Average Medicaid Emergency Room Visit Payments in Hamilton, NJ: $156.15
Avg. Paid
$156.15
Range
$25.67 – $221.74
Total Claims
99,636
Providers
24
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 Hamilton, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Wood Johnson University Hospital At Hamilton
1 Hamilton Health Pl |
$221.74 | 54,096 | 51,238 |
|
Stephen J. Vetrano
641 Us Highway 130 |
$32.08 | 7,174 | 6,571 |
|
Prathiba Vermani-Sethi
813 Grand Central Drive |
$49.82 | 5,915 | 5,455 |
|
Javier Betancourt
1 Hamilton Health Pl |
$117.13 | 4,827 | 4,714 |
|
Sofia Dasti
1 Hamilton Health Pl |
$113.28 | 4,710 | 4,609 |
|
Santos Olea Gonzales
1 Hamilton Health Pl |
$51.45 | 4,536 | 4,280 |
|
William Joseph Sproule
1 Hamilton Health Pl |
$111.60 | 3,647 | 3,519 |
|
Victoria C. Chanliecco
1 Hamilton Health Pl |
$80.12 | 3,450 | 3,385 |
|
Andrew Leingang
1 Hamilton Health Pl |
$151.86 | 2,521 | 2,432 |
|
Nicholas Joseph Talotta
641 Us Highway 130 |
$46.85 | 1,795 | 1,737 |
|
John P. Mc Dermott
1 Hamilton Health Pl |
$51.26 | 1,696 | 1,626 |
|
Khushbu Shah
3 Hamilton Health Pl Ste A |
$136.57 | 1,408 | 1,385 |
|
Joseph J. Matula
1 Hamilton Health Pl |
$80.54 | 1,182 | 1,114 |
|
Joseph Casano
1 Hamilton Health Pl |
$96.66 | 698 | 677 |
|
Johna P. Bingham
1 Hamilton Health Pl |
$51.44 | 608 | 605 |
|
Elizabeth Wilkins
1 Hamilton Health Pl |
$36.63 | 376 | 362 |
|
Alexander Paul Materna
1 Hamilton Health Pl |
$27.39 | 285 | 282 |
|
Michael Vincent Dutka
2501 Kuser Rd |
$198.95 | 203 | 191 |
|
Hannah Totoro Sabbagh
1544 Kuser Rd Ste C9 |
$33.15 | 194 | 194 |
|
Matthew Rosenblum
641 Us Highway 130 |
$36.16 | 99 | 99 |
|
Melissa L Przemieniecki
1700 Whitehorse Hamilton Square Rd Ste D1 |
$41.29 | 86 | 86 |
|
Sherri L. Klemow
1 Hamilton Health Pl |
$30.34 | 53 | 53 |
|
Stephanie J. Nacim
1544 Kuser Rd Ste C9 |
$25.67 | 44 | 44 |
|
Mary Ann Devine
1401 Whitehorse Mercerville Rd |
$121.99 | 33 | 12 |
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 Hamilton, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Hamilton, NJ is $156.15 per claim, based on 99,636 claims from 24 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 Hamilton, NJ?
There are 24 Medicaid providers offering Emergency Room Visit related services in Hamilton, NJ according to public payment data.
What is the price range for Emergency Room Visit in Hamilton, NJ?
Medicaid reimbursement for Emergency Room Visit in Hamilton, NJ ranges from $25.67 to $221.74 per claim, with an average of $156.15. 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 Hamilton, NJ
Office Visit
Avg $51.75
477,985 claims
Home Health Visit
Avg $123.37
261,417 claims
Non-Emergency Medical Transportation
Avg $11.56
188,973 claims
Dental Cleaning & Exam
Avg $24.74
183,027 claims
Psychiatric Evaluation
Avg $96.04
174,367 claims
Blood Work & Lab Tests
Avg $5.04
156,478 claims
Pathology & Lab Services
Avg $13.45
150,773 claims
Physical Therapy
Avg $24.57
149,451 claims