Average Medicaid Emergency Room Visit Payments in Macungie, PA: $87.97
Avg. Paid
$87.97
Range
$57.71 – $242.59
Total Claims
64,390
Providers
13
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 Macungie, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Russell H. Harris
3369 State Route 100 |
$83.75 | 15,836 | 15,268 |
|
Daniel J Simpson
3369 State Route 100 |
$59.29 | 13,658 | 12,501 |
|
Andrew William Mulvey
3369 State Route 100 |
$98.21 | 6,840 | 5,555 |
|
Mark A. Notash
3369 State Route 100 |
$85.63 | 6,831 | 5,744 |
|
Marc Stuart Kolpon
3369 State Route 100 |
$96.45 | 6,650 | 6,526 |
|
Basil M Harris
3369 State Route 100 |
$122.34 | 5,455 | 5,314 |
|
Ryan B Taylor
3369 State Route 100 |
$97.41 | 3,870 | 3,756 |
|
James A Caffrey
3369 State Route 100 |
$59.36 | 3,262 | 3,021 |
|
Duc Dang
3369 State Route 100 |
$242.59 | 1,244 | 1,216 |
|
Marcin Ciesla
3369 State Route 100 |
$170.78 | 301 | 295 |
|
Marina Domatova
3369 Route 100 |
$91.78 | 299 | 292 |
|
Bryce Ebersole
3369 Route 100 |
$105.07 | 77 | 76 |
|
Nicholas Roy Nelson
3369 State Route 100 |
$57.71 | 67 | 58 |
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 Macungie, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Macungie, PA is $87.97 per claim, based on 64,390 claims from 13 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 Macungie, PA?
There are 13 Medicaid providers offering Emergency Room Visit related services in Macungie, PA according to public payment data.
What is the price range for Emergency Room Visit in Macungie, PA?
Medicaid reimbursement for Emergency Room Visit in Macungie, PA ranges from $57.71 to $242.59 per claim, with an average of $87.97. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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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
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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 Macungie, PA
Office Visit
Avg $19.04
31,272 claims
Physical Therapy
Avg $127.40
13,554 claims
EKG / ECG (Electrocardiogram)
Avg $2.29
10,868 claims
Blood Work & Lab Tests
Avg $4.18
8,909 claims
Nursing Facility Care
Avg $13.49
3,760 claims
Vaccines & Immunizations
Avg $0.65
3,521 claims
Urinalysis & Urine Tests
Avg $1.90
2,198 claims
Ambulance Transport
Avg $222.17
1,869 claims