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Based on public Medicaid payment data.

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

Other Procedures in Middletown, NY