Based on public Medicaid payment data.

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
Bradley William Bastian 601 Elmwood Ave	$127.00	12	12
Heather Collins 601 Elmwood Ave	$0.00	12	12
Daniel L Trimberger 601 Elmwood Ave	$69.58	12	12
Charlotte Orzolek 500 Red Creek Dr Ste 110	$59.39	12	12
Emily Katherine Redman 1555 Long Pond Rd	$37.33	12	12
Mohsen Raymond Naassana 484 White Spruce Blvd	$56.56	13	12
Muhammad Umar Khalid 1415 Portland Avenue	$708.14	13	12
Lisa M Nobles 125 Red Creek Dr	$86.57	13	13
David Henry Adler 601 Elmwood Ave Box 655	$10.23	13	13
Jeremy Schorr 44 Celebration Dr Ste 2.100	$131.83	13	12
Patrick Dineen 2619 Culver Rd Ste 2A	$39.17	13	13
Ryan Bodkin 601 Elmwood Ave	$24.00	14	14
Diana Lohrman Weldon 601 Elmwood Ave	$114.18	14	14
Jake Robert Ritzenthaler 1555 Long Pond Rd	$98.10	14	14
Grace Elizabeth Daly 65 Genesee St	$38.52	14	14
Sneha Kolli 601 Elmwood Ave	$51.40	14	14
Prerna Panjikar 1425 Portland Ave	$12.14	14	12
Allyson E Mayo 601 Elmwood Ave	$48.40	14	12
Christie Michelle Engle 601 Elmwood Ave	$126.53	14	14
Lauren Kathleen Clark 601 Elmwood Ave	$113.42	15	15
Katelyn Levesque 2350 Ridgeway Ave Ste A	$50.47	15	15
Thomas J Fountaine 601 Elmwood Ave	$52.49	15	15
Katharine Lynn Kurtz 1425 Portland Ave	$45.21	15	15
Emily Bush 1000 South Ave	$119.48	15	15
Lindsey R Schleyer 1000 South Ave	$120.31	15	15
Aakash Naik 601 Elmwood Ave Box 655	$56.82	16	13
Tracy Wright 2365 Clinton Ave S	$46.12	16	16
Natalie Elena Wilson Golisano Children'S Hospital	$187.00	16	12
Glenmarie Aniece Matthews 1425 Portland Ave	$69.77	17	17
Hongyi Kang University Of Rochester 601 Elmwood Avenue	$106.87	19	19
Jill M Cholette 601 Elmwood Ave	$178.22	20	12
Jasmine Rolon 1425 Portland Ave	$89.29	21	21
Anne Marie Mattingly 601 Elmwood Ave	$179.35	23	14
Anthony Pietropaoli 601 Elmwood Ave	$176.03	24	13
Lydia M Prospero 777 Canal View Blvd	$106.77	24	24
Wilhelmina Frederica Sizer 480 Genesee St	$38.98	25	25
Jennifer Barie Fleming 2745 W Ridge Rd	$84.75	25	25
Yana Dadiomova Levin 1555 Long Pond Rd	$3.39	25	12
Eric Thomas Mundt 393 Pemberton Road	$111.07	25	25
Michelle Marie Marks 601 Elmwood Ave	$131.06	25	12
Susana Jean Gutierrez-Luke 601 Elmwood Ave	$107.41	26	26
Debra E Roberts 601 Elmwood Ave	$205.68	27	12
Marissa Kapcio 601 Elmwood Ave	$178.91	27	27
Garrett Michael Coles 601 Elmwood Ave	$186.40	28	13
Carol Diane Fague 1000 South Ave	$41.25	28	28
Milan Atanackovic 293 Upper Falls Blvd	$45.22	28	28
Mervyn Whelan 601 Elmwood Ave	$22.20	29	29
Sophia Avery 1555 Long Pond Rd	$88.58	29	29
Christopher Howard 601 Elmwood Ave	$43.48	30	29
Mykael Garcia 601 Elmwood Ave	$211.99	30	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 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.

Average Medicaid Emergency Room Visit Payments in Rochester, NY: $129.50

Providers Offering Emergency Room Visit in Rochester, NY

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

Detroit, MI

Chicago, IL

Phoenix, AZ

Indianapolis, IN

New York, NY

Columbus, OH

Brooklyn, NY

Philadelphia, PA

Other Procedures in Rochester, NY

Home Health Visit

Blood Work & Lab Tests

Office Visit

Case Management Services

Psychiatric Evaluation

Substance Abuse Treatment

Physical Therapy

Ambulance Transport