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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Toms River, NJ: $231.01

Avg. Paid

$231.01

Range

$28.71 – $379.15

Total Claims

206,206

Providers

59

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 Toms River, NJ

Provider Avg. Paid Claims Patients
Alyssa Marie Veth

99 Highway 37 W

 $42.22 14 13
John Dominic Genova

99 Highway 37 W

 $115.52 15 15
Darya Savel

99 Route 37 W

 $209.11 18 17
Dipak P Sheth

99 Route 37 W

 $43.65 22 22
Juliana Rose Conway

99 Highway 37 W

 $67.22 25 25
Dhiren A Shah

3 Plaza Dr

 $195.51 27 12
Alexis Suzanne Bierly

99 Rte 37 West Community Medical Center

 $61.06 30 30
Mohammed M El Kharboutly

99 Route 37 W

 $92.93 33 33
Rachelann Giordano

99 Route 37 W

 $78.11 39 30
Edelmira April Moore

99 Highway 37 W

 $41.03 42 33
Sarah B Schwartz

99 Route 37 W

 $74.26 49 45
Meghan Alyson Mcgrath

99 Nj Route 37

 $43.11 53 49
Travis-Jordan Masood

99 Highway 37 W

 $115.72 67 65
Amanda Jayne Orzo

99 Highway 37 W

 $204.17 74 67
Lauren Marie Johnson

99 Route 37 W

 $63.25 85 82
Kerri A Burlew

500 Lakehurst Rd

 $28.71 86 85
Chirag G Patel

99 Route 37 W

 $61.26 94 94
Mazen Yousef

99 Route 37 W

 $116.29 126 119
Karalee Bluhm

99 Highway 37 W

 $157.55 130 126
Awani Kumar

780 Hwy 37 W

 $38.17 153 34
Kimberly Lane

99 Highway 37 W

 $69.85 171 162
Neil Abraham Ninan

67 Rte 37 W Fl 3

 $94.75 234 69
Thomas W Fowlie

99 Route 37 W

 $93.51 261 250
Neelam Rautela Sood

970 Hooper Ave # 2

 $34.85 285 285
Merritt Weaver Brown

99 Rte 37 W

 $161.98 359 120
Victoria Coppola

40 Bey Lea Rd

 $379.15 366 345
Wijeyadevendram Ravindran

99 Route 37 W

 $83.24 430 427
Samantha Pellechio

1851 Hooper Ave

 $35.05 486 484
Miriam Bracha Gewirtzman

97 Northampton Blvd

 $40.43 528 499
Claire Giordano

99 Nj Route 37

 $45.03 574 535
Dennis James Asay

99 Route 37 W

 $29.93 582 544
Vikram M Varma

99 Route 37 W

 $50.69 617 614
Brenna Ahrens

99 Route 37 W

 $38.90 742 718
Erin C Suk

40 Bey Lea Rd

 $48.25 752 713
Shannon Hopkins

99 Route 37 W

 $89.39 942 900
Valerie Gail Mclaughlin

970 Hooper Ave # 2

 $42.31 1,097 1,083
Alyssa Giovanna Bozzett

99 Route 37 W

 $86.27 1,153 1,112
Ronald J Klebacher

99 Route 37 W

 $43.77 1,195 1,164
Mary Rometti

99 Highway 37 W

 $147.17 1,578 1,402
Jose Elago Dugenio

24 Mitchell Dr

 $47.90 1,990 1,842
Thomas W Giles

99 Route 37 W

 $73.14 2,094 2,063
Eric Philip Stander

99 Rte 37 W

 $111.24 2,184 2,098
Leigh Anne Buenvenida

970 Hooper Ave # 2

 $38.12 2,344 1,925
John Minetti

970 Hooper Ave # 2

 $59.32 2,375 2,360
Kamil Karroum

99 Route 37 W

 $59.17 2,389 2,367
John Kraynock

99 Route 37 W

 $55.10 2,546 2,523
Chetna Singh

99 Route 37 W

 $57.55 2,675 2,540
Eric Jonathan Wasserman

99 Highway 37 W

 $59.05 2,709 2,685
Ann Marie Halada

970 Hooper Ave # 2

 $78.70 2,895 2,324
Liesl Pia Iledan

99 Route 37 W

 $56.36 3,195 3,166

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 Toms River, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Toms River, NJ is $231.01 per claim, based on 206,206 claims from 59 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 Toms River, NJ?

There are 59 Medicaid providers offering Emergency Room Visit related services in Toms River, NJ according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Toms River, NJ ranges from $28.71 to $379.15 per claim, with an average of $231.01. 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 Toms River, NJ

Office Visit

Avg $39.86

767,181 claims

Vaccines & Immunizations

Avg $16.36

424,620 claims

Blood Work & Lab Tests

Avg $10.60

363,597 claims

Home Health Visit

Avg $76.39

321,882 claims

Dental Cleaning & Exam

Avg $29.14

240,398 claims

Non-Emergency Medical Transportation

Avg $63.62

234,777 claims

X-Ray

Avg $24.90

131,476 claims

Psychiatric Evaluation

Avg $83.39

128,862 claims