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
Childrens Hospital Of Philadelphia 34Th And Civic Center Blvd	$454.02	26,385	24,865
Andrew Mealin 10800 Knights Rd	$134.56	25,183	21,876
Ross Allen Simcoe 111 S 11Th St	$93.46	21,399	20,363
James Lawrence Reingold 160 E Erie Ave	$151.61	20,471	20,112
Pramath Nath 160 E Erie Ave	$150.30	17,095	16,654
Lauren A Carr 160 E Erie Ave	$151.13	17,009	16,689
Catherine Burdett 160 E Erie Ave	$149.44	16,145	15,733
Geoffrey Everett 160 E Erie Ave	$148.41	15,781	15,472
Gabrielle Faith Einstein Morrow 1020 Sansome Street	$75.56	15,165	14,549
Jean Marie Ann Rinnan 160 E Erie Ave	$150.58	15,120	14,693
Brian A Collins 10800 Knights Rd	$156.73	15,108	12,875
John Tio Saludades 3509 N Broad St	$151.66	14,798	14,484
Kevin Refaat Kammel 230 N Broad St	$99.77	14,411	13,186
Nicole Elizabeth Tyczynska 1020 Sansom St	$86.28	14,362	13,846
Svetlana Harel 160 E Erie Ave	$114.63	14,238	13,886
Eric Lusinski 160 E Erie Ave	$150.51	14,171	13,859
Matthew Peter Ognibene 230 N Broad St	$86.29	14,056	13,125
Luis Ledesma Gamboa 3401 N Broad St	$147.72	13,894	13,574
Christopher F Valente 3401 Civic Center Blvd	$91.68	13,570	13,290
Zach Kassutto 160 E Erie Ave	$171.78	13,553	13,290
Valdi Sapira 2601 Holme Ave	$35.86	13,412	12,570
Angela Woo Jung Kim 160 E Erie Ave	$142.22	13,101	12,766
Thomas William Ball 501 S. 54Th Street	$165.05	13,000	12,697
Bassem Ragheb George 230 N Broad St	$83.65	12,888	11,326
Brian Cohagan 3401 N Broad St	$151.61	12,626	11,080
Dorota Maria Pazdrowska-Chowdhry 160 E Erie Ave	$114.21	12,502	12,206
Thomas Jefferson University Hospitals Inc 111 S 11Th St	$127.11	12,372	10,345
Ryan A Hudson 230 N Broad St	$100.85	12,291	11,866
David James Grasso 5501 Old York Rd	$74.35	12,073	11,774
David A Newman 700 Spruce St Bsmt West	$114.57	12,008	11,063
Garett John Forosisky 230 N Broad St	$53.73	11,718	11,487
Oliver Sacks 5501 Old York Rd	$88.80	11,691	10,985
Stephen M Sandelich 3401 N Broad St	$135.56	11,589	11,341
Temple University Hospital, Inc 3401 N Broad St	$258.41	11,585	10,237
Jonathan Michael Schwadron 3998 Red Lion Rd	$75.69	11,416	9,925
Joshua Torres-Cruz 3601 A St	$48.91	11,394	10,996
Michael Joseph Pickett Broad And Vine	$69.97	11,325	10,634
Dana Riley 230 N Broad St	$176.70	11,251	10,792
Beth Simone Etra 160 E Erie Ave	$152.02	11,245	11,040
Jeffrey Scott Barrett 3401 N Broad Street	$122.56	11,212	10,782
Zachary Wolf Risler 1020 Sansome Street	$166.90	11,164	10,717
Jeffrey Duke Chien 111 S 11Th St	$34.24	11,005	10,879
Daniel K Mullin 230 N Broad St	$146.20	10,990	10,642
Emily Roe Nguyen 700 Spruce St Bsmt West	$124.01	10,877	10,465
Benjamin Liss 245 N 15Th St	$101.90	10,773	9,433
Philip Mead 230 N Broad St	$143.73	10,721	10,472
Lia Catherine Cruz 160 E Erie Ave	$193.55	10,710	8,854
Betsy Lee 3400 Spruce St	$99.67	10,620	10,149
Curtis Edward Lehman 501 S 54Th St	$173.60	10,616	10,263
Sarah C Urbon 160 E Erie Ave	$189.60	10,356	10,205

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)