Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Pittsburgh, PA: $104.00

Avg. Paid

$104.00

Range

$0.00 – $341.16

Total Claims

1,342,847

Providers

567

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 Pittsburgh, PA

Provider	Avg. Paid	Claims	Patients
Joseph Noga 2 Hot Metal St	$87.69	22,732	21,512
Linda Ying Morrison 230 Mckee Pl Ste 500	$119.63	13,733	12,518
Tesfamariam Andemeskel 2 Hot Metal St	$108.98	13,623	13,285
Patrick Joseph Bovino 2 Hot Metal Street	$94.08	13,496	12,911
Michael Matthew Reily 230 Mckee Pl	$71.10	13,341	13,091
Michael James Heiby 320 E North Ave	$31.98	13,184	13,091
Josef Turner 320 E North Ave	$62.93	12,872	12,394
Richard Andrew Rowland 320 E North Ave	$88.58	12,679	12,289
Linda Truong 320 East North Avenue	$65.32	12,249	12,121
Nicholas Matthew Furlani 230 Mckee Pl	$85.11	11,729	11,416
Jonathan David Koehler 767 College Street	$70.66	11,673	10,499
Sabrina Monique Gunion 320 E North Ave	$38.01	11,416	11,246
Sean Button 4401 Penn Ave	$184.00	11,199	11,084
Jason Sungkwon Chang 3600 Forbes Ave	$116.85	11,069	10,839
Stanley Mizikowski 2 Hot Metal St	$90.82	10,674	10,389
Susan A Caslow 230 Mckee Pl	$92.57	10,131	9,927
Tomas Borda 1860 Centre Ave	$108.45	9,920	9,698
Rebecca Mcnutt 4800 Friendship Ave	$107.23	9,869	9,677
David Scott 2 Hot Metal St	$109.78	9,768	9,543
Vipin Philip 4401 Penn Ave	$167.02	9,679	9,568
Jeremiah Escajeda 6305 Marchand St Apt 17	$105.94	9,673	9,128
Kevin Leonard 230 Mckee Pl	$105.74	9,654	9,485
Mary Kathleen Ratay 200 Lothrop St	$106.38	9,551	9,333
Paul Kim 3600 Forbes Ave Ste 10028	$118.53	9,458	9,294
David Joseph Cygan 565 Coal Valley Rd	$135.06	9,124	8,489
Duane Eisaman 3600 Forbes Ave	$117.94	8,823	8,545
Jawaid Akhtar 230 Mckee Pl	$115.40	8,802	8,465
Afaq Ahmad 2 Hot Metal St	$80.59	8,472	8,290
Estuardo Aguilar 2 Hot Metal St	$87.86	8,403	8,280
Deborah Brooks 1000 Bower Hill Rd	$106.33	8,392	8,253
Heather Prunty 230 Mckee Pl	$108.13	8,159	8,017
Bryan Andrew Yurek 230 Mckee Pl	$84.70	8,015	7,809
Christopher Matthew Young 600 Grant St Fl 56	$97.89	7,990	7,918
Omar Hammad 320 E North Ave	$66.78	7,986	6,439
Upmc Children'S Hospital Of Pittsburgh 4401 Penn Ave	$122.52	7,658	7,056
Natan Cramer 4401 Penn Ave	$181.23	7,635	7,572
Brianna Lynne Garrett 230 Mckee Pl	$63.85	7,412	6,062
Brandon Nunnally 230 Mckee Pl	$63.64	7,267	6,683
John Whiteford 1400 Locust St	$101.23	7,256	7,089
David Anderson 2 Hot Metal St	$90.85	7,186	7,022
Nicole Helene D'Alessandro 5200 Centre Ave	$87.54	7,168	6,849
Masashi Okubo 300 Halket St	$104.47	7,160	7,054
Terrence Michael Anderson 8594 Harvest Manor Dr	$132.54	7,007	6,564
Jessica Nassar 230 Mckee Pl	$110.57	7,005	6,846
Alyssa Kristen Tomsey 320 E North Ave	$87.94	6,947	6,799
Mark Daybear 5230 Centre Ave	$103.98	6,899	6,758
Matthew Stephen Staum 3600 Forbes Ave	$90.57	6,793	6,672
Nancy Rixe 4401 Penn Ave	$186.39	6,774	6,705
Vanessa Ferla 320 E North Ave	$182.08	6,739	6,262
Marsha Tallman 320 E North Ave	$228.56	6,678	6,117

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 Pittsburgh, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Pittsburgh, PA is $104.00 per claim, based on 1,342,847 claims from 567 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 Pittsburgh, PA?

There are 567 Medicaid providers offering Emergency Room Visit related services in Pittsburgh, PA according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Pittsburgh, PA ranges from $0.00 to $341.16 per claim, with an average of $104.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Pittsburgh, PA: $104.00

Providers Offering Emergency Room Visit in Pittsburgh, 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

Philadelphia, PA

Other Procedures in Pittsburgh, PA

Blood Work & Lab Tests

Office Visit

Urinalysis & Urine Tests

X-Ray

Culture & Microbiology Tests

Physical Therapy

EKG / ECG (Electrocardiogram)

Case Management Services