Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in New York, NY: $130.02

Avg. Paid

$130.02

Range

$0.00 – $607.31

Total Claims

3,905,512

Providers

1,591

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 York, NY

Provider	Avg. Paid	Claims	Patients
The New York And Presbyterian Hospital 622 W 168Th St	$177.80	421,628	399,032
The New York And Presbyterian Hospital 525 E 68Th St	$177.18	195,182	182,871
St Lukes Roosevelt Hospital Center 1000 10Th Ave	$159.80	184,766	170,135
New York City Health And Hospitals Corporation 506 Lenox Ave	$187.05	168,885	154,626
Fpa Hospital Based 100Th St And Madison Ave	$106.37	148,429	136,926
Nyu Langone Hospitals 550 1St Ave	$218.94	136,494	126,284
Mount Sinai Hospital 1 Gustave L Levy Pl	$159.98	131,284	123,872
New York City Health And Hospitals Corporation 462 First Avenue	$205.17	123,468	111,077
Lenox Hill Hospital 100 E 77Th St	$179.35	96,626	88,241
New York City Health And Hospitals Corporation 1901 1St Ave	$195.01	93,126	86,067
Trustees Of Columbia University In The City Of New York 622 W 168Th St	$67.47	47,802	44,681
Weill Medical College Of Cornell 525 E 68Th St	$89.82	18,945	17,568
Alan W Huang 1501 Lexington Ave	$55.68	18,508	18,208
Lizette Denise Ruiz 525 E 68Th St	$60.48	17,500	17,225
Lon Allen Sproles 175 W 12Th St Apt 4D	$69.92	17,292	15,752
Richard Edward Smith 170 William Street	$63.90	16,348	16,056
Algernon Mashiel Cargill 550 1St Ave	$104.17	15,967	13,418
Rafik Hanna 1111 Amsterdam Avenue	$42.90	15,776	15,353
Hussein Abdulla Mustafa 1901 1St Ave	$70.97	15,128	11,779
Weill Medical College Of Cornell 525 E 68Th St	$52.01	14,700	13,113
Icahn School Of Medicine At Mount Sinai 1468 Madison Ave	$108.40	14,670	13,953
Kishen Patel 1000 Amsterdam Ave	$97.64	14,354	12,390
Henry Lin 622 West 168Th St	$39.33	13,896	13,819
Frank Javier Garrido 100 E 77Th St	$53.08	13,394	12,071
Michael Benjamin Doctor 1000 10Th Ave	$104.21	12,469	11,758
Brad Green 126 W 82Nd St Apt 1	$95.18	12,365	11,871
Nicholas James Buffin 1111 Amsterdam Ave	$162.49	12,233	11,430
Justin Hoskins 148 E 24Th St Apt 10D	$48.40	10,676	9,916
Jeffrey Walter Dela Cruz 550 1St Ave	$62.90	10,496	10,395
Kevin George 1000 10Th Ave	$102.25	10,210	9,607
Rajeswari Pingle 1901 1St Ave	$84.42	9,895	9,625
Jacob Newcomb 525 E 68Th St	$63.46	9,371	9,320
Carlos M Meletiche 1901 1St Ave	$53.77	8,995	8,825
Katherine Fullerton Bellevue Hospital Center	$68.28	8,985	8,378
Kenneth John Perry 525 E 68Th St	$72.81	8,788	8,578
Marlaina M Norris 1 Gustave L Levy Pl	$72.92	8,676	7,846
Mojdeh Toomarian 1000 10Th Ave	$55.96	8,570	8,519
Naomi Jean-Baptiste 439 E 71St St	$83.39	8,568	7,616
Kirill Sergeyevich Shishlov 1000 10Th Ave	$65.80	8,492	8,394
Padraic Gerety 1000 10Th Ave	$79.40	8,393	7,783
Jacque Ciarlo 205 E 95Th St	$63.02	8,337	7,614
Joseph Fraiman 420 E 70Th St	$80.50	8,273	7,768
Vincent Roddy 1 Gustave L Levy Pl	$53.04	8,252	6,059
Jay Diamond 550 1St Ave	$80.78	8,151	7,822
Trustees Of Columbia University In The City Of New York 622 W 168Th St	$103.42	8,115	7,627
Jonathan Yahav 1000 10Th Ave	$78.77	8,033	7,553
Jeremy Nathaniel 1000 10Th Ave	$109.04	7,936	6,770
Zachary Halpern 301 E 38Th St	$129.10	7,873	7,674
Millicent Chizua Okereke 506 Lenox Ave	$71.18	7,761	7,690
Gerardo Andres Fernandez Olivero 1901 1St Ave	$73.62	7,725	6,167

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 York, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in New York, NY is $130.02 per claim, based on 3,905,512 claims from 1591 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 York, NY?

There are 1591 Medicaid providers offering Emergency Room Visit related services in New York, NY according to public payment data.

What is the price range for Emergency Room Visit in New York, NY?

Medicaid reimbursement for Emergency Room Visit in New York, NY ranges from $0.00 to $607.31 per claim, with an average of $130.02. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in New York, NY: $130.02

Providers Offering Emergency Room Visit in New York, NY

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

Detroit, MI

Chicago, IL

Phoenix, AZ

Indianapolis, IN

Columbus, OH

Brooklyn, NY

Philadelphia, PA

Cleveland, OH

Other Procedures in New York, NY

Home Health Visit

Office Visit

Blood Work & Lab Tests

Psychiatric Evaluation

Physical Therapy

Case Management Services

Eye Exam

Substance Abuse Treatment