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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

37

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
Dina V Kuliesius

2211 Genesee Street

$52.65 14 14
Russell Petrie

2209 Genesee St

$52.06 34 34
Besim Dizdarevic

111 Hospital Dr

$98.87 41 41
Trent Thomas Williams

111 Hospital Dr

$86.21 93 91
Dianna Scranton

2209 Genesee St

$89.49 105 105
Jaime Michelle Blum

2206 Genesee St Ste 101

$88.27 112 112
Anwar Wassel

1450 Champlin Ave

$117.05 162 70
Nalini J Namassivaya

35 Riverside Dr

$78.85 188 73
Adela Tahto

111 Hospital Dr

$98.36 194 191
Adela Baljic

1656 Champlin Ave

$83.05 238 236
Catherine M Vannicola

1656 Champlin Ave

$82.48 278 275
Larisa M. Graziano

2209 Genesee St

$60.74 281 281
Elvedina Strukan

1656 Champlin Ave

$91.26 313 309
Michael Scott Montagna

2209 Genesee St

$84.29 314 313
Nedzada Seho

2209 Genesee St

$82.40 341 340
Aleksey V Bogolyubov

35 Riverside Dr

$71.53 366 190
Amanda Pratt

1676 Sunset Ave # 4

$79.10 372 367
Carmen Anthony Cross

2209 Genesee St

$63.60 619 612
Brian Bartholomew Hearn

1522 Old Burrstone Rd

$60.04 649 579
Marcus Kolber

1656 Champlin Ave

$98.21 749 744
Sushma Kaul

35 Riverside Dr

$108.47 836 310
Laura Salzano Borgos

1676 Sunset Ave

$62.42 1,365 611
Zev Samuel Wimpfheimer

1676 Sunset Ave

$84.34 2,130 2,119
Nicholas Grillo

120 Hobart St

$53.91 2,225 1,793
Juleen Jandali Qandah

1676 Sunset Ave

$86.31 2,389 2,381
Dino Music

2209 Genesee St

$89.60 2,436 2,030
John Rubin

2209 Genesee St

$83.99 3,734 3,706
Barbara A. Martin

1676 Sunset Ave

$88.20 3,750 3,718
Sean Phillips

1656 Champlin Ave

$66.95 4,028 3,755
Kevin Hoyt

2209 Genesee St

$89.94 4,161 4,148
Chaille Mintah

120 Hobart St

$86.89 4,333 4,305
Timothy Edward Page

2209 Genesee St

$49.23 5,947 5,731
Afsar Ali Khan

2209 Genesee St

$88.97 6,574 6,530
Etan Edward Eitches

2209 Genesee St

$85.93 8,442 8,057
Emmanuel V Bapana

2209 Genesee St

$92.27 10,955 10,828
St Elizabeth Medical Center

2209 Genesee St

$159.02 46,100 44,265
Mvhs Inc

111 Hospital Dr

$368.26 75,729 72,465

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.

Emergency Room Visit in Other Cities

Other Procedures in Utica, NY