Average Medicaid Emergency Room Visit Payments in Phila, PA: $170.79
Avg. Paid
$170.79
Range
$42.07 – $336.43
Total Claims
58,011
Providers
17
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 Phila, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Corey Campbell
3401 Civic Center Blvd |
$336.43 | 10,710 | 10,624 |
|
Carrie-Ann Begnaud
3998 Red Lion Rd |
$173.92 | 10,638 | 10,187 |
|
Albert Einstein Medical Center
5501 Old York Rd |
$151.71 | 5,532 | 5,122 |
|
Amanda Howell
5501 Old York Rd |
$126.73 | 4,654 | 4,499 |
|
Michael Sweeney
5501 Old York Rd |
$128.87 | 3,810 | 3,661 |
|
Deborah Heeran Chun
10845 Lockart Rd |
$123.59 | 3,765 | 3,666 |
|
Sonia Jaslow
5501 Old York Rd |
$82.45 | 3,244 | 2,962 |
|
Perry Avery Cain
3401 N. Broad Street |
$67.41 | 2,661 | 2,557 |
|
The Pennsylvania Hospital Of The University Of Pennsylvania Health Sys
800 Spruce St |
$268.83 | 2,418 | 2,104 |
|
Ryan Kudray Howe
5501 Old York Rd |
$76.43 | 2,098 | 1,898 |
|
Adam Kendall Rowden
5501 Old York Rd |
$73.64 | 1,989 | 1,981 |
|
Michelle Moreschi
1600 W Girard Ave |
$142.04 | 1,923 | 883 |
|
Peter Tsao
5501 Old York Rd |
$103.78 | 1,852 | 1,809 |
|
Mohammad Azher Sayeed
16Th Street And Girard Avenue |
$92.59 | 1,591 | 598 |
|
Andrew Kah Wai Chong
5501 Old York Rd |
$42.07 | 974 | 959 |
|
Kenneth Deitch
101 E Olney Ave |
$78.45 | 90 | 87 |
|
Neal Anderson Fischer
Albert Einstein Medical Center |
$73.82 | 62 | 62 |
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 Phila, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Phila, PA is $170.79 per claim, based on 58,011 claims from 17 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 Phila, PA?
There are 17 Medicaid providers offering Emergency Room Visit related services in Phila, PA according to public payment data.
What is the price range for Emergency Room Visit in Phila, PA?
Medicaid reimbursement for Emergency Room Visit in Phila, PA ranges from $42.07 to $336.43 per claim, with an average of $170.79. 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 Phila, PA
Office Visit
Avg $37.18
197,942 claims
Case Management Services
Avg $94.84
71,928 claims
Psychiatric Evaluation
Avg $67.69
68,250 claims
Vaccines & Immunizations
Avg $8.84
53,865 claims
Eye Exam
Avg $25.62
35,733 claims
Blood Work & Lab Tests
Avg $2.31
33,422 claims
Substance Abuse Treatment
Avg $344.25
26,323 claims
Hearing Test (Audiometry)
Avg $8.00
24,074 claims