Average Medicaid Emergency Room Visit Payments in Middletown, NY: $124.41
Avg. Paid
$124.41
Range
$4.60 – $184.00
Total Claims
199,236
Providers
77
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 Middletown, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Garnet Health Medical Center
707 East Main Street |
$184.00 | 82,458 | 76,754 |
|
Orange Emergency Services Pc
707 E Main St |
$75.24 | 23,812 | 22,379 |
|
Curtis Furtado
707 E Main St |
$77.91 | 7,746 | 7,474 |
|
Abie Li
707 E Main St |
$73.10 | 6,556 | 6,406 |
|
Matthew Steven Lucky
707 E Main St |
$100.55 | 5,448 | 4,980 |
|
Michelle Nicole Fowler
707 E Main St |
$74.10 | 5,395 | 5,151 |
|
Jijoe Joseph
707 E Main St |
$54.84 | 4,667 | 4,557 |
|
Sara Hardin
707 E Main St |
$155.88 | 4,403 | 4,162 |
|
Danielle Cross Belser
155 Crystal Run Rd |
$57.88 | 3,037 | 3,006 |
|
Janeah Alexis
707 E Main St |
$102.83 | 3,035 | 2,781 |
|
Amarnath Narayanappa Polepalle
707 E Main St |
$59.28 | 2,978 | 2,912 |
|
Drora F. Hirsch
707 E Main St |
$92.88 | 2,816 | 2,796 |
|
Michael Lanigan
60 Prospect Ave |
$121.83 | 2,773 | 2,755 |
|
Nicki Elizabeth Maxwell
8 Schindler Ct Apt 8 |
$82.03 | 2,624 | 2,592 |
|
Michael Langowski
707 E Main St |
$112.96 | 2,605 | 2,501 |
|
Trevor Kenyon Mcginley
707 E Main St |
$76.17 | 2,373 | 2,341 |
|
Alan Bloom
707 E Main St |
$69.87 | 2,108 | 2,102 |
|
Avindra D Ramnarain
33 James P Kelly Way |
$75.41 | 2,009 | 1,823 |
|
Matthew Mccaffery
707 E Main St |
$94.71 | 1,886 | 1,738 |
|
Steven Piriano
60 Prospect Ave |
$74.80 | 1,886 | 1,875 |
|
Zachary A Coppola
707 E Main St |
$70.97 | 1,723 | 1,714 |
|
Manoranjan Singh
155 Crystal Run Rd |
$72.41 | 1,678 | 1,611 |
|
Sean Patrick Orton
707 E Main St |
$81.34 | 1,665 | 1,641 |
|
Jonathan Paine Fong
707 E Main St |
$91.57 | 1,659 | 1,614 |
|
Nicole Marie Mcgill
707 E Main St |
$81.90 | 1,400 | 1,387 |
|
Renee Macri Levin-Waldman
155 Crystal Run Rd |
$50.23 | 1,377 | 1,354 |
|
Rose Anna Gallagher Roantree
707 E Main St |
$73.13 | 1,222 | 1,214 |
|
Toni Ann Eaton
707 E Main St |
$61.26 | 1,175 | 1,163 |
|
Stacey Therecia Forbes
707 E Main St |
$72.61 | 1,151 | 1,142 |
|
Justin Ramboros Ramcharitar
707 E Main St |
$73.93 | 1,137 | 1,118 |
|
Scott Moroney
111 Maltese Dr |
$46.42 | 1,136 | 1,117 |
|
Jessica Conklin
68 Crystal Run Rd |
$72.47 | 1,095 | 1,083 |
|
Sahil Sharma
707 E Main St |
$173.50 | 1,089 | 1,041 |
|
Matthew James Meigh
707 E Main St |
$70.20 | 1,040 | 1,034 |
|
Ernst Fattakhov
707 E Main St |
$159.86 | 1,022 | 956 |
|
Aaron Ramcharitar
707 E Main St |
$56.82 | 954 | 949 |
|
Dina Ibrahim
707 E Main St |
$91.56 | 941 | 929 |
|
Benjamin Bradley
707 E Main St |
$41.29 | 921 | 852 |
|
Kelly Ng
707 E Main St |
$99.33 | 773 | 769 |
|
Garnet Health Doctors Pc
707 E Main St |
$138.43 | 769 | 422 |
|
Christian Spano
707 E Main St |
$76.69 | 721 | 718 |
|
Douglas Steven Yodice
707 E Main St |
$68.73 | 481 | 472 |
|
Adebanke Christelle Davis
155 Crystal Run Rd |
$21.82 | 446 | 142 |
|
Sage Cheyanne Foote
155 Crystal Run Rd |
$61.51 | 385 | 379 |
|
Andrea Smith
155 Crystal Run Rd |
$74.65 | 313 | 310 |
|
Matthew James Michaels
707 E Main St |
$124.46 | 257 | 88 |
|
Morgan Kuperus
707 E Main St |
$120.87 | 241 | 241 |
|
Amber Rae Gebhardt
111 Maltese Dr |
$58.59 | 216 | 216 |
|
Funsho Rafiu Busari-Alabi
155 Crystal Run Rd |
$53.88 | 164 | 164 |
|
Christopher M Allen
111 Maltese Dr |
$42.77 | 160 | 154 |
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 Middletown, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Middletown, NY is $124.41 per claim, based on 199,236 claims from 77 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 Middletown, NY?
There are 77 Medicaid providers offering Emergency Room Visit related services in Middletown, NY according to public payment data.
What is the price range for Emergency Room Visit in Middletown, NY?
Medicaid reimbursement for Emergency Room Visit in Middletown, NY ranges from $4.60 to $184.00 per claim, with an average of $124.41. 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
3,905,512 claims · 1591 providers
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 Middletown, NY
Office Visit
Avg $89.34
849,019 claims
Blood Work & Lab Tests
Avg $8.75
466,678 claims
Home Health Visit
Avg $130.57
264,098 claims
Dental Cleaning & Exam
Avg $34.48
202,343 claims
Psychiatric Evaluation
Avg $105.46
199,025 claims
Substance Abuse Treatment
Avg $67.54
169,986 claims
X-Ray
Avg $9.37
113,864 claims
Ultrasound
Avg $104.49
112,942 claims