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 |
|---|---|---|---|
|
Mbembo Bongutu
201 State St |
$0.00 | 12 | 12 |
|
Nancy Rose Flynn-Mcgarvie
4247 W Ridge Rd Ste 101 |
$41.25 | 12 | 12 |
|
Danh Cong Huynh
201 State St |
$17.69 | 12 | 12 |
|
Robert Richard Zewe
201 State Street |
$149.66 | 14 | 14 |
|
William A. Swagler
2010 W. 38Th St. |
$118.81 | 14 | 14 |
|
Pavan Hastimal Jain
201 State St |
$0.00 | 14 | 14 |
|
Ryan Matthew Maciak
201 State St |
$0.00 | 14 | 14 |
|
Hisham Abusamhadana
2314 Sassafras St |
$19.30 | 15 | 15 |
|
Ehab Alshurbaji
2500 W 12Th St Ste C |
$101.92 | 16 | 14 |
|
Heidi Storer
201 State St |
$160.28 | 20 | 12 |
|
Kelly Dugan
201 State St |
$11.03 | 23 | 22 |
|
Carlos Julio Racedo Africano
201 State St |
$118.14 | 24 | 12 |
|
Millcreek Community Hospital
5515 Peach St |
$78.23 | 30 | 30 |
|
Mirsha Stiven
201 State St |
$99.82 | 30 | 30 |
|
Logan M Pyle
201 State St |
$108.32 | 34 | 14 |
|
Marshal L Chase
232 W 25Th St |
$38.50 | 36 | 36 |
|
Timothy Kaselitz
201 State St |
$113.17 | 44 | 21 |
|
Md Saidur Rahman
232 W 25Th St |
$244.50 | 45 | 37 |
|
Anthony Thomas Battista
232 W 25Th St |
$91.02 | 53 | 53 |
|
Timothy Randolph Verrilli
5515 Peach St |
$55.52 | 54 | 54 |
|
Emily Brant
201 State St |
$148.73 | 55 | 24 |
|
Peter Hopkins Laucks
204 W 26Th St |
$46.88 | 64 | 25 |
|
Brian Larry Risavi
201 State St |
$23.71 | 70 | 69 |
|
Parker Dalglish
232 W 25Th St |
$79.04 | 80 | 78 |
|
Anna Prishchepova
204 W 26Th St |
$111.94 | 83 | 39 |
|
Michael Christopher Roesel
201 State St |
$56.84 | 99 | 89 |
|
Abdul Siddiqui
201 State St |
$99.20 | 114 | 60 |
|
Constantine Dy
201 State St |
$7.74 | 124 | 124 |
|
Animesh Chidanandrao Gour
204 W 26Th St |
$99.60 | 127 | 63 |
|
Saad Mahmood
201 State St |
$73.38 | 139 | 136 |
|
Timothy Baptist
201 State St |
$148.69 | 155 | 98 |
|
Jill Marie Fuller
1001 State St Ste 606 |
$41.49 | 196 | 196 |
|
Shameen Abdul Salam
145 W 23Rd St |
$116.36 | 200 | 91 |
|
Caylea Kansas Mace
232 W 25Th St |
$57.74 | 201 | 168 |
|
Jonathan S Phillips
5515 Peach St |
$37.46 | 257 | 256 |
|
Chad Val Stratford
252 W 25Th St |
$79.64 | 262 | 252 |
|
Amanda R Oliver
2315 Myrtle St |
$90.19 | 269 | 265 |
|
Cally Wollet
232 W 25Th St |
$68.49 | 270 | 263 |
|
David James Mitchell
2315 Myrtle St Ste G30 |
$84.76 | 287 | 267 |
|
Asif Shakoor
201 State St |
$14.46 | 296 | 286 |
|
Jestin Carlson
4950 Buffalo Rd |
$118.57 | 305 | 298 |
|
Casey Seizys
201 State St |
$68.09 | 362 | 356 |
|
Alexis Lynn Novak
232 W 25Th St |
$104.49 | 382 | 367 |
|
Jason T Milk
201 State St |
$79.00 | 394 | 369 |
|
Justine M Koehler
4950 Buffalo Rd |
$95.69 | 429 | 426 |
|
Celeste Beatty
201 State St |
$85.37 | 494 | 455 |
|
Pamela Jane Yuskovic
3822 Schaper Avenue |
$42.57 | 524 | 519 |
|
Sarah Catherine Myers
232 W 25Th St |
$112.17 | 526 | 519 |
|
Hitesh Vinod Gidwani
204 W 26Th St |
$120.73 | 536 | 260 |
|
Nathan Christopher Ellis
232 W 25Th St |
$52.86 | 548 | 502 |
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