Average Medicaid Emergency Room Visit Payments in Orchard Park, NY: $88.68
Avg. Paid
$88.68
Range
$18.81 – $102.41
Total Claims
27,163
Providers
19
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 Orchard Park, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ashok X Kaushal
3669 Southwestern Blvd |
$97.44 | 6,713 | 6,610 |
|
Fernando B Domondon
S 3669 Southwestern Blvd |
$94.37 | 6,624 | 6,556 |
|
Michael Thomas Mangione
3669 Southwestern Blvd |
$89.85 | 4,798 | 4,761 |
|
Tara Manteghi
12 Hemlock Hill Rd |
$102.41 | 1,664 | 1,656 |
|
Thomas M Kowalak
3669 Southwestern Blvd |
$79.29 | 1,414 | 1,402 |
|
John James Mcnamara
3085 Southwestern Blvd |
$85.01 | 1,141 | 1,137 |
|
Joshua Jeremiah Lynch
3085 Southwestern Blvd |
$73.18 | 868 | 862 |
|
Nancy Czyrny Ebling
3669 Southwestern Blvd |
$61.70 | 758 | 752 |
|
Gil Michael Farkash
240 Redtail Dr |
$73.72 | 691 | 667 |
|
Teresa M. Ainsworth
3176 Abbott Rd Unit 500 |
$96.31 | 602 | 590 |
|
Andrew Koroschetz
5959 Big Tree Rd Ste 102 |
$63.19 | 590 | 580 |
|
Caitlin Virginia Hackford
5959 Big Tree Rd |
$39.21 | 392 | 390 |
|
Meghan Marie Ballou
3045 Southwestern Blvd Ste 104 |
$74.73 | 313 | 311 |
|
Andrew Craig Peterson
5959 Big Tree Rd |
$32.88 | 312 | 310 |
|
Evan Briggs
5959 Big Tree Rd Ste 108 |
$55.09 | 152 | 151 |
|
Anthony Fox
5959 Big Tree Rd Ste 102 |
$18.81 | 52 | 52 |
|
Nicole Maria Antzoulides Conroe
3680 Eggert Rd |
$46.53 | 33 | 33 |
|
Eva Katherine Raisor
3245 Southwestern Blvd |
$44.51 | 33 | 33 |
|
Mark Turoldo
3085 Southwestern Blvd |
$85.29 | 13 | 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 Orchard Park, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Orchard Park, NY is $88.68 per claim, based on 27,163 claims from 19 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 Orchard Park, NY?
There are 19 Medicaid providers offering Emergency Room Visit related services in Orchard Park, NY according to public payment data.
What is the price range for Emergency Room Visit in Orchard Park, NY?
Medicaid reimbursement for Emergency Room Visit in Orchard Park, NY ranges from $18.81 to $102.41 per claim, with an average of $88.68. 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 Orchard Park, NY
Home Health Visit
Avg $171.54
282,632 claims
Office Visit
Avg $59.66
145,146 claims
Case Management Services
Avg $150.50
82,354 claims
Dental Cleaning & Exam
Avg $33.31
82,124 claims
Speech Therapy
Avg $57.50
79,262 claims
Durable Medical Equipment (DME)
Avg $52.78
76,759 claims
Substance Abuse Treatment
Avg $22.83
64,340 claims
Physical Therapy
Avg $64.99
55,048 claims