Average Medicaid Emergency Room Visit Payments in New Rochelle, NY: $93.75
Avg. Paid
$93.75
Range
$20.91 – $153.38
Total Claims
143,662
Providers
18
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 Rochelle, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Palmeri
108 Van Guilder Ave |
$20.91 | 13 | 13 |
|
Kameswari Desiraju Lakshmi
175 Memorial Hwy Ste Ll2 |
$90.06 | 33 | 13 |
|
Emergency Medical Of Sound Shore Pc
16 Guion Place |
$30.40 | 98 | 98 |
|
Deborah White
16 Guion Place |
$145.45 | 226 | 224 |
|
Mary Anne Pressman
1 Radisson Plz Ste 901 |
$54.70 | 432 | 425 |
|
Cheryl R Malina
77 Quaker Ridge Rd Ste 212 |
$66.16 | 1,009 | 1,005 |
|
Angeline Quinones
5 Flower St |
$46.32 | 1,942 | 1,595 |
|
Esther Ihezie
16 Guion Pl |
$84.29 | 2,543 | 2,466 |
|
Barbara Lock
16 Guion Pl |
$119.22 | 2,683 | 2,677 |
|
Hyun Chung
16 Guion Pl |
$70.67 | 3,849 | 3,821 |
|
Philip Tharp
16 Guion Pl |
$139.50 | 3,981 | 3,798 |
|
Joseph Ponticiello
16 Guion Place |
$53.64 | 5,898 | 5,078 |
|
Victoria Cespedes
16 Guion Pl |
$56.10 | 5,928 | 4,331 |
|
Michael Lahn
16 Guion Pl |
$49.44 | 10,878 | 10,606 |
|
Emergency Medical Association Sound Shore Pllc
16 Guion Pl |
$46.20 | 12,846 | 12,273 |
|
Ligija Rociunas
16 Guion Pl |
$42.10 | 17,081 | 9,285 |
|
Katayun Kayomarz Mama
16 Guion Place |
$50.22 | 19,350 | 10,357 |
|
Montefiore New Rochelle Hospital
16 Guion Pl |
$153.38 | 54,872 | 52,127 |
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 Rochelle, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in New Rochelle, NY is $93.75 per claim, based on 143,662 claims from 18 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 Rochelle, NY?
There are 18 Medicaid providers offering Emergency Room Visit related services in New Rochelle, NY according to public payment data.
What is the price range for Emergency Room Visit in New Rochelle, NY?
Medicaid reimbursement for Emergency Room Visit in New Rochelle, NY ranges from $20.91 to $153.38 per claim, with an average of $93.75. 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 Rochelle, NY
Home Health Visit
Avg $157.68
284,769 claims
Office Visit
Avg $78.58
208,017 claims
Physical Therapy
Avg $47.05
198,262 claims
Blood Work & Lab Tests
Avg $8.50
125,718 claims
Psychiatric Evaluation
Avg $77.85
125,206 claims
Vaccines & Immunizations
Avg $12.76
80,536 claims
Speech Therapy
Avg $59.31
73,234 claims
X-Ray
Avg $5.65
54,765 claims