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Based on public Medicaid payment data.

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

Other Procedures in Erie, PA