
$49.79 | 6,218 | 5,774 |
|
Michael Stengel
169 Martin Ave |
$186.15 | 5,236 | 5,080 |
|
Kristen Sandel
169 Martin Ave |
$96.66 | 4,843 | 4,677 |
|
Obinna Nwosu
169 Martin Ave |
$134.27 | 3,196 | 3,121 |
|
Steven Zebert
169 Martin Ave |
$103.01 | 3,105 | 2,929 |
|
Cynthia F Gessler
169 Martin Ave |
$123.35 | 3,023 | 2,920 |
|
Kevin Sweeney
169 Martin Ave |
$142.36 | 2,018 | 1,940 |
|
Danica Beebe
175 Martin Ave |
$73.99 | 1,931 | 1,850 |
|
Brian David Debaun
169 Martin Ave |
$165.28 | 1,556 | 1,487 |
|
Amy Nicole Gunnells
169 Martin Ave |
$155.10 | 1,535 | 1,480 |
|
Kathryn Fenton Nowlan
169 Martin Ave |
$171.21 | 1,372 | 1,329 |
|
Sheena Elizabeth Tadikonda
169 Martin Ave |
$157.60 | 1,288 | 1,248 |
|
Ericka L Powell
169 Martin Ave |
$61.47 | 1,175 | 1,144 |
|
Michael Paul Delacruz
446 N Reading Rd |
$76.15 | 846 | 321 |
|
David M Weber
169 Martin Ave |
$91.74 | 814 | 781 |
|
Abigail Lee Eby
169 Martin Ave |
$84.19 | 727 | 720 |
|
Steven Jordan Kleinman
169 Martin Ave |
$74.84 | 392 | 385 |
|
Callie Tucker Dagen
169 Martin Ave |
$50.56 | 291 | 272 |
|
Ammar Alimam
446 N Reading Rd |
$73.97 | 236 | 112 |
|
Michael Osama Khoury
169 Martin Ave |
$153.54 | 184 | 182 |
|
Ephrata Community Hospital
169 Martin Ave |
$398.97 | 136 | 107 |
|
John Carini
175 Martin Ave |
$73.11 | 133 | 126 |
|
Ephrata Community Hospital
169 Martin Ave |
$62.62 | 98 | 81 |
|
Harris Baderak
169 Martin Ave |
$105.33 | 14 | 14 |
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 Ephrata, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Ephrata, PA is $114.31 per claim, based on 46,599 claims from 25 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 Ephrata, PA?
There are 25 Medicaid providers offering Emergency Room Visit related services in Ephrata, PA according to public payment data.
What is the price range for Emergency Room Visit in Ephrata, PA?
Medicaid reimbursement for Emergency Room Visit in Ephrata, PA ranges from $49.79 to $398.97 per claim, with an average of $114.31. 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 Ephrata, PA
Office Visit
Avg $39.20
74,582 claims
Physical Therapy
Avg $16.87
33,733 claims
Blood Work & Lab Tests
Avg $6.04
27,959 claims
X-Ray
Avg $9.33
23,657 claims
Speech Therapy
Avg $14.32
18,558 claims
Home Health Visit
Avg $27.31
12,251 claims
Durable Medical Equipment (DME)
Avg $91.80
9,389 claims
EKG / ECG (Electrocardiogram)
Avg $8.21
7,934 claims