Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Utica, NY: $214.25

Avg. Paid

$214.25

Range

$49.23 – $368.26

Total Claims

190,597

Providers

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 Utica, NY

Provider	Avg. Paid	Claims	Patients
Mvhs Inc 111 Hospital Dr	$368.26	75,729	72,465
St Elizabeth Medical Center 2209 Genesee St	$159.02	46,100	44,265
Emmanuel V Bapana 2209 Genesee St	$92.27	10,955	10,828
Etan Edward Eitches 2209 Genesee St	$85.93	8,442	8,057
Afsar Ali Khan 2209 Genesee St	$88.97	6,574	6,530
Timothy Edward Page 2209 Genesee St	$49.23	5,947	5,731
Chaille Mintah 120 Hobart St	$86.89	4,333	4,305
Kevin Hoyt 2209 Genesee St	$89.94	4,161	4,148
Sean Phillips 1656 Champlin Ave	$66.95	4,028	3,755
Barbara A. Martin 1676 Sunset Ave	$88.20	3,750	3,718
John Rubin 2209 Genesee St	$83.99	3,734	3,706
Dino Music 2209 Genesee St	$89.60	2,436	2,030
Juleen Jandali Qandah 1676 Sunset Ave	$86.31	2,389	2,381
Nicholas Grillo 120 Hobart St	$53.91	2,225	1,793
Zev Samuel Wimpfheimer 1676 Sunset Ave	$84.34	2,130	2,119
Laura Salzano Borgos 1676 Sunset Ave	$62.42	1,365	611
Sushma Kaul 35 Riverside Dr	$108.47	836	310
Marcus Kolber 1656 Champlin Ave	$98.21	749	744
Brian Bartholomew Hearn 1522 Old Burrstone Rd	$60.04	649	579
Carmen Anthony Cross 2209 Genesee St	$63.60	619	612
Amanda Pratt 1676 Sunset Ave # 4	$79.10	372	367
Aleksey V Bogolyubov 35 Riverside Dr	$71.53	366	190
Nedzada Seho 2209 Genesee St	$82.40	341	340
Michael Scott Montagna 2209 Genesee St	$84.29	314	313
Elvedina Strukan 1656 Champlin Ave	$91.26	313	309
Larisa M. Graziano 2209 Genesee St	$60.74	281	281
Catherine M Vannicola 1656 Champlin Ave	$82.48	278	275
Adela Baljic 1656 Champlin Ave	$83.05	238	236
Adela Tahto 111 Hospital Dr	$98.36	194	191
Nalini J Namassivaya 35 Riverside Dr	$78.85	188	73
Anwar Wassel 1450 Champlin Ave	$117.05	162	70
Jaime Michelle Blum 2206 Genesee St Ste 101	$88.27	112	112
Dianna Scranton 2209 Genesee St	$89.49	105	105
Trent Thomas Williams 111 Hospital Dr	$86.21	93	91
Besim Dizdarevic 111 Hospital Dr	$98.87	41	41
Russell Petrie 2209 Genesee St	$52.06	34	34
Dina V Kuliesius 2211 Genesee Street	$52.65	14	14

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 Utica, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Utica, NY is $214.25 per claim, based on 190,597 claims from 37 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 Utica, NY?

There are 37 Medicaid providers offering Emergency Room Visit related services in Utica, NY according to public payment data.

What is the price range for Emergency Room Visit in Utica, NY?

Medicaid reimbursement for Emergency Room Visit in Utica, NY ranges from $49.23 to $368.26 per claim, with an average of $214.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Utica, NY: $214.25

Providers Offering Emergency Room Visit in Utica, NY

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

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Other Procedures in Utica, NY

Home Health Visit

Blood Work & Lab Tests

Office Visit

Psychiatric Evaluation

Case Management Services

Behavioral & Mental Health Therapy

Urinalysis & Urine Tests

Ambulance Transport