Average Medicaid Emergency Room Visit Payments in New Castle, PA: $78.61
Avg. Paid
$78.61
Range
$45.43 – $108.46
Total Claims
32,889
Providers
10
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 New Castle, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Gordon Gregory
3131 Wilmington Rd |
$73.27 | 16,873 | 16,246 |
|
Wesley C Williams
1211 Wilmington Ave |
$91.68 | 5,919 | 5,394 |
|
Joseph Samuel Berman
1211 Wilmington Ave |
$79.59 | 3,936 | 3,867 |
|
Alexandra Kae Lawler
1211 Wilmington Ave |
$101.79 | 1,891 | 1,856 |
|
Casey John Jason
1211 Wilmington Ave |
$66.82 | 1,580 | 1,278 |
|
Linda Van Eman
1211 Wilmington Ave |
$45.43 | 1,505 | 1,457 |
|
Michael Zaleski
1211 Wilmington Ave |
$108.46 | 824 | 815 |
|
Upmc Jameson
1211 Wilmington Ave |
$106.88 | 261 | 241 |
|
Megan Marie Borger
2520 Wilmington Rd |
$94.44 | 88 | 88 |
|
Sajal Nath Uprety
1211 Wilmington Ave |
$88.84 | 12 | 12 |
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 New Castle, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in New Castle, PA is $78.61 per claim, based on 32,889 claims from 10 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 New Castle, PA?
There are 10 Medicaid providers offering Emergency Room Visit related services in New Castle, PA according to public payment data.
What is the price range for Emergency Room Visit in New Castle, PA?
Medicaid reimbursement for Emergency Room Visit in New Castle, PA ranges from $45.43 to $108.46 per claim, with an average of $78.61. 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 New Castle, PA
Office Visit
Avg $40.41
151,696 claims
Physical Therapy
Avg $78.30
67,641 claims
Speech Therapy
Avg $38.96
50,973 claims
Case Management Services
Avg $78.29
31,161 claims
Ambulance Transport
Avg $109.61
30,378 claims
Blood Work & Lab Tests
Avg $11.75
21,897 claims
Dental Cleaning & Exam
Avg $14.16
12,508 claims
Chiropractic Care
Avg $9.73
11,815 claims