Average Medicaid Emergency Room Visit Payments in Sewickley, PA: $87.06
Avg. Paid
$87.06
Range
$62.78 – $113.60
Total Claims
16,982
Providers
11
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 Sewickley, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Annabelle Nielsen
701 Broad St |
$113.60 | 129 | 128 |
|
Ronald David Leckey
720 Blackburn Rd |
$105.88 | 172 | 165 |
|
Rebecca Nosal
720 Blackburn Rd |
$62.78 | 217 | 209 |
|
Christian Alexander Cayon
720 Blackburn Rd |
$109.69 | 250 | 246 |
|
Valley Medical Facilities Inc
720 Blackburn Rd |
$74.67 | 288 | 235 |
|
George Magnone
701 Broad St |
$86.41 | 914 | 796 |
|
Melanie Richman
17 Way Hollow Rd |
$82.27 | 1,775 | 1,704 |
|
Gaetano Joseph Licata
720 Blackburn Rd |
$83.72 | 2,143 | 2,051 |
|
Patrick Mcweeney
720 Blackburn Rd |
$79.45 | 3,290 | 2,989 |
|
Kyle Thomas Kutrovac
720 Blackburn Rd |
$84.79 | 3,540 | 3,150 |
|
Teresa Bertoni
720 Blackburn Rd |
$97.80 | 4,264 | 4,004 |
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 Sewickley, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sewickley, PA is $87.06 per claim, based on 16,982 claims from 11 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 Sewickley, PA?
There are 11 Medicaid providers offering Emergency Room Visit related services in Sewickley, PA according to public payment data.
What is the price range for Emergency Room Visit in Sewickley, PA?
Medicaid reimbursement for Emergency Room Visit in Sewickley, PA ranges from $62.78 to $113.60 per claim, with an average of $87.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
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Other Procedures in Sewickley, PA
Office Visit
Avg $49.62
52,358 claims
Case Management Services
Avg $77.20
33,838 claims
Blood Work & Lab Tests
Avg $5.16
18,191 claims
Podiatry (Foot Care)
Avg $3.55
11,565 claims
Nursing Facility Care
Avg $22.09
8,611 claims
Physical Therapy
Avg $79.34
6,304 claims
Vaccines & Immunizations
Avg $12.08
5,964 claims
Hearing Test (Audiometry)
Avg $4.08
5,878 claims