Average Medicaid Emergency Room Visit Payments in Troy, NY: $107.15
Avg. Paid
$107.15
Range
$24.44 – $125.11
Total Claims
216,033
Providers
28
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 Troy, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samaritan Hospital Of Troy, New York
2215 Burdett Ave |
$125.11 | 151,152 | 142,421 |
|
Taras Gulyanich
2215 Burdett Ave |
$85.69 | 15,317 | 13,459 |
|
John Morrison
2215 Burdett Ave |
$68.89 | 12,496 | 12,381 |
|
Alexander Grinshpun
2215 Burdett Ave |
$58.43 | 8,276 | 8,184 |
|
Kira Benson
2215 Burdett Ave |
$60.05 | 4,365 | 4,300 |
|
Colleen Elizabeth Kelley
1300 Massachusetts Ave |
$36.00 | 3,198 | 2,831 |
|
Stephanie Kennedy Bisson
2215 Burdett Ave |
$50.04 | 2,803 | 2,733 |
|
Stephen J Sokaris
1300 Massachusetts Avenue |
$69.07 | 2,712 | 2,649 |
|
Katrina M Kardos
2215 Burdett Ave |
$64.30 | 2,567 | 2,172 |
|
Mark Wilbur Yarbrough
2215 Burdett Ave |
$56.76 | 2,125 | 2,092 |
|
Elecia Novak
1300 Massachusetts Ave |
$47.23 | 1,835 | 1,824 |
|
Laney Rae Comitale
2215 Burdett Ave |
$48.46 | 1,803 | 1,772 |
|
Lauren Raylinsky
2215 Burdett Ave |
$55.49 | 1,410 | 1,385 |
|
Joshua T Drake
2215 Burdett Ave |
$70.83 | 1,254 | 1,243 |
|
Lynna J Gu
1300 Massachusetts Ave |
$55.65 | 1,069 | 1,066 |
|
Scott John Giordano
2215 Burdett Ave |
$50.97 | 1,027 | 1,024 |
|
Ryan F Romano
2215 Burdett Ave |
$47.71 | 935 | 933 |
|
Jena Lynn Breen
2215 Burdett Ave |
$31.95 | 569 | 374 |
|
Dana M Schroeder
2215 Burdett Ave |
$49.55 | 445 | 441 |
|
John S Janikas
2215 Burdett Ave |
$61.30 | 290 | 289 |
|
Anthony Peter Posca
2215 Burdett Ave |
$114.16 | 143 | 135 |
|
Brandon Oscar Romero Murguia
2 New Hampshire Ave |
$96.00 | 69 | 28 |
|
Erica Katherine Ziskin
2215 Burdett Ave |
$45.14 | 48 | 48 |
|
Kelsey Ann Martin
2215 Burdett Ave |
$66.85 | 39 | 38 |
|
Emergency Medicine Physicians Of Samaritan, Pllc
2215 Burdett Ave |
$74.63 | 37 | 37 |
|
Vicky Chodha
2001 5Th Ave Ste 110 |
$62.81 | 25 | 12 |
|
Michael R. Bibighaus
1300 Massachusetts Ave |
$49.43 | 12 | 12 |
|
Wayne C Gravell
2215 Burdett Ave |
$24.44 | 12 | 12 |
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 Troy, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Troy, NY is $107.15 per claim, based on 216,033 claims from 28 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 Troy, NY?
There are 28 Medicaid providers offering Emergency Room Visit related services in Troy, NY according to public payment data.
What is the price range for Emergency Room Visit in Troy, NY?
Medicaid reimbursement for Emergency Room Visit in Troy, NY ranges from $24.44 to $125.11 per claim, with an average of $107.15. 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 Troy, NY
Blood Work & Lab Tests
Avg $9.32
401,781 claims
Office Visit
Avg $70.25
377,568 claims
Home Health Visit
Avg $126.28
171,612 claims
Physical Therapy
Avg $46.94
159,888 claims
Case Management Services
Avg $313.11
141,663 claims
Psychiatric Evaluation
Avg $125.97
125,457 claims
Substance Abuse Treatment
Avg $35.34
124,987 claims
Vaccines & Immunizations
Avg $21.27
105,806 claims