Average Medicaid Emergency Room Visit Payments in Plattsburgh, NY: $118.11
Avg. Paid
$118.11
Range
$15.05 – $180.78
Total Claims
88,317
Providers
26
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 Plattsburgh, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rada Jones
75 Beekman St |
$60.73 | 13 | 13 |
|
Kristofer A Abel
23 Hammond Ln |
$70.95 | 20 | 19 |
|
Reinier F Ultee
159 Margaret St Ste 100 |
$111.87 | 26 | 26 |
|
Russell W Hartung
75 Beekman St |
$125.84 | 37 | 37 |
|
Michael Mirzoyan
75 Beekman St |
$180.78 | 63 | 59 |
|
Daniel J Peters
75 Beekman St |
$96.09 | 77 | 77 |
|
Dennis Evgenyevich Radoshkevich
206 Cornelia St |
$59.59 | 97 | 95 |
|
Bridget Anne Higgins
75 Beekman St |
$15.05 | 113 | 112 |
|
Ashley Marie Laforest
75 Beekman St |
$50.66 | 376 | 371 |
|
Ingrid K Hohimer
75 Beekman St |
$34.35 | 493 | 486 |
|
Erica Morgan Lash
75 Beekman St |
$88.90 | 631 | 624 |
|
Daniel J Anhalt
75 Beekman St |
$94.16 | 774 | 768 |
|
William D Timbers
75 Beekman St |
$46.62 | 836 | 810 |
|
Michael G D'Urso
75 Beekman St |
$83.08 | 1,421 | 1,409 |
|
Nicholas A. Aunchman
75 Beekman St. |
$61.83 | 1,443 | 1,405 |
|
Michael Mcmahon
75 Beekman St |
$94.51 | 1,480 | 1,469 |
|
Ladd Bruce Osborne
Cvph Medical Ctr |
$104.31 | 1,842 | 1,828 |
|
Ryan Mason
75 Beekman St |
$61.96 | 1,872 | 1,837 |
|
Jodi M Forwand
75 Beekman St |
$30.98 | 1,941 | 1,819 |
|
Florentino C Nilooban
75 Beekman St |
$40.17 | 2,004 | 1,965 |
|
Lindsay Spencer Daniels
75 Beekman St |
$137.44 | 2,352 | 2,217 |
|
Louis-Philippe Charette
75 Beekman St |
$81.90 | 2,863 | 2,838 |
|
Arthur Fedorowicz
75 Beekman St |
$74.71 | 7,730 | 7,550 |
|
Leo P Lawrence
75 Beekman St |
$116.08 | 8,052 | 6,709 |
|
Charles A Everly
75 Beekman St |
$67.49 | 8,110 | 7,923 |
|
Champlain Valley Physicians Hospital Medical Center
75 Beekman St |
$155.27 | 43,651 | 41,014 |
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 Plattsburgh, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Plattsburgh, NY is $118.11 per claim, based on 88,317 claims from 26 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 Plattsburgh, NY?
There are 26 Medicaid providers offering Emergency Room Visit related services in Plattsburgh, NY according to public payment data.
What is the price range for Emergency Room Visit in Plattsburgh, NY?
Medicaid reimbursement for Emergency Room Visit in Plattsburgh, NY ranges from $15.05 to $180.78 per claim, with an average of $118.11. 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 Plattsburgh, NY
Office Visit
Avg $81.03
352,712 claims
Blood Work & Lab Tests
Avg $18.00
247,742 claims
Psychiatric Evaluation
Avg $108.77
96,574 claims
Vaccines & Immunizations
Avg $12.72
64,934 claims
Physical Therapy
Avg $59.82
60,972 claims
Substance Abuse Treatment
Avg $83.72
54,971 claims
EKG / ECG (Electrocardiogram)
Avg $6.30
51,010 claims
Urinalysis & Urine Tests
Avg $8.56
50,241 claims