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
Vallabh Karpe 320 E North Ave	$17.69	12	12
Prashant Sharma 320 E North Ave	$0.00	12	12
Robert Safier 3705 5Th Ave	$0.00	12	12
Patrick E Dowling 200 Lothrop St	$103.94	12	12
Brittany N Rambo 320 E North Ave	$20.67	12	12
Harry Rafkin 5200 Centre Ave	$69.42	13	12
Francis Guyette 230 Mckee Pl	$132.20	13	13
Kiley N Schultz 1307 Federal St	$95.33	13	13
Mckenzie Madore Tresky 4800 Friendship Ave	$19.23	13	12
Brittany Paluzzi 320 E North Ave	$0.00	13	12
Robyn Filipink 3705 5Th Ave	$33.49	13	13
Mitchell Andrew Kosanovich 100 S Jackson Ave	$41.54	14	12
Ashten M. Ebersbacher 200 Lothrop St	$75.82	14	14
Aritra Guha 320 E North Ave	$30.40	14	14
Katharina Hayes 4401 Penn Ave	$14.20	14	14
Breann Nicole Litwa 200 Lothrop St	$76.82	14	14
Jenna Gaesser 4401 Penn Ave	$87.05	14	13
Sona Shilpakar 3811 Ohara St Ste 431	$229.53	14	14
Neema Shah 4401 Penn Ave	$162.78	15	15
Christopher Gordon Tsai 200 Delafield Rd	$59.17	15	12
Sripriya Gonakoti 320 E North Ave	$16.53	15	14
Linas Mockus 200 Lothrop St	$122.31	15	12
Temitayo Odesanya 320 E North Ave	$92.88	16	15
Heather Ann Schlott 3705 5Th Ave	$112.58	17	12
Jessica Lindsey Garrison 4401 Penn Ave	$173.55	17	16
Elizabeth Marie Luttner 200 Lothrop St Fl 5	$31.91	17	17
Manjunath Muddaraju 200 Lothrop St	$45.03	17	12
Rahul Khanna 200 Lothrop St	$52.66	18	12
Kanupriya Soni 200 Lothrop St	$64.38	18	14
Rachel E Friedman 320 E North Ave	$158.17	18	17
Tiffany Lee Dumont 490 E North Ave	$144.37	19	12
Adam Sohnen 532 S Aiken Ave	$106.44	19	18
Ivan Euclides Borges Saraiva 200 Lothrop St	$30.43	19	13
Justin Robert Sloan 1000 Bower Hill Rd	$57.95	20	20
Jacqueline Elaine Fitton 320 E North Ave	$0.00	20	19
Jessica Kaufman 3400 Forbes Ave Ste 10040	$52.25	20	20
Jorge Luis Cabrera 3471 5Th Ave	$51.51	20	12
Esha Dhillon Sondhi 3420 Fifth Avenue	$89.65	20	12
Zubair Qureshi 5230-Center Avenue	$148.61	20	13
Mark Lega 100 S Jackson Ave	$200.79	22	12
Zachary Aldewereld 4401 Penn Ave	$292.14	23	12
Elizabeth Miriam Sensenig 4401 Penn Ave, Aob Suite 5400	$197.50	24	24
Levi Shelton 4401 Penn Ave	$98.75	24	24
Cristina Elizabeth Walsh 5230 Centre Ave	$80.55	24	14
Sneha Kannan 300 Halket St	$50.74	24	12
John Evankovich 200 Lothrop St	$143.03	25	14
Allison Baker Rometo 4401 Penn Ave	$0.00	25	25
Swathi Sangli 320 E North Ave	$127.40	25	12
Robbie Ali 2 Hot Metal St	$54.77	25	25
Tariq Javed Cheema 490 E North Ave	$181.05	25	15

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