Average Medicaid Emergency Room Visit Payments in Quakertown, PA: $131.40
Avg. Paid
$131.40
Range
$48.31 – $290.81
Total Claims
8,182
Providers
5
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 Quakertown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicholas Joseph Crognale
157 S West End Blvd |
$147.57 | 4,922 | 4,640 |
|
Michele James Falino
1021 Park Ave |
$97.84 | 2,906 | 2,845 |
|
St Lukes Quakertown Hospital
3000 St Lukes Dr |
$290.81 | 190 | 178 |
|
Michael Scott Emery
2705 N Old Bethlehem Pike |
$48.31 | 137 | 131 |
|
Christine M Dorsey
1021 Park Ave |
$95.08 | 27 | 27 |
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 Quakertown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Quakertown, PA is $131.40 per claim, based on 8,182 claims from 5 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 Quakertown, PA?
There are 5 Medicaid providers offering Emergency Room Visit related services in Quakertown, PA according to public payment data.
What is the price range for Emergency Room Visit in Quakertown, PA?
Medicaid reimbursement for Emergency Room Visit in Quakertown, PA ranges from $48.31 to $290.81 per claim, with an average of $131.40. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
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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
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New York, NY
Avg $130.02
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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 Quakertown, PA
Office Visit
Avg $50.11
54,882 claims
Ambulance Transport
Avg $134.81
30,100 claims
Physical Therapy
Avg $32.58
22,270 claims
Speech Therapy
Avg $51.35
21,096 claims
Home Health Visit
Avg $81.84
17,780 claims
Eye Exam
Avg $40.71
12,560 claims
Chiropractic Care
Avg $13.17
7,717 claims
Blood Work & Lab Tests
Avg $5.47
1,771 claims