Average Medicaid Emergency Room Visit Payments in Lewistown, PA: $84.64
Avg. Paid
$84.64
Range
$34.85 – $167.89
Total Claims
83,358
Providers
20
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 Lewistown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maria Christine Sember
400 Highland Ave |
$80.17 | 11,387 | 10,978 |
|
Michael James Moore
400 Highland Ave |
$84.64 | 8,060 | 7,821 |
|
Daniel S Reifsnyder
400 Highland Ave |
$80.39 | 8,047 | 7,807 |
|
Deborah S Hopkins
400 Highland Ave |
$84.61 | 7,317 | 7,126 |
|
Robert Charles Oelhaf
400 Highland Ave |
$79.96 | 6,319 | 6,155 |
|
David Paul Rupprecht
400 Highland Ave |
$78.50 | 6,315 | 6,194 |
|
Thomas Douglas Sallade
400 Highland Ave |
$85.09 | 6,136 | 5,912 |
|
Ivana L Marji
400 Highland Ave |
$89.91 | 4,834 | 4,736 |
|
Sameer Sinha
400 Highland Ave |
$65.59 | 4,141 | 4,033 |
|
Rachel Polinski
400 Highland Ave |
$97.26 | 3,748 | 3,685 |
|
Adam Musgrove
400 Highland Ave |
$124.85 | 3,352 | 3,214 |
|
Justin Daniel Hark
400 Highland Ave |
$103.00 | 3,152 | 3,061 |
|
Vanessa M Santos
400 Highland Ave |
$60.21 | 2,840 | 2,721 |
|
Kathleen Shaffer
400 Highland Ave |
$108.73 | 2,677 | 2,406 |
|
Bridget Flickinger
400 Highland Ave |
$60.70 | 2,132 | 2,087 |
|
Christopher Michael Glynn
400 Highland Ave |
$97.29 | 1,479 | 1,437 |
|
Edward P Bzik
400 Highland Ave |
$65.65 | 1,052 | 1,026 |
|
Sarah Scott
400 Highland Ave |
$145.81 | 325 | 234 |
|
Geisinger Lewistown Hospital
400 Highland Ave |
$167.89 | 32 | 27 |
|
Mohammad Sohaib Qayyum
400 Highland Ave |
$34.85 | 13 | 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 Lewistown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Lewistown, PA is $84.64 per claim, based on 83,358 claims from 20 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 Lewistown, PA?
There are 20 Medicaid providers offering Emergency Room Visit related services in Lewistown, PA according to public payment data.
What is the price range for Emergency Room Visit in Lewistown, PA?
Medicaid reimbursement for Emergency Room Visit in Lewistown, PA ranges from $34.85 to $167.89 per claim, with an average of $84.64. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
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Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
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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 Lewistown, PA
Office Visit
Avg $41.68
79,452 claims
Blood Work & Lab Tests
Avg $7.16
60,494 claims
Physical Therapy
Avg $22.68
49,329 claims
EKG / ECG (Electrocardiogram)
Avg $7.31
19,045 claims
X-Ray
Avg $6.29
14,891 claims
Ambulance Transport
Avg $168.02
10,200 claims
Urinalysis & Urine Tests
Avg $3.15
9,901 claims
Speech Therapy
Avg $15.68
9,760 claims