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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Summit, NJ: $189.96

Avg. Paid

$189.96

Range

$14.79 – $259.79

Total Claims

254,659

Providers

30

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 Summit, NJ

Provider Avg. Paid Claims Patients
Ahs Hospital Corp.

99 Beauvoir Ave

 $259.79 166,235 152,786
Emergency Physician Associates Of North Jersey P C

99 Beauvoir Ave

 $50.33 50,916 46,955
David I Groman

99 Beauvoir Ave

 $54.15 4,850 4,470
Evan Michael Gleimer

99 Beauvoir Ave

 $63.28 4,440 4,218
Tanisha Arora

99 Beauvoir Ave

 $52.69 3,371 3,300
Stephen R. Sabo

99 Beauvoir Ave

 $113.91 3,014 2,985
Amy Lynne Ishak

99 Beauvoir Ave

 $83.18 2,887 2,772
Paul Mastrokyriakos

99 Beauvoir Ave

 $57.52 2,858 2,676
Alanna Ramoutar

99 Beauvoir Ave

 $55.41 2,085 1,951
Anthony Branco

99 Beauvoir Ave # 3533

 $57.91 2,010 1,896
Zachary Kris Hernandez

99 Beauvoir Ave

 $56.38 1,944 1,843
Mary A Legaspi

33 Overlook Rd

 $105.24 1,595 1,553
Jennifer Krone

99 Beauvoir Ave

 $64.65 1,548 1,447
Pooja Mitul Patel

99 Beauvoir Ave

 $56.90 1,246 1,197
Mirtha J Macri

99 Beauvoir Ave

 $109.43 1,036 1,010
Michele Tirondola

99 Beauvoir Ave

 $42.66 695 677
Ogechi Enwereji

99 Beauvoir Ave

 $46.48 622 608
Jinal Desai

99 Beauvoir Ave

 $51.13 554 540
Dorothy Dalena

99 Beauvoir Ave

 $58.10 468 458
Adnan Hussain

99 Beauvoir Ave

 $99.68 422 190
Connor Clark

99 Beauvoir Ave

 $69.84 406 384
Nisha Suresh Kotecha

1 Springfield Ave

 $114.81 390 144
Kiwon Lee

99 Beauvoir Ave

 $257.28 240 60
Andrew Toscano

1 Springfield Ave

 $115.32 215 113
Christopher Lee Decotiis

1 Springfield Avenue

 $123.08 165 82
Abu S Alam

779 Springfield Ave

 $14.79 145 137
Jonathan Evan Glatt

1 Springfield Ave Fl 3

 $81.91 123 53
Maryann Khoudary

99 Beauvoir Ave

 $80.73 120 115
Michael Mcentee

99 Beauvoir Ave

 $104.41 32 16
Emre Kayaalp

99 Beauvoir Ave Fl 6

 $72.45 27 26

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 Summit, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Summit, NJ is $189.96 per claim, based on 254,659 claims from 30 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 Summit, NJ?

There are 30 Medicaid providers offering Emergency Room Visit related services in Summit, NJ according to public payment data.

What is the price range for Emergency Room Visit in Summit, NJ?

Medicaid reimbursement for Emergency Room Visit in Summit, NJ ranges from $14.79 to $259.79 per claim, with an average of $189.96. 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 Summit, NJ

Blood Work & Lab Tests

Avg $6.27

296,227 claims

Physical Therapy

Avg $32.10

163,478 claims

X-Ray

Avg $21.86

120,146 claims

Office Visit

Avg $59.31

108,125 claims

Urinalysis & Urine Tests

Avg $2.56

95,847 claims

CT Scan (Computed Tomography)

Avg $134.58

54,860 claims

Ultrasound

Avg $91.91

48,993 claims

EKG / ECG (Electrocardiogram)

Avg $45.62

45,296 claims