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
Dwaita Patel 345 E 37Th St Rm 318	$51.27	12	12
Neel Kirit Naik 525 E 68Th St	$135.37	12	12
Ingrid Dahlstrom Pace University	$80.98	12	12
Anthony Hartzog 622 W 168Th St	$50.42	12	12
Kar-Mun Carmen Woo 330 E 17Th St	$175.19	12	12
Valery Vl Dronsky 117 E 77Th St Apt 1A	$105.60	12	12
Wallace Carter 525 E 68Th St	$83.13	12	12
Matthew Majeske 203 W 12Th St	$47.69	12	12
Robert Sellman 100Th Street And Madison Ave	$77.14	12	12
Nancy Kwon 550 1St Ave	$68.88	12	12
Kristin Ayn Carmody 2 Peter Cooper Rd Apt 14C	$20.98	12	12
Suhasini Neelam Satish 535 W 110Th St Apt 1E	$80.57	12	12
Singwu David Law 196 Canal St	$181.73	12	12
Stephanie Mccarty Conner 622 W 168Th St	$415.52	12	12
Elizabeth Horowitz 5141 Broadway	$49.45	12	12
Armando Jesus Reyes 622 W 168Th St	$0.00	12	12
Braden Kuo 543 W 122Nd St	$87.45	12	12
Jaclyn Clark 550 1St Ave	$132.31	12	12
Laili Soleimani One Gustav Levy Place	$124.41	12	12
Doris Law 617 W 170Th St Apt 4A	$85.80	12	12
Alyssa Bautista 622 W 168Th St	$104.45	12	12
Susan Edna Pesci 425 East 117Th St	$134.55	12	12
Cameron C Callipari 622 W 168Th St	$120.42	12	12
Sanjit R Konda 240 E 18Th St Ste 21	$87.95	12	12
Jonathan St. George 219 E 10Th St	$143.43	12	12
Shawnette Marie Proper 550 1St Ave	$32.32	12	12
Ihab I Ibrahim 303 5Th Ave Rm 907	$61.64	13	13
Kara Pagels 169 Madison Ave Ste 15370	$26.28	13	13
Susan Hirsch 550 1St Ave	$29.74	13	13
Carlos Tulla 622 W 168Th St	$152.63	13	13
Nelson Felix Sanchez 423 E 23Rd St	$125.11	13	13
Joseph P Underwood 622 W 168Th St	$107.39	13	13
Kevin Chason 100Th Street And Madison Ave	$66.67	13	13
Mara Lillian Zink 161 Fort Washington Ave Fl 9	$44.06	13	13
Inna Murzakhanova 1111 Amsterdam Ave	$45.11	13	13
Adam D Klotz 1275 York Ave	$170.70	13	12
Eleni Maloutas 1 Gustave L Levy Pl	$145.28	13	13
Natasha Elizabeth Raffai 1 Gustave L Levy Pl Fl 12	$74.92	13	13
Farah Haider 1 Pace Plz	$85.36	13	13
Ekaterina Ivanova Tzvetkova 138 Fulton St	$40.41	13	13
Charles Kwon 525 E 68Th St	$216.47	13	13
Samantha G Works 575 Madison Ave Rm 5	$44.57	13	13
Richard V Korongy 10 Union Sq E	$55.93	13	13
Kristie Anne Busch 525 E 68Th St	$62.64	13	13
Ellen Monsanto 301 E 17Th St	$48.78	13	13
Sorleny Restrepo 30 Broad St Fl 45	$46.28	13	12
Gavin Wu 160 Convent Ave	$30.95	13	13
Judith Dattaro 525 E 68Th St	$29.98	13	13
Claire Johnston Tucker 3959 Broadway	$141.29	14	14
Clemens Heiderhoff 1090 Amsterdam Ave	$30.52	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 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