Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Philadelphia, PA: $135.52

Avg. Paid

$135.52

Range

$0.00 – $935.78

Total Claims

3,661,931

Providers

1,481

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 Philadelphia, PA

Provider	Avg. Paid	Claims	Patients
Priyankar Sarkar 5501 Old York Rd	$98.50	12	12
Paige J Scopelliti 3401 Civic Center Blvd	$47.24	12	12
Yusuf Rahman 3401 N Broad St	$153.32	12	12
Anjali Sharma-Moghe 3401 Civic Center Blvd	$55.26	12	12
Stephen Thom 3400 Spruce Street	$129.16	12	12
Rebecca M Calder 253 S 10Th St	$326.41	12	12
Ivan Tsutskiridze 333 Cottman Ave	$148.04	12	12
Christopher Chu 3401 N Broad St	$53.62	12	12
Srikala Shenbagamurthi Ponnuru 245 N 15Th St Rm 2108	$20.83	12	12
Muhammad Zubair Khan 10800 Knights Rd	$73.91	12	12
Mayssa Abuali 5501 Old York Rd	$0.00	12	12
Victoria Kim Leri 1020 Sansom St	$49.56	12	12
Paul Nicolas Fiorilli 3400 Civic Center Blvd Fl 11	$192.67	12	12
Renee Marie Betancourt 51 N 39Th St	$115.51	12	12
Amanda A. Gudknecht 3400 Spruce Street	$19.97	12	12
Kimberly Dawn Conaway 3401 Civic Center Blvd	$0.00	12	12
Seth Nathaniel Glick 39Th & Market St	$264.92	12	12
Alaina Terez King 111 S 11Th St	$42.31	13	13
Arianna Sofia Minicozzi 3601 A St	$36.40	13	13
Srikrishna Varun Malayala 7600 Central Ave	$39.87	13	13
Andre Bernard Posner 501 S 54Th St	$14.85	13	12
Kheyandra Denise Lewis 3601 A St	$42.46	13	12
Elizabeth Ferrara 10800 Knights Rd	$165.12	13	13
Childrens Health Care Associates, Inc 3401 Civic Center Blvd	$65.56	13	13
Janet Lorenz Okorji 3400 Spruce St	$148.51	13	12
Kareen Shebaclo 840 Walnut St Ste 910	$107.45	13	13
Lauren Eleanor Colwell 840 Walnut St Ste 930	$43.53	13	13
Divyah Nagendra 3400 Spruce St	$44.99	13	13
Asher Stein 132 S 10Th St Ste 1080B	$115.08	13	13
Gillian Rose Naro 833 Chestnut St Ste 220	$2.13	13	12
Michael E Greenberg 230 N Broad St	$35.52	13	13
Kush Suryakant Patel 51 N 39Th St	$0.56	13	13
Sansanee Suwaratana Craig 3401 Civic Center Blvd	$116.85	13	13
Brittany A. Perry 833 Chestnut Street East, Suite 300	$920.37	13	12
Syed Shahzaib Sohail 2601 Holme Ave	$0.00	13	13
Michael Devin Fox 3500 Civic Center Blvd	$935.78	13	13
Sravanthi Gutta 3401 N Broad St	$29.63	13	13
Rebecca S Lisowski 132 S 10Th St	$36.00	14	14
Jacob Zinn 3400 Spruce St	$15.85	14	14
Phalgunee Patro 3401 Civic Center Blvd	$169.57	14	14
Amanda Albrecht 3401 N Broad St	$49.40	14	14
Alexander Heromin 111 S 11Th St	$25.57	14	14
Thair M Abed 3509 N Broad St	$0.00	14	14
Eden Kahle 3401 Civic Center Blvd	$0.00	14	14
Molly Kruithoff 160 E Erie Ave	$87.50	14	14
Paul Devine Bottone 3401 Civic Center Blvd	$29.96	14	12
Moon Jeong Lee 840 Walnut St Ste 1110	$39.83	14	14
Umair Javed Ashraf 245 N 15Th St	$133.65	14	14
Raymond Regan 1020 Sansom Street	$130.76	14	12
Childrens Health Care Associates, Inc 3401 Civic Center Blvd	$60.68	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 Philadelphia, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Philadelphia, PA is $135.52 per claim, based on 3,661,931 claims from 1481 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 Philadelphia, PA?

There are 1481 Medicaid providers offering Emergency Room Visit related services in Philadelphia, PA according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Philadelphia, PA ranges from $0.00 to $935.78 per claim, with an average of $135.52. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Philadelphia, PA: $135.52

Providers Offering Emergency Room Visit in Philadelphia, PA

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

New York, NY

Columbus, OH

Brooklyn, NY

Cleveland, OH

Other Procedures in Philadelphia, PA

Office Visit

Substance Abuse Treatment

Psychiatric Evaluation

X-Ray

Behavioral & Mental Health Therapy

Blood Work & Lab Tests

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)