Average Medicaid Emergency Room Visit Payments in Natrona Heights, PA: $104.14
Avg. Paid
$104.14
Range
$11.18 – $125.38
Total Claims
36,435
Providers
11
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 Natrona Heights, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Henry White
1301 Carlisle St |
$92.17 | 5,935 | 5,830 |
|
Tessa Hayes Chopra
1301 Carlisle St |
$106.71 | 4,922 | 4,803 |
|
Trent W Smith
1301 Carlisle St |
$96.64 | 4,723 | 4,594 |
|
Seth Michael Stallard
1301 Carlisle St |
$95.97 | 4,615 | 4,526 |
|
Lauren Valyo
1301 Carlisle St |
$121.22 | 4,333 | 4,248 |
|
Margaret Pusateri
1301 Carlisle St |
$113.86 | 3,874 | 3,708 |
|
Kaitlyn Smith
1301 Carlisle St |
$109.83 | 3,820 | 3,762 |
|
Michael Jose Da Cunha Valentim
1301 Carlisle St |
$125.38 | 2,271 | 2,233 |
|
Andrea Marie Fisk
1301 Carlisle St |
$72.40 | 1,500 | 1,429 |
|
Keith Andrew Jankowski
914 Painter Ave |
$102.22 | 422 | 411 |
|
Alle-Kiski Medical Center
1301 Carlisle Street |
$11.18 | 20 | 18 |
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 Natrona Heights, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Natrona Heights, PA is $104.14 per claim, based on 36,435 claims from 11 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 Natrona Heights, PA?
There are 11 Medicaid providers offering Emergency Room Visit related services in Natrona Heights, PA according to public payment data.
What is the price range for Emergency Room Visit in Natrona Heights, PA?
Medicaid reimbursement for Emergency Room Visit in Natrona Heights, PA ranges from $11.18 to $125.38 per claim, with an average of $104.14. 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
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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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 Natrona Heights, PA
Office Visit
Avg $59.92
50,531 claims
Blood Work & Lab Tests
Avg $6.18
22,312 claims
EKG / ECG (Electrocardiogram)
Avg $6.91
10,280 claims
X-Ray
Avg $6.52
8,549 claims
Physical Therapy
Avg $36.97
4,926 claims
Urinalysis & Urine Tests
Avg $1.69
3,533 claims
Dental Cleaning & Exam
Avg $28.36
3,305 claims
Speech Therapy
Avg $91.01
1,785 claims