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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Paoli, PA: $117.01

Avg. Paid

$117.01

Range

$0.00 – $307.57

Total Claims

21,913

Providers

16

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 Paoli, PA

Provider Avg. Paid Claims Patients
Nicholas Martin Zinn

255 W Lancaster Ave Ste 424

 $100.21 6,289 5,890
Mahesh Shrestha

255 W Lancaster Ave

 $117.21 3,232 3,168
Dorothy Wang

255 W Lancaster Ave

 $133.26 2,396 2,350
Sally G Speck

225 W Lancaster Ave

 $127.21 1,894 1,852
Duane K Godshall

255 W Lancaster Ave

 $134.27 1,683 1,641
Mitchell S Drake

255 West Lancaster Avenue

 $128.36 1,367 1,338
Laurel Krouse

255 W Lancaster Ave

 $121.89 1,131 1,111
Sophy Em-Mcmenimon

255 W Lancaster Ave

 $75.90 1,060 1,050
Stuart A Brilliant

255 W Lancaster Ave

 $106.17 1,044 1,020
Main Line Emergency Med Associates Llc

255 W Lancaster Ave

 $68.76 797 709
David E Kautz

255 W Lancaster Ave

 $281.13 475 462
Andrea E Horvath

255 W Lancaster Ave

 $101.80 238 236
Main Line Hospitals, Inc.

255 W Lancaster Ave

 $307.57 125 116
David A. Nathan

255 W Lancaster Ave

 $45.71 99 91
Melissa J Calder

255 Lancaster Avenue

 $126.82 68 29
Aref Sobhani-Mahdabi

255 W Lancaster Ave

 $0.00 15 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 Paoli, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Paoli, PA is $117.01 per claim, based on 21,913 claims from 16 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 Paoli, PA?

There are 16 Medicaid providers offering Emergency Room Visit related services in Paoli, PA according to public payment data.

What is the price range for Emergency Room Visit in Paoli, PA?

Medicaid reimbursement for Emergency Room Visit in Paoli, PA ranges from $0.00 to $307.57 per claim, with an average of $117.01. 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 Paoli, PA

X-Ray

Avg $6.25

35,440 claims

Office Visit

Avg $53.20

25,033 claims

EKG / ECG (Electrocardiogram)

Avg $6.73

24,596 claims

Nursing Facility Care

Avg $43.12

12,528 claims

CT Scan (Computed Tomography)

Avg $39.26

11,767 claims

Speech Therapy

Avg $89.67

9,016 claims

Blood Work & Lab Tests

Avg $8.86

8,509 claims

Physical Therapy

Avg $34.31

2,709 claims