Average Medicaid Emergency Room Visit Payments in Reading, PA: $91.62
Avg. Paid
$91.62
Range
$0.00 – $289.03
Total Claims
18,436
Providers
18
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 Reading, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Curtis Wright
215 N 12Th St |
$106.38 | 4,276 | 4,190 |
|
Gregory J Owsik
6Th Avenue And Spruce Street |
$85.57 | 3,442 | 3,366 |
|
Gary David Zimmer
2500 Bernville Rd |
$56.83 | 2,216 | 2,093 |
|
Kelly Ann Rexfordhudson
145 N 6Th St |
$93.53 | 1,640 | 1,559 |
|
Jennifer L Jozefick
420 S 5Th Ave |
$82.73 | 1,568 | 1,545 |
|
Neil Gulati
Sixth And Spruce Street |
$97.67 | 1,418 | 1,396 |
|
Jeffrey S Kalyan
1211 Elm St |
$57.37 | 1,210 | 1,174 |
|
Karina Gonzalez Saunders
1211 Elm St |
$31.93 | 638 | 629 |
|
St Joseph Regional Health Network
2500 Bernville Rd |
$289.03 | 611 | 573 |
|
Daniel Shane
2500 Bernville Rd |
$22.71 | 561 | 544 |
|
Benjamin P Earle
2500 Bernville Rd |
$239.39 | 363 | 361 |
|
Hemalatha J Bali
145 N 6Th St |
$38.08 | 185 | 179 |
|
Terry Ann Gubitosi
2500 Bernville Rd |
$44.39 | 102 | 101 |
|
Bridget Elizabeth Price
2500 Bernville Rd |
$94.92 | 101 | 95 |
|
Dominic J Cammarano
3701 Perkiomen Ave |
$84.13 | 45 | 44 |
|
Bethany Alice Martin
2500 Bernville Rd |
$24.84 | 33 | 32 |
|
Elizabeth W Howe
215 N 12Th St |
$30.00 | 15 | 15 |
|
Fredericka Sawyer Heller
530 Kenhorst Blvd |
$0.00 | 12 | 12 |
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 Reading, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Reading, PA is $91.62 per claim, based on 18,436 claims from 18 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 Reading, PA?
There are 18 Medicaid providers offering Emergency Room Visit related services in Reading, PA according to public payment data.
What is the price range for Emergency Room Visit in Reading, PA?
Medicaid reimbursement for Emergency Room Visit in Reading, PA ranges from $0.00 to $289.03 per claim, with an average of $91.62. 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 Reading, PA
Case Management Services
Avg $92.56
436,319 claims
Office Visit
Avg $40.48
209,225 claims
Physical Therapy
Avg $32.95
123,581 claims
Speech Therapy
Avg $28.47
110,366 claims
Ambulance Transport
Avg $92.36
79,688 claims
Dental Cleaning & Exam
Avg $31.64
56,075 claims
Blood Work & Lab Tests
Avg $9.16
25,412 claims
Durable Medical Equipment (DME)
Avg $37.40
21,867 claims