Average Medicaid Emergency Room Visit Payments in Jefferson Hills, PA: $93.15
Avg. Paid
$93.15
Range
$0.00 – $117.61
Total Claims
35,728
Providers
15
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 Jefferson Hills, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jason Elliot Goldwasser
565 Coal Valley Rd |
$107.48 | 14,236 | 13,813 |
|
Sean Serio
565 Coal Valley Rd |
$45.48 | 6,391 | 4,185 |
|
Joseph Stefanski
565 Coal Valley Rd |
$103.64 | 6,366 | 6,239 |
|
Daniel Casey Kim
565 Coal Valley Rd |
$117.61 | 4,729 | 4,626 |
|
Megan Ruth Holzer
565 Coal Valley Rd |
$57.44 | 1,311 | 1,301 |
|
Michael B Fashho
565 Coal Valley Rd |
$102.79 | 1,169 | 390 |
|
Faye Tomimbang Pedersen
565 Coal Valley Rd |
$52.05 | 431 | 391 |
|
Emily Jean Schmidt
565 Coal Valley Rd |
$89.14 | 282 | 281 |
|
Callahan L Sweeny
565 Coal Valley Rd |
$90.19 | 246 | 244 |
|
Shannon Marie Riccobelli
565 Coal Valley Rd |
$38.49 | 210 | 209 |
|
David Connell
565 Coal Valley Rd |
$38.07 | 188 | 188 |
|
Sean Benjamin Snyder
565 Coal Valley Rd Ste 406 |
$100.12 | 108 | 107 |
|
Ethan Nulton
565 Coal Valley Rd |
$0.00 | 28 | 27 |
|
Peter Edward Leehan
565 Coal Valley Rd |
$0.00 | 21 | 20 |
|
Kevin Thomas Shaw
565 Coal Valley Rd |
$0.00 | 12 | 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 Jefferson Hills, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Jefferson Hills, PA is $93.15 per claim, based on 35,728 claims from 15 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 Jefferson Hills, PA?
There are 15 Medicaid providers offering Emergency Room Visit related services in Jefferson Hills, PA according to public payment data.
What is the price range for Emergency Room Visit in Jefferson Hills, PA?
Medicaid reimbursement for Emergency Room Visit in Jefferson Hills, PA ranges from $0.00 to $117.61 per claim, with an average of $93.15. 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
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New York, NY
Avg $130.02
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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 Jefferson Hills, PA
Office Visit
Avg $38.67
35,455 claims
EKG / ECG (Electrocardiogram)
Avg $6.93
25,482 claims
Ambulance Transport
Avg $142.81
16,804 claims
Blood Work & Lab Tests
Avg $5.09
16,711 claims
Nursing Facility Care
Avg $16.80
5,300 claims
Speech Therapy
Avg $69.46
5,227 claims
Urinalysis & Urine Tests
Avg $2.52
4,197 claims
Physical Therapy
Avg $13.82
3,656 claims