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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
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

Other Procedures in Erie, PA