Average Medicaid Emergency Room Visit Payments in Upland, PA: $136.55
Avg. Paid
$136.55
Range
$28.68 – $235.34
Total Claims
22,243
Providers
10
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 Upland, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark Harris
One Medical Center Boulevard |
$102.07 | 6,395 | 6,229 |
|
Steven Brad Gable
1 Medical Center Blvd |
$235.34 | 5,970 | 5,424 |
|
Karena M Rosa
1 Medical Center Blvd |
$127.35 | 4,851 | 4,753 |
|
Matthew A Wakeley
1 Medical Center Blvd |
$50.17 | 2,864 | 2,806 |
|
George Mylin Parsons
One Medical Center Boulevard |
$133.34 | 1,062 | 1,030 |
|
Jeffrey Stephen George
One Medical Center Boulevard |
$108.94 | 427 | 416 |
|
Jennifer A Hartle
One Medical Center Blvd |
$28.68 | 360 | 353 |
|
Rambabu Thallapaneni
30 Medical Center Blvd |
$42.89 | 221 | 193 |
|
Kirankumar Patel
One Medical Center Blvd |
$122.62 | 76 | 39 |
|
Donald Jenkins
One Medical Center Boulevard |
$56.06 | 17 | 17 |
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 Upland, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Upland, PA is $136.55 per claim, based on 22,243 claims from 10 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 Upland, PA?
There are 10 Medicaid providers offering Emergency Room Visit related services in Upland, PA according to public payment data.
What is the price range for Emergency Room Visit in Upland, PA?
Medicaid reimbursement for Emergency Room Visit in Upland, PA ranges from $28.68 to $235.34 per claim, with an average of $136.55. 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 Upland, PA
X-Ray
Avg $6.94
32,443 claims
Office Visit
Avg $38.33
27,854 claims
Blood Work & Lab Tests
Avg $21.00
12,679 claims
Podiatry (Foot Care)
Avg $6.30
6,609 claims
CT Scan (Computed Tomography)
Avg $46.63
6,288 claims
EKG / ECG (Electrocardiogram)
Avg $16.57
5,990 claims
Speech Therapy
Avg $87.80
4,814 claims
Pathology & Lab Services
Avg $37.74
3,711 claims