Average Medicaid Emergency Room Visit Payments in Valley Stream, NY: $126.89
Avg. Paid
$126.89
Range
$39.63 – $310.00
Total Claims
98,022
Providers
35
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 Valley Stream, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Long Island Jewish Medical Center
900 Franklin Ave |
$170.65 | 31,168 | 29,636 |
|
Holly Henrietta Charleton-Henry
900 Franklin Ave |
$49.91 | 13,160 | 12,482 |
|
Cameron Sweeney
900 Franklin Ave |
$116.09 | 5,417 | 5,394 |
|
Mark Harold Fonrose
900 Franklin Ave |
$91.30 | 4,214 | 4,047 |
|
Ngoc Bao Hoang
900 Franklin Ave |
$99.46 | 3,934 | 3,905 |
|
Joyce A. David
900 Franklin Ave |
$128.17 | 3,567 | 3,547 |
|
Glenn Valladares
900 Franklin Ave |
$50.97 | 3,321 | 3,271 |
|
Joseph Ewy
900 Franklin Ave |
$144.26 | 2,952 | 2,932 |
|
Nadia Denis
900 Franklin Ave |
$139.68 | 2,901 | 2,883 |
|
Jason Yan
900 Franklin Ave |
$131.41 | 2,790 | 2,773 |
|
Zong Wang Chen
900 Franklin Ave |
$137.70 | 2,743 | 2,728 |
|
Amina Xiomara Watkins
900 Franklin Ave |
$126.99 | 2,093 | 2,077 |
|
Elliot Warman
900 Franklin Ave |
$137.87 | 1,857 | 1,834 |
|
Vincent Lee
900 Franklin Ave |
$160.00 | 1,819 | 1,800 |
|
Joseph Matthew Coccellato
900 Franklin Ave |
$127.33 | 1,628 | 1,622 |
|
Ruby Puneet Kesar
900 Franklin Ave |
$162.59 | 1,556 | 1,552 |
|
Cindy Usher
900 Franklin Ave |
$310.00 | 1,455 | 1,416 |
|
Atul Chavda
900 Franklin Ave |
$109.28 | 1,455 | 1,423 |
|
Byron Cary
900 Franklin Ave |
$124.40 | 1,436 | 1,356 |
|
Rosemarie Whyte
27 Catalpa Ln |
$39.63 | 1,421 | 1,411 |
|
Melissa Tam
900 Franklin Ave |
$120.73 | 1,318 | 1,311 |
|
Harrison Marx
900 Franklin Ave |
$121.27 | 1,279 | 1,270 |
|
Kevin Liu
900 Franklin Ave |
$121.54 | 801 | 794 |
|
Franz Jemio
900 Franklin Ave |
$42.82 | 699 | 662 |
|
Muhammed-Rilwan Muritala
900 Franklin Ave |
$126.76 | 670 | 669 |
|
John Mathew
900 Franklin Aveune |
$79.93 | 526 | 522 |
|
Megan Wider
900 Franklin Ave |
$86.96 | 459 | 454 |
|
Nikola Anna Marie Pollice
900 Franklin Ave |
$113.29 | 351 | 351 |
|
Brianna Manrakhan-Shiwbaran
900 Franklin Ave |
$98.54 | 254 | 254 |
|
Tania Castro
900 Franklin Ave |
$130.73 | 218 | 217 |
|
Madhu Saxena
900 Franklin Ave |
$45.19 | 192 | 188 |
|
Nicole Purdy
117 Ann St |
$86.19 | 183 | 181 |
|
Rathindra Banik
900 Franklin Ave |
$66.21 | 123 | 121 |
|
Junaid Habibullah
900 Franklin Ave |
$40.69 | 50 | 15 |
|
John C Rohe
900 Franklin Ave |
$69.69 | 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 Valley Stream, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Valley Stream, NY is $126.89 per claim, based on 98,022 claims from 35 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 Valley Stream, NY?
There are 35 Medicaid providers offering Emergency Room Visit related services in Valley Stream, NY according to public payment data.
What is the price range for Emergency Room Visit in Valley Stream, NY?
Medicaid reimbursement for Emergency Room Visit in Valley Stream, NY ranges from $39.63 to $310.00 per claim, with an average of $126.89. 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 Valley Stream, NY
Home Health Visit
Avg $177.00
2,355,828 claims
Office Visit
Avg $75.26
232,741 claims
Physical Therapy
Avg $30.43
129,223 claims
Blood Work & Lab Tests
Avg $7.74
112,591 claims
Dental Cleaning & Exam
Avg $28.12
85,541 claims
Psychiatric Evaluation
Avg $79.06
58,585 claims
Vaccines & Immunizations
Avg $17.17
50,308 claims
Eye Exam
Avg $45.98
44,036 claims