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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Montclair, NJ: $236.11

Avg. Paid

$236.11

Range

$31.35 – $392.91

Total Claims

144,725

Providers

27

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 Montclair, NJ

Provider Avg. Paid Claims Patients
Montclair Hospital Llc

1 Bay Avenue

 $392.91 76,974 69,047
Tamer Salib

1 Bay Ave

 $57.44 9,684 9,615
Mitchell Jerold Heller

1 Bay Ave

 $98.56 6,843 6,596
Viktor Livshits

1 Bay Ave

 $47.08 6,194 5,887
Krista Bilbraut

1 Bay Ave

 $52.88 5,595 5,213
Larry Carter

1 Bay Ave

 $44.23 4,937 4,665
Marjory Langer

1 Bay Ave

 $65.36 4,623 4,353
Lisa Leuchten

1 Bay Ave

 $50.46 4,147 3,963
Michelle Antonowicz

1 Bay Ave

 $49.40 3,995 3,808
Alexandra Liggatt

28 Valley Rd # 148

 $50.28 3,758 3,374
Lani Mendelson

1 Bay Ave

 $48.08 3,271 3,130
Erik Sherman

1 Bay Ave

 $47.23 2,518 2,220
Nilla Defazio

1 Bay Ave

 $42.45 2,461 2,336
Arthur G Calise

1 Bay Ave

 $49.24 1,705 1,593
Chameeka Olivia Barrett

1 Bay Ave

 $105.82 1,486 1,482
Ali Elsayed Mohammed Elsayed

I Bay Avenue

 $68.55 1,337 569
Zaza Cohen

1 Bay Ave

 $60.17 1,047 359
Barry Joseph Benzing

1 Bay Ave

 $32.20 920 883
Maya Gabovich

1 Bay Ave

 $35.40 740 739
Linda Logang

18-20 Lackawanna Plz Ste 300

 $50.56 511 510
Radha Kotamraju

1 Bay Ave

 $57.84 507 400
Niktha Kasinathan

1 Bay Ave

 $109.98 474 204
Yelena Berlin

1 Bay Ave

 $39.69 316 315
Augustine Yao Alifo

1 Bay Ave

 $58.73 291 289
Anthony Peter Strobolakos

1 Bay Ave

 $51.47 228 221
Lara Musser

141 Forest St

 $78.71 149 148
Robert H O'Donnell

1 Bay Ave

 $31.35 14 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 Montclair, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Montclair, NJ is $236.11 per claim, based on 144,725 claims from 27 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 Montclair, NJ?

There are 27 Medicaid providers offering Emergency Room Visit related services in Montclair, NJ according to public payment data.

What is the price range for Emergency Room Visit in Montclair, NJ?

Medicaid reimbursement for Emergency Room Visit in Montclair, NJ ranges from $31.35 to $392.91 per claim, with an average of $236.11. 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 Montclair, NJ

Blood Work & Lab Tests

Avg $5.17

195,538 claims

Behavioral & Mental Health Therapy

Avg $83.23

89,200 claims

Psychiatric Evaluation

Avg $70.61

86,084 claims

Office Visit

Avg $49.62

82,471 claims

Urinalysis & Urine Tests

Avg $3.13

59,578 claims

Dental Cleaning & Exam

Avg $23.22

55,985 claims

Ambulance Transport

Avg $10.08

50,561 claims

Physical Therapy

Avg $11.05

47,034 claims