Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Lancaster, PA: $85.60

Avg. Paid

$85.60

Range

$0.00 – $638.95

Total Claims

150,561

Providers

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 Lancaster, PA

Provider	Avg. Paid	Claims	Patients
Erik F Ketels 2118 Spring Valley Road	$76.21	14,310	13,836
Jiefu Yuan 555 N Duke St	$58.75	10,605	10,204
Christopher H Fox 2113 Manor Ridge Dr	$74.33	10,288	9,980
Seth M Katz 555 N Duke St	$80.37	8,405	8,172
James L Medina 555 North Duke St	$78.40	8,325	8,040
Andrew Bryce Martin Lancaster General Hospital	$75.02	8,150	7,859
Bret M Levy 555 N Duke St	$75.61	6,982	6,759
Timothy James Medina 555 N Duke St	$72.33	6,727	6,500
William H Adams 555 North Duke St	$80.49	6,717	6,521
Daron P Riley 555 North Duke Street	$75.70	6,552	6,357
John R Leisey 555 N Duke St	$78.35	6,489	6,289
Joaquin J Garcia 2150 Noll Drive	$117.66	5,933	5,809
Fran Kratz 555 North Duke St	$77.22	5,784	5,624
Matthew T Ebling 250 College Ave	$77.91	5,239	5,126
David A Goff 555 North Duke Street	$71.60	4,534	4,393
Jonathan S Gish 555 N Duke St	$54.66	2,944	2,833
Mickey Mcdonough 555 N Duke St	$117.01	2,827	2,805
Ian Rutherford Smith 555 N Duke St	$117.99	2,711	2,680
Lancaster Emergency Associates Ltd 555 N Duke St	$59.36	2,692	2,542
Kristen Deangelis 555 N Duke St	$119.01	2,612	2,594
Richard B Birrer 250 College Ave	$58.92	2,459	2,439
Lancaster General Hospital 555 N Duke St	$249.62	2,111	1,920
Carly Marissa Zareba 2160 State Rd	$201.15	2,055	1,986
Althea Elena White 555 N Duke St	$70.67	1,857	1,530
Jessica Goodwin 555 N Duke St	$128.44	1,595	1,586
Terianne Nichole Rineer 555 North Duke Street	$121.31	1,469	1,453
Joseph Robert Horst 555 N Duke St	$101.39	1,440	1,432
Brendan Alexander Mulcahy 555 N Duke St	$89.60	1,261	1,243
Robin Commero 555 N Duke St	$122.26	1,150	1,140
Zoe Mikayla Wieand 555 N Duke St	$142.59	634	629
Bianca Cruz 555 N Duke St	$90.98	593	582
Austin Minnich 555 N Duke St	$133.89	582	580
Frank A Briglia 555 N. Duke Street	$43.25	468	462
Bhavin B Mehta 540 N Duke St	$138.15	430	218
Steven Khov 540 N Duke St	$127.54	377	191
Gregory Joseph Rossini 540 N Duke St	$132.18	337	177
Tyler Galbreath 555 N Duke St	$83.56	334	331
Rebekah G Hughes 170 N Pointe Blvd	$148.33	300	295
Craig Peter Horvat 540 N Duke St	$140.90	295	150
Maulikkumar B Patel 540 N Duke St	$140.09	276	154
Keith Allen Beaulieu 540 N Duke St	$124.02	242	136
Yaroslav Lando 540 N Duke St	$128.73	214	127
Don A Berkow 555 N Duke St	$46.50	198	191
Erin Cruise 2160 State Rd	$61.08	190	188
Shakeel Amanullah 540 N Duke St	$138.66	150	76
Lancaster General Hospital 2100 Harrisburg Pike	$513.89	124	105
Sandra Yvonne Lee 304 N Water St	$0.00	120	82
Alexa Crocker 555 N Duke St	$160.34	83	83
Stephen Renaldo 555 N Duke St	$25.64	67	67
Holli S Pheasant-Viscusi 555 North Duke Street	$16.10	59	56

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 Lancaster, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Lancaster, PA is $85.60 per claim, based on 150,561 claims from 61 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 Lancaster, PA?

There are 61 Medicaid providers offering Emergency Room Visit related services in Lancaster, PA according to public payment data.

What is the price range for Emergency Room Visit in Lancaster, PA?

Medicaid reimbursement for Emergency Room Visit in Lancaster, PA ranges from $0.00 to $638.95 per claim, with an average of $85.60. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Lancaster, PA: $85.60

Providers Offering Emergency Room Visit in Lancaster, PA

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

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Other Procedures in Lancaster, PA

Office Visit

Dental Cleaning & Exam

Case Management Services

EKG / ECG (Electrocardiogram)

Physical Therapy

Speech Therapy

Blood Work & Lab Tests

Home Health Visit