Average Medicaid Emergency Room Visit Payments in Mechanicsburg, PA: $77.84
Avg. Paid
$77.84
Range
$59.70 – $206.37
Total Claims
24,872
Providers
14
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 Mechanicsburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Santhosh Gheevarghese John
2005 Technology Pkwy Ste 300 |
$206.37 | 18 | 12 |
|
Etieno Usen Umobong
2005 Technology Pkwy Ste 300 |
$183.19 | 21 | 14 |
|
Navitha Ramesh
2005 Technology Pkwy Ste 300 |
$150.50 | 34 | 12 |
|
Jayabharathy Santhanakrishna Iyer
6 Bella Vista Dr |
$59.70 | 79 | 77 |
|
Cassiopia Loretta Lippold
2005 Technology Pkwy Ste 300 |
$126.99 | 136 | 53 |
|
Quazi K Uddin
1995 Technology Pkwy |
$114.30 | 298 | 152 |
|
Hassan Amhaz
1995 Technology Pkwy |
$79.52 | 304 | 146 |
|
Reinaldo Garcia
2005 Technology Pkwy Ste 300 |
$61.66 | 603 | 191 |
|
Rachel Maenner
9 Flowers Dr Ste 2 |
$79.23 | 1,883 | 1,581 |
|
Matthew G Mcclellan
107 S Sporting Hill Rd |
$120.55 | 2,540 | 2,423 |
|
Paul Modelewski
1995 Technology Pkwy |
$77.71 | 3,029 | 2,922 |
|
Manuela Maria Orzea Modelewski
1995 Technology Pkwy |
$81.00 | 3,070 | 2,981 |
|
Nathan Joseph Dincher
1995 Technology Pkwy |
$82.82 | 3,412 | 3,279 |
|
David Aaron Rosie
107 S Sporting Hill Rd |
$61.84 | 9,445 | 8,554 |
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 Mechanicsburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mechanicsburg, PA is $77.84 per claim, based on 24,872 claims from 14 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 Mechanicsburg, PA?
There are 14 Medicaid providers offering Emergency Room Visit related services in Mechanicsburg, PA according to public payment data.
What is the price range for Emergency Room Visit in Mechanicsburg, PA?
Medicaid reimbursement for Emergency Room Visit in Mechanicsburg, PA ranges from $59.70 to $206.37 per claim, with an average of $77.84. 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
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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 Mechanicsburg, PA
Office Visit
Avg $69.27
98,988 claims
Physical Therapy
Avg $78.77
31,880 claims
Speech Therapy
Avg $28.75
27,971 claims
Durable Medical Equipment (DME)
Avg $52.88
26,270 claims
Nursing Facility Care
Avg $25.22
13,946 claims
Chiropractic Care
Avg $16.76
13,748 claims
Blood Work & Lab Tests
Avg $8.93
12,800 claims
Eye Exam
Avg $35.56
9,775 claims