Average Medicaid Emergency Room Visit Payments in Plainview, NY: $139.18
Avg. Paid
$139.18
Range
$33.49 – $182.49
Total Claims
35,022
Providers
16
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 Plainview, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Philip Giarrusso
888 Old Country Rd |
$125.77 | 12 | 12 |
|
Carlos Rios
1117 Old Country Rd |
$38.06 | 15 | 15 |
|
Ruchi R Dharia
888 Old Country Rd |
$140.19 | 91 | 90 |
|
David S Kugler
888 Old Country Rd |
$169.84 | 158 | 157 |
|
Christina Agarunov
888 Old Country Rd |
$76.99 | 252 | 250 |
|
David D Tran
888 Old Country Rd |
$142.01 | 531 | 531 |
|
Melissa Ann Cusumano
888 Old Country Rd |
$117.62 | 673 | 668 |
|
Payal Sud
47 Cherry Dr E |
$119.65 | 795 | 784 |
|
Salvatore Fiorenti
888 Old Country Rd |
$144.74 | 991 | 987 |
|
Andy Lu
888 Old Country Rd |
$144.72 | 994 | 989 |
|
Eric Chavis
888 Old Country Road |
$131.99 | 1,389 | 1,384 |
|
Frank A. Nyberg
888 Old Country Rd |
$136.35 | 1,606 | 1,597 |
|
Matthew S Projansky
888 Old Country Rd |
$128.21 | 2,308 | 2,293 |
|
Attia Kausar Hussain
888 Old Country Rd |
$65.92 | 3,564 | 3,503 |
|
Ali Ahmadizadeh
875 Old Country Rd |
$33.49 | 4,071 | 3,942 |
|
Plainview Hospital
888 Old Country Rd |
$182.49 | 17,572 | 17,034 |
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 Plainview, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Plainview, NY is $139.18 per claim, based on 35,022 claims from 16 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 Plainview, NY?
There are 16 Medicaid providers offering Emergency Room Visit related services in Plainview, NY according to public payment data.
What is the price range for Emergency Room Visit in Plainview, NY?
Medicaid reimbursement for Emergency Room Visit in Plainview, NY ranges from $33.49 to $182.49 per claim, with an average of $139.18. 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 Plainview, NY
Pathology & Lab Services
Avg $46.43
240,163 claims
Case Management Services
Avg $29.08
209,545 claims
Durable Medical Equipment (DME)
Avg $41.79
163,053 claims
Office Visit
Avg $75.59
108,239 claims
Speech Therapy
Avg $71.13
99,693 claims
Hearing Test (Audiometry)
Avg $28.98
93,266 claims
Physical Therapy
Avg $78.23
78,583 claims
Blood Work & Lab Tests
Avg $8.15
62,239 claims