Average Medicaid Emergency Room Visit Payments in Niagara Falls, NY: $112.95
Avg. Paid
$112.95
Range
$5.35 – $131.49
Total Claims
59,751
Providers
15
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 Niagara Falls, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Niagara Falls Memorial Medical Center
621 10Th St |
$131.49 | 44,267 | 41,671 |
|
Kristen Michelle Bergemann
621 10Th St |
$56.18 | 3,664 | 3,631 |
|
Tiffany Rose Salvatore
621 10Th St |
$66.10 | 3,378 | 3,348 |
|
Dina Gigliotti
621 10Th St |
$63.70 | 2,488 | 2,470 |
|
Keystone Medical Services Of Niagara Falls Pc
621 10Th St |
$40.49 | 1,670 | 1,621 |
|
Martin Barron
621 10Th St |
$66.84 | 1,172 | 1,158 |
|
Jesse Fodero
6934 Williams Rd Ste 600 |
$87.21 | 993 | 983 |
|
Kara Rose Hanrahan
1 Colomba Dr Ste 2 |
$58.15 | 944 | 939 |
|
Jill Marie Drumsta
7500 Porter Rd |
$49.28 | 601 | 599 |
|
Caitlin Elizabeth Smith
1 Colomba Dr Ste 2 |
$34.75 | 173 | 173 |
|
Jennifer Anne Battaglia
621 Tenth Street |
$31.11 | 118 | 115 |
|
Michalla Maria Rood
4515 Military Rd |
$63.21 | 109 | 109 |
|
Rebecca Lynn Balone
3117 Military Rd |
$55.85 | 91 | 91 |
|
Cassandra Marie Piccione
10175 Niagara Falls Blvd Unit 1 |
$27.71 | 57 | 57 |
|
Ramandeep Kaur
571 10Th St Ste 264A |
$5.35 | 26 | 25 |
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 Niagara Falls, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Niagara Falls, NY is $112.95 per claim, based on 59,751 claims from 15 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 Niagara Falls, NY?
There are 15 Medicaid providers offering Emergency Room Visit related services in Niagara Falls, NY according to public payment data.
What is the price range for Emergency Room Visit in Niagara Falls, NY?
Medicaid reimbursement for Emergency Room Visit in Niagara Falls, NY ranges from $5.35 to $131.49 per claim, with an average of $112.95. 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 Niagara Falls, NY
Home Health Visit
Avg $142.20
1,159,545 claims
Office Visit
Avg $62.72
305,868 claims
Blood Work & Lab Tests
Avg $8.96
163,887 claims
Case Management Services
Avg $195.58
113,841 claims
Dental Cleaning & Exam
Avg $38.19
109,158 claims
Psychiatric Evaluation
Avg $89.88
108,942 claims
Physical Therapy
Avg $43.67
96,912 claims
Non-Emergency Medical Transportation
Avg $43.65
68,506 claims