Average Medicaid Emergency Room Visit Payments in Scranton, PA: $84.18
Avg. Paid
$84.18
Range
$25.75 – $378.48
Total Claims
70,317
Providers
38
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 Scranton, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Cosmo Gesumaria
1800 Mulberry St |
$85.51 | 13,968 | 13,622 |
|
Paul Dubiel
746 Jefferson Ave |
$79.51 | 11,844 | 11,580 |
|
Anthony Sauter
746 Jefferson Ave |
$79.24 | 11,591 | 11,270 |
|
Sean G Morgan
1800 Mulberry St |
$97.44 | 8,954 | 8,479 |
|
Tyler Greenberg
1800 Mulberry St |
$69.67 | 4,500 | 4,345 |
|
Gerard Nealon
1209 Swetland St |
$66.77 | 3,285 | 3,172 |
|
Temitope Margaret Dube
1800 Mulberry St |
$92.04 | 2,682 | 2,635 |
|
Michael Robert Klingerman
1209 Swetland St |
$59.55 | 2,635 | 2,541 |
|
Maryfrances Koester
1800 Mulberry St |
$85.21 | 2,398 | 2,343 |
|
Saul Rigau
1800 Mulberry St |
$88.99 | 1,308 | 1,287 |
|
Community Medical Center
1800 Mulberry St |
$166.60 | 852 | 784 |
|
Henry Novroski
300 Lackawanna Ave Ste 200 |
$41.72 | 721 | 709 |
|
Katherine Chen
501 Madison Ave |
$83.10 | 718 | 688 |
|
Alyssa Muchisky
1800 Mulberry St |
$120.65 | 617 | 613 |
|
Philip A Huffman
746 Jefferson Ave |
$25.75 | 606 | 592 |
|
Rajagopalan Rengan
1800 Mulberry St |
$89.31 | 572 | 250 |
|
Scranton Quincy Hospital Company Llc
700 Quincy Ave |
$166.67 | 524 | 487 |
|
Sahil Pandya
1800 Mulberry St |
$120.66 | 500 | 491 |
|
Scranton Hospital Company Llc
746 Jefferson Ave |
$140.83 | 416 | 375 |
|
Pennsylvania Physician Services, Llc
700 Quincy Ave |
$83.71 | 281 | 270 |
|
James Richard Alunni
1800 Mulberry St |
$92.64 | 272 | 266 |
|
Riddhi Upadhyay
1800 Mulberry St |
$129.48 | 248 | 100 |
|
Stephanie Bartlett
700 Quincy Ave |
$39.78 | 163 | 137 |
|
Shiraz Saleem
501 Madison Avenue |
$91.91 | 91 | 53 |
|
Pavan K Irukulla
1800 Mulberry St |
$47.72 | 90 | 36 |
|
Nina Neuhaus
1800 Mulberry St |
$97.97 | 84 | 39 |
|
Vincent Edward Tuzze
700 Quincy Ave |
$31.71 | 82 | 71 |
|
Tatiana O. Chesnut
1800 Mulberry St |
$263.34 | 55 | 48 |
|
Jessica Ann Washenko-Blank
217 Scranton Carbondale Hwy |
$51.45 | 50 | 50 |
|
Marc Howard Rabin
521 Mt Pleasant Dr |
$91.99 | 45 | 39 |
|
John Robert Guzek
700 Quincy Ave |
$171.00 | 42 | 26 |
|
Emergency Services, Pc
1800 Mulberry St |
$151.83 | 29 | 25 |
|
Shaeesta Khan
1800 Mulberry St |
$139.20 | 21 | 12 |
|
Pennsylvania Physician Services, Llc
746 Jefferson Ave |
$46.68 | 17 | 17 |
|
Andalib Hossain
111 North Washington Avenue |
$378.48 | 15 | 13 |
|
James Jones
746 Jefferson Ave |
$54.13 | 14 | 14 |
|
Elizabeth Nichole Buchanan
700 Quincy Ave |
$70.48 | 14 | 14 |
|
Xuan Wang
501 Madison Ave |
$59.05 | 13 | 13 |
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 Scranton, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Scranton, PA is $84.18 per claim, based on 70,317 claims from 38 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 Scranton, PA?
There are 38 Medicaid providers offering Emergency Room Visit related services in Scranton, PA according to public payment data.
What is the price range for Emergency Room Visit in Scranton, PA?
Medicaid reimbursement for Emergency Room Visit in Scranton, PA ranges from $25.75 to $378.48 per claim, with an average of $84.18. 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 Scranton, PA
Personal Care Services
Avg $73.39
2,291,778 claims
Office Visit
Avg $32.17
570,589 claims
Blood Work & Lab Tests
Avg $10.57
147,659 claims
Case Management Services
Avg $120.81
90,390 claims
Eye Exam
Avg $25.08
86,941 claims
Vaccines & Immunizations
Avg $2.72
86,662 claims
Dental Cleaning & Exam
Avg $26.20
52,605 claims
Physical Therapy
Avg $29.29
47,090 claims