Average Medicaid Emergency Room Visit Payments in Erie, PA: $80.44
Avg. Paid
$80.44
Range
$0.00 – $244.50
Total Claims
582,207
Providers
159
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 Erie, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Janet R Skrbin
201 State St |
$85.13 | 18,349 | 17,748 |
|
Shawn M Simko
232 W 25Th St |
$88.38 | 16,332 | 15,849 |
|
Amy Pope
135 East 38Th Street Boulevard |
$81.72 | 14,531 | 14,088 |
|
Bobbie Brotherson
2314 Sassafras St |
$107.14 | 11,866 | 9,708 |
|
Cecil Veloor Thomas
201 State St |
$85.39 | 11,743 | 11,058 |
|
Jessica Erin Goldstein
232 W 25Th St |
$75.05 | 11,426 | 10,305 |
|
Daniel Sheldon Hunter
201 State Street |
$90.10 | 11,201 | 10,092 |
|
Melody L Milliron
232 W 25Th St |
$91.02 | 10,685 | 10,506 |
|
Ahn Emergency Group Of Erie County Ltd.
232 W 25Th St |
$44.06 | 10,469 | 9,979 |
|
Samuel W Zerkle
201 State St |
$78.69 | 10,466 | 10,145 |
|
Tyler Lewandowski
201 State St |
$110.62 | 10,174 | 9,636 |
|
William David Richardson
201 State St |
$83.98 | 9,856 | 9,709 |
|
Adam Griffith
201 State St |
$81.10 | 9,718 | 9,594 |
|
Amy Farris
5515 Peach St |
$55.53 | 9,687 | 9,419 |
|
Shirley Shuppe
201 State St |
$87.71 | 9,134 | 8,998 |
|
Jason Paul Manross
201 State St |
$81.42 | 9,112 | 8,969 |
|
Jonathan L Taylor
2314 Sassafras St |
$86.22 | 9,106 | 8,573 |
|
Jason Blair Crofts
2314 Sassafras St |
$81.07 | 8,981 | 8,821 |
|
Jeffrey A Defranc
201 State St |
$57.49 | 8,902 | 8,698 |
|
Joshua Stelmack
5515 Peach St |
$50.06 | 8,690 | 8,336 |
|
Kevin Sabotchick
201 State St |
$81.45 | 8,616 | 8,532 |
|
Patricia Elizabeth Smolter
232 W 25Th St |
$72.79 | 8,454 | 7,505 |
|
Erin Marie Costello Reese
201 State St |
$80.54 | 8,342 | 8,232 |
|
Joseph William Radachy
201 State St |
$79.88 | 8,255 | 8,159 |
|
Karin Kemp
201 State St |
$85.04 | 8,067 | 7,933 |
|
Matthew Webb
201 State St |
$84.46 | 8,042 | 7,928 |
|
Jason Blue Loflen
201 State St |
$81.26 | 7,944 | 7,808 |
|
James Kocjancic
201 State St |
$86.05 | 7,729 | 7,594 |
|
Brian T Mcquone
201 State St |
$84.36 | 7,327 | 7,211 |
|
Bryan Yost
201 State St |
$82.52 | 7,286 | 7,169 |
|
Kasey Tobin
201 State St |
$81.40 | 7,266 | 7,191 |
|
Jonathan Miller
201 State St |
$78.51 | 7,245 | 7,129 |
|
Peter Intrieri
201 State St |
$80.28 | 7,203 | 7,073 |
|
Shaun Black
201 State St |
$71.13 | 7,179 | 7,094 |
|
Stephanie Larson
2314 Sassafras St |
$59.95 | 7,164 | 6,974 |
|
Brandon Joseph Kramer
2800 W 21St St Ste 20 |
$59.61 | 7,153 | 7,006 |
|
Jared D Krugh
201 State St |
$57.18 | 7,138 | 7,027 |
|
William Douglas Lee Ii
201 State St |
$77.11 | 7,026 | 6,730 |
|
Eric J. Milie
2010 W 38Th St Lowr Level |
$66.93 | 6,837 | 6,692 |
|
Scott Cook
311 W 24Th St |
$70.07 | 6,639 | 6,295 |
|
Katherine Hannah Lund
232 W 25Th St |
$81.15 | 6,385 | 6,313 |
|
Kristin Juhasz
201 State St |
$83.12 | 6,293 | 6,206 |
|
Jason C Ball
232 W 25Th St |
$90.72 | 6,275 | 6,154 |
|
Lindsay Anne Shankman
232 W 25Th St |
$62.44 | 6,200 | 6,090 |
|
Kevin A Andryc
201 State St |
$82.62 | 6,149 | 5,749 |
|
Erik R Iszkula
201 State St |
$80.40 | 6,087 | 6,016 |
|
Briana King
232 W 25Th St |
$62.86 | 6,032 | 5,952 |
|
Timothy Cheslock
232 W 25Th St |
$64.55 | 6,015 | 5,036 |
|
Christopher Reed Cammarata
201 State St |
$76.45 | 5,612 | 5,535 |
|
Caroline A Colleran
4950 Buffalo Rd |
$87.98 | 5,583 | 5,472 |
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 Erie, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Erie, PA is $80.44 per claim, based on 582,207 claims from 159 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 Erie, PA?
There are 159 Medicaid providers offering Emergency Room Visit related services in Erie, PA according to public payment data.
What is the price range for Emergency Room Visit in Erie, PA?
Medicaid reimbursement for Emergency Room Visit in Erie, PA ranges from $0.00 to $244.50 per claim, with an average of $80.44. 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 Erie, PA
Blood Work & Lab Tests
Avg $9.83
855,307 claims
Office Visit
Avg $43.85
611,163 claims
Case Management Services
Avg $120.40
236,326 claims
Urinalysis & Urine Tests
Avg $4.44
180,798 claims
EKG / ECG (Electrocardiogram)
Avg $6.90
152,614 claims
Physical Therapy
Avg $56.32
146,678 claims
X-Ray
Avg $9.19
101,434 claims
Ambulance Transport
Avg $171.37
84,178 claims