Average Medicaid Emergency Room Visit Payments in Monroeville, PA: $97.78
Avg. Paid
$97.78
Range
$0.00 – $325.39
Total Claims
63,360
Providers
23
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 Monroeville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kalpana Rajashekar
15 Tall Trees Ct |
$112.95 | 12,391 | 12,113 |
|
Michael Garfinkel
2570 Haymaker Rd |
$95.17 | 7,028 | 6,514 |
|
Jennifer L. Savino
2570 Haymaker Rd |
$69.17 | 5,012 | 4,849 |
|
Sarah K Flaherty
2775 Mosside Blvd |
$111.36 | 4,830 | 4,765 |
|
Joel Rosenbloom
2570 Haymaker Rd |
$109.72 | 4,713 | 4,586 |
|
Nicholas Caruso
2570 Haymaker Rd |
$67.62 | 4,673 | 4,294 |
|
Brooke Paha
2570 Haymaker Rd |
$118.15 | 4,034 | 3,946 |
|
Paul Beck
2570 Haymaker Rd |
$84.70 | 4,011 | 3,934 |
|
Nickolas D Surra
2775 Mosside Blvd |
$74.22 | 3,772 | 3,696 |
|
Gregory John Pontasch
2570 Haymaker Rd |
$123.53 | 3,205 | 3,120 |
|
Michael Dicaprio
2570 Haymaker Rd |
$115.17 | 2,404 | 2,348 |
|
Christopher Seager
2570 Haymaker Rd |
$90.28 | 2,058 | 1,996 |
|
Michelle Kathleen Peifly
2570 Haymaker Rd |
$126.06 | 2,055 | 2,014 |
|
Christy Smith
2570 Haymaker Rd |
$49.69 | 1,805 | 1,695 |
|
Faiza Khalid
551 Deauville Dr Apt 8 |
$60.39 | 884 | 336 |
|
Upmc East
2775 Mosside Blvd |
$51.70 | 165 | 159 |
|
David Alan Gladowski
2570 Haymaker Rd |
$222.06 | 133 | 130 |
|
Rebecka Diehl
2580 Haymaker Rd Ste 201 |
$52.16 | 63 | 60 |
|
Saptarshi Biswas
2570 Haymaker Rd |
$90.94 | 52 | 13 |
|
Jorge Simental
200 James Pl |
$9.74 | 31 | 28 |
|
Emily Jean Stinebiser
2570 Haymaker Rd |
$95.33 | 14 | 14 |
|
West Penn Allegheny Health System Inc.
2570 Haymaker Road |
$325.39 | 14 | 14 |
|
Kalyan C Muvvala
2570 Haymaker Rd |
$0.00 | 13 | 13 |
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 Monroeville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Monroeville, PA is $97.78 per claim, based on 63,360 claims from 23 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 Monroeville, PA?
There are 23 Medicaid providers offering Emergency Room Visit related services in Monroeville, PA according to public payment data.
What is the price range for Emergency Room Visit in Monroeville, PA?
Medicaid reimbursement for Emergency Room Visit in Monroeville, PA ranges from $0.00 to $325.39 per claim, with an average of $97.78. 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 Monroeville, PA
Office Visit
Avg $19.11
280,109 claims
Blood Work & Lab Tests
Avg $5.83
100,573 claims
Home Health Visit
Avg $194.93
37,108 claims
Physical Therapy
Avg $31.45
34,321 claims
EKG / ECG (Electrocardiogram)
Avg $6.68
31,010 claims
Urinalysis & Urine Tests
Avg $0.60
24,590 claims
Durable Medical Equipment (DME)
Avg $40.12
23,771 claims
Chiropractic Care
Avg $17.59
17,306 claims