Average Medicaid Emergency Room Visit Payments in Potsdam, NY: $121.43
Avg. Paid
$121.43
Range
$6.68 – $147.93
Total Claims
63,407
Providers
24
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 Potsdam, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Canton-Potsdam Hospital
50 Leroy Street |
$147.93 | 36,309 | 34,194 |
|
Karl M. Unkenholz
50 Leroy St |
$101.75 | 6,273 | 6,070 |
|
Aaron E Fuller
49 Lawrence Ave |
$79.77 | 4,596 | 3,872 |
|
Ryan Coates
50 Leroy St |
$123.28 | 1,950 | 1,914 |
|
Justin Adam Mackinnon
50 Leroy St |
$101.72 | 1,947 | 1,900 |
|
Rebecca Brooke Gilson
50 Leroy St |
$64.56 | 1,847 | 1,564 |
|
Pearl Hersh
50 Leroy St |
$93.78 | 1,838 | 1,793 |
|
Matthew L. Morgan
50 Leroy St |
$98.13 | 1,551 | 1,498 |
|
Riccardo Turrin
50 Leroy St |
$66.00 | 1,478 | 1,431 |
|
Julie T Vieth
50 Leroy St |
$52.31 | 1,370 | 1,339 |
|
Adam A Quinn
50 Leroy St |
$98.02 | 1,111 | 1,077 |
|
Laura Mulvey
50 Leroy St |
$80.00 | 916 | 907 |
|
Megan Mae Mir
50 Leroy St |
$17.91 | 438 | 430 |
|
Zachary Reed
50 Leroy St |
$108.30 | 351 | 336 |
|
Brenda J Healey
50 Leroy St |
$46.36 | 297 | 296 |
|
Wayne Jeffery Jackson
50 Leroy St |
$20.95 | 251 | 240 |
|
Zachary Randall Willis
50 Leroy St |
$54.43 | 236 | 223 |
|
Meade Lent
50 Leroy St |
$6.68 | 212 | 206 |
|
Canton-Potsdam Hospital
50 Leroy St |
$18.77 | 146 | 144 |
|
Joseph John Adams
50 Leroy St |
$7.32 | 120 | 117 |
|
Michelle L Kent
50 Leroy St |
$42.84 | 64 | 62 |
|
Heather Mackinnon
50 Leroy St |
$28.86 | 51 | 50 |
|
Paul G. Walker
50 Leroy St |
$36.64 | 42 | 42 |
|
Zachary Philip Johannesson
50 Leroy St |
$131.83 | 13 | 13 |
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 Potsdam, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Potsdam, NY is $121.43 per claim, based on 63,407 claims from 24 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 Potsdam, NY?
There are 24 Medicaid providers offering Emergency Room Visit related services in Potsdam, NY according to public payment data.
What is the price range for Emergency Room Visit in Potsdam, NY?
Medicaid reimbursement for Emergency Room Visit in Potsdam, NY ranges from $6.68 to $147.93 per claim, with an average of $121.43. 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 Potsdam, NY
Office Visit
Avg $114.05
240,383 claims
Blood Work & Lab Tests
Avg $16.59
165,719 claims
Home Health Visit
Avg $79.23
106,110 claims
X-Ray
Avg $4.15
64,421 claims
Urinalysis & Urine Tests
Avg $18.79
39,853 claims
Vaccines & Immunizations
Avg $15.29
35,973 claims
Psychiatric Evaluation
Avg $105.47
33,924 claims
Physical Therapy
Avg $72.51
32,591 claims