Average Medicaid Emergency Room Visit Payments in Rochester, NY: $129.50
Avg. Paid
$129.50
Range
$0.00 – $708.14
Total Claims
1,243,277
Providers
395
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 Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rochester General Hospital
1425 Portland Ave |
$146.85 | 204,404 | 194,167 |
|
Emergency Associates - University Of Rochester
601 Elmwood Ave |
$105.90 | 202,441 | 185,950 |
|
University Of Rochester
601 Elmwood Ave |
$174.29 | 157,136 | 147,778 |
|
The Unity Hospital Of Rochester
1555 Long Pond Rd |
$164.48 | 84,937 | 81,249 |
|
Highland Hospital Of Rochester
1000 South Ave |
$170.66 | 47,352 | 44,019 |
|
U Of R Neurology Department
601 Elmwood Ave |
$204.71 | 37,462 | 35,063 |
|
Thomas J Belt
1555 Long Pond Rd |
$115.96 | 15,215 | 13,051 |
|
Tara Marie Petroski
1425 Portland Ave # 304 |
$133.73 | 13,589 | 13,491 |
|
Brian Patrick Wood
1425 Portland Ave |
$95.88 | 11,291 | 11,197 |
|
Tracey Demino
1000 South Ave |
$67.63 | 11,284 | 9,055 |
|
Tammie Bertges Tullio
1425 Portland Ave |
$94.71 | 10,213 | 10,104 |
|
Andrew James Kretovic
158 Sawgrass Dr Fl 2 |
$75.87 | 10,188 | 9,698 |
|
Remon Assaad
1425 Portland Ave |
$99.05 | 9,005 | 8,934 |
|
Katherine Fitzpatrick Ready
601 Elmwood Ave. |
$146.50 | 8,560 | 7,498 |
|
Kimberly Ann Ressler
1425 Portland Ave |
$110.85 | 7,311 | 7,273 |
|
Austin Lee Tenney
601 Elmwood Ave |
$83.95 | 7,080 | 6,888 |
|
Justyna Marcinow
1425 Portland Ave # 305 |
$115.70 | 6,408 | 5,986 |
|
Andrew Dunkman
601 Elmwood Ave Box 655 |
$62.95 | 6,406 | 6,207 |
|
Jeffrey Reed
601 Elmwood Ave |
$120.87 | 6,176 | 6,114 |
|
Matthew Steele Battaglia
1425 Portland Ave |
$108.71 | 6,059 | 5,999 |
|
Rochester General Hospital
1425 Portland Ave |
$109.19 | 5,038 | 4,746 |
|
Gennaro Marc Polverino
30 Hagen Dr Ste 300 |
$60.47 | 4,938 | 4,895 |
|
Andrew Tisser
1425 Portland Ave |
$76.39 | 4,735 | 4,575 |
|
Helen M Owens
65 Genesee St |
$60.10 | 4,716 | 4,671 |
|
Leah Michelle Brenner
1455 E Ridge Rd |
$64.68 | 4,679 | 4,662 |
|
Michael Higgins
1425 Portland Ave |
$108.63 | 4,530 | 4,502 |
|
Mark Alexander Pettit
1425 Portland Avenue |
$115.74 | 4,443 | 4,425 |
|
Matthew Hershman
601 Elmwood Ave |
$204.69 | 4,431 | 4,376 |
|
Avril A Ano
1425 Portland Ave Bldg 3 |
$94.00 | 4,429 | 3,935 |
|
David Gibbs
601 Elmwood Ave |
$115.85 | 4,261 | 4,244 |
|
Fabiola Enriquez
601 Elmwood Ave |
$69.00 | 4,250 | 3,516 |
|
Yvonne Marie Dee Yang
601 Elmwood Ave |
$69.59 | 4,194 | 4,040 |
|
Alexander Vazzano
1425 Portland Ave |
$111.91 | 4,189 | 4,176 |
|
Jillian Geyer
601 Elmwood Ave |
$168.94 | 4,110 | 4,063 |
|
Brian S Greenberg
1425 Portland Ave |
$102.38 | 4,013 | 3,963 |
|
Constance Vernetti
1425 Portland Ave |
$107.20 | 4,010 | 4,001 |
|
William Daya
601 Elmwood Ave |
$162.66 | 3,977 | 3,848 |
|
Bryan Bernard Jordan
1555 Long Pond Rd |
$48.76 | 3,927 | 3,568 |
|
Patrick Corey
1425 Portland Ave |
$120.81 | 3,913 | 3,899 |
|
Jordan Doyle
1425 Portland Ave |
$114.92 | 3,870 | 3,853 |
|
Malik Rahsaan Sams
601 Elmwood Ave |
$166.86 | 3,839 | 3,731 |
|
Nichole S Supple
1425 Portland Ave |
$91.96 | 3,805 | 3,790 |
|
Andrew Rotando
1425 Portland Ave |
$119.27 | 3,716 | 3,695 |
|
John Hilmi
601 Elmwood Ave |
$162.34 | 3,713 | 3,620 |
|
Thomas Gately
1555 Long Pond Rd |
$67.69 | 3,500 | 3,479 |
|
Kevin George O'Gara
1800 English Rd Ste 10 |
$88.97 | 3,483 | 3,462 |
|
Ryan Paul Brecker
1425 Portland Ave |
$114.12 | 3,354 | 3,331 |
|
Ryan Lee Buryta
1425 Portland Ave |
$121.41 | 3,347 | 3,337 |
|
Nels E Grauman Neander
601 Elmwood Ave |
$82.16 | 3,335 | 3,276 |
|
Han Tony Gao
1425 Portland Ave |
$175.89 | 3,298 | 3,137 |
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 Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Rochester, NY is $129.50 per claim, based on 1,243,277 claims from 395 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 Rochester, NY?
There are 395 Medicaid providers offering Emergency Room Visit related services in Rochester, NY according to public payment data.
What is the price range for Emergency Room Visit in Rochester, NY?
Medicaid reimbursement for Emergency Room Visit in Rochester, NY ranges from $0.00 to $708.14 per claim, with an average of $129.50. 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 Rochester, NY
Home Health Visit
Avg $155.96
4,468,559 claims
Blood Work & Lab Tests
Avg $13.58
3,406,771 claims
Office Visit
Avg $80.81
3,372,720 claims
Case Management Services
Avg $416.23
1,188,020 claims
Psychiatric Evaluation
Avg $142.49
1,087,559 claims
Substance Abuse Treatment
Avg $66.55
788,422 claims
Physical Therapy
Avg $59.14
727,107 claims
Ambulance Transport
Avg $103.20
693,655 claims