Average Medicaid Emergency Room Visit Payments in Saratoga Springs, NY: $109.88
Avg. Paid
$109.88
Range
$7.72 – $197.50
Total Claims
50,858
Providers
39
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 Saratoga Springs, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Saratoga Hospital
211 Church St |
$130.51 | 34,831 | 32,588 |
|
Gary R Wakeman
6 Preserve Way |
$94.67 | 3,219 | 3,187 |
|
Heather Marie Engelhart
211 Church St |
$72.95 | 2,520 | 2,499 |
|
Andres Mateo Crane
211 Church St |
$94.99 | 895 | 879 |
|
Christopher Case
211 Church St |
$54.62 | 841 | 821 |
|
Kelly Doherty
211 Church St |
$47.93 | 804 | 795 |
|
Jason E Bernad
211 Church St |
$72.71 | 754 | 739 |
|
Bryan Curley
1 West Ave Ste 230 |
$35.11 | 735 | 729 |
|
William T Fisher
211 Church St |
$80.34 | 699 | 688 |
|
Michelle Amy Frollo Tetu
211 Church St |
$24.31 | 695 | 689 |
|
Michael Vincent Murphy
211 Church St |
$25.99 | 690 | 688 |
|
Robert Donnarumma
211 Church St |
$66.44 | 557 | 543 |
|
Rebecca Hohle
211 Church St |
$41.39 | 394 | 391 |
|
Pedro Ferrando-Ross
211 Church Street |
$63.01 | 388 | 374 |
|
Aaron Willen
211 Church St |
$67.33 | 319 | 299 |
|
Paul R Dittes
454 Maple Ave |
$54.23 | 293 | 289 |
|
Tamara Howard
211 Church St |
$45.46 | 263 | 259 |
|
Lauren Mcwhorter
211 Church St |
$25.83 | 207 | 207 |
|
Mark Costello
211 Church St |
$28.40 | 201 | 200 |
|
Carsten P Stracke
211 Church St |
$44.97 | 187 | 186 |
|
David J Koren
211 Church St |
$29.11 | 177 | 173 |
|
Maxwell Reback
19 West Ave |
$72.78 | 177 | 67 |
|
Amanda R Diamond
204 S Broadway # 303 |
$30.86 | 142 | 141 |
|
James D Krygowski
211 Church St |
$28.99 | 139 | 125 |
|
Lily Ann Herout
211 Church St |
$22.71 | 138 | 138 |
|
Cynthia R. Lawder
160 High Rock Ave |
$75.15 | 104 | 103 |
|
Bret Wood
211 Church St |
$87.26 | 91 | 90 |
|
Mackenna Kelly
211 Church St |
$30.24 | 79 | 79 |
|
Todd D Duthaler
211 Church St |
$34.77 | 54 | 53 |
|
Jacquelyn Y White
211 Church St |
$14.17 | 53 | 52 |
|
Timothy A Brooks
211 Church St |
$41.61 | 50 | 50 |
|
Lara Michele Zwijacz
211 Church St |
$90.23 | 33 | 32 |
|
Carlos Alfredo Ares
211 Church St |
$197.50 | 32 | 12 |
|
Bryan E Kurtz
35 Friar Tuck Way |
$63.46 | 24 | 24 |
|
Jae K Chung
211 Church St |
$105.36 | 17 | 12 |
|
Christine J Towers
211 Church St |
$30.81 | 17 | 17 |
|
Nicole Burden
211 Church St |
$21.83 | 15 | 15 |
|
Bradley Michael Rice
211 Church Street |
$7.72 | 12 | 12 |
|
Donald R Sheeley
211 Church St |
$40.44 | 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 Saratoga Springs, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Saratoga Springs, NY is $109.88 per claim, based on 50,858 claims from 39 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 Saratoga Springs, NY?
There are 39 Medicaid providers offering Emergency Room Visit related services in Saratoga Springs, NY according to public payment data.
What is the price range for Emergency Room Visit in Saratoga Springs, NY?
Medicaid reimbursement for Emergency Room Visit in Saratoga Springs, NY ranges from $7.72 to $197.50 per claim, with an average of $109.88. 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 Saratoga Springs, NY
Office Visit
Avg $82.86
209,991 claims
Blood Work & Lab Tests
Avg $8.71
166,201 claims
Psychiatric Evaluation
Avg $107.09
104,948 claims
EKG / ECG (Electrocardiogram)
Avg $4.92
54,248 claims
Physical Therapy
Avg $60.98
47,380 claims
Dental Cleaning & Exam
Avg $33.89
44,109 claims
X-Ray
Avg $6.67
40,502 claims
Urinalysis & Urine Tests
Avg $1.57
37,550 claims