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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Sellersville, PA: $98.30

Avg. Paid

$98.30

Range

$7.70 – $322.24

Total Claims

8,720

Providers

12

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 Sellersville, PA

Provider Avg. Paid Claims Patients
Martin Allen Zurmuhl

Grandview Hospital

 $95.42 2,355 2,307
Andrew Meyer Mersky

700 Lawn Ave

 $86.13 2,116 2,064
Grace Tin Hess

711 Lawn Ave

 $123.67 1,901 1,885
Michael Prasto

700 Lawn Ave

 $85.11 1,014 997
Rosalinda Ann Dirienzo

Grandview Hospital

 $91.57 961 947
Scott Alan Slagel

700 Lawn Ave

 $37.85 88 88
Grand View Emergency Specialists, Llc

700 Lawn Ave

 $111.69 84 78
Rachel Nicole Jesiolowski

700 Lawn Ave

 $210.09 53 53
Critical Care Physicians Of Pennsylvania Pc

700 Lawn Ave

 $105.60 50 22
Hemalatha Guruprasad

700 Lawn Ave

 $7.70 40 29
Rafal W Sawicki

817 Lawn Ave

 $100.63 33 12
St. Luke'S Hospital Grand View Campus

700 Lawn Ave

 $322.24 25 24

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 Sellersville, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sellersville, PA is $98.30 per claim, based on 8,720 claims from 12 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 Sellersville, PA?

There are 12 Medicaid providers offering Emergency Room Visit related services in Sellersville, PA according to public payment data.

What is the price range for Emergency Room Visit in Sellersville, PA?

Medicaid reimbursement for Emergency Room Visit in Sellersville, PA ranges from $7.70 to $322.24 per claim, with an average of $98.30. 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 Sellersville, PA

Office Visit

Avg $43.90

17,081 claims

Case Management Services

Avg $63.68

15,452 claims

X-Ray

Avg $7.52

13,285 claims

CT Scan (Computed Tomography)

Avg $53.32

5,510 claims

EKG / ECG (Electrocardiogram)

Avg $7.22

4,966 claims

Podiatry (Foot Care)

Avg $7.46

2,536 claims

Home Health Visit

Avg $176.03

1,642 claims

Ambulance Transport

Avg $94.84

1,374 claims