Average Medicaid Emergency Room Visit Payments in Washington, PA: $96.94
Avg. Paid
$96.94
Range
$5.53 – $203.43
Total Claims
36,050
Providers
17
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 Washington, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lori B Jenkins
155 Wilson Ave |
$103.97 | 12,233 | 11,143 |
|
Thomas Justin Pirosko
155 Wilson Ave |
$100.11 | 6,618 | 6,528 |
|
Amarjith Nitte Mally
155 Wilson Avenue |
$87.17 | 5,452 | 5,370 |
|
Rene Julio Moncion
24 Stonehenge Dr |
$66.39 | 3,133 | 2,686 |
|
Juan Felipe Davila
155 Wilson Ave |
$117.41 | 2,412 | 2,364 |
|
Douglass Monroe Harmon
997 N Main St |
$79.84 | 1,736 | 1,566 |
|
Richard Anthony Aprea
155 Wilson Avenue |
$59.25 | 1,597 | 1,576 |
|
William Daniel Trusnovic
90 W Chestnut St |
$135.61 | 1,071 | 913 |
|
Upmc Washington
155 Wilson Ave |
$112.50 | 599 | 556 |
|
Kristi Michelle Pierce
155 Wilson Ave |
$94.28 | 550 | 542 |
|
Namrata Nag
997 N Main St |
$203.43 | 409 | 179 |
|
Nicholas Schenk
95 Leonard Avenue |
$43.21 | 151 | 145 |
|
Cynthia G Stockdale
125 North Franklin Drive |
$5.53 | 25 | 13 |
|
Mohamad Al-Abed
155 Wilson Ave |
$66.72 | 20 | 12 |
|
Abhishek Sharma
155 Wilson Ave |
$88.30 | 17 | 12 |
|
Nathaniel David O'Leary
95 Leonard Ave Ste 200 |
$82.39 | 14 | 14 |
|
Melissa Sumney
400 Locust Ave |
$159.24 | 13 | 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 Washington, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Washington, PA is $96.94 per claim, based on 36,050 claims from 17 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 Washington, PA?
There are 17 Medicaid providers offering Emergency Room Visit related services in Washington, PA according to public payment data.
What is the price range for Emergency Room Visit in Washington, PA?
Medicaid reimbursement for Emergency Room Visit in Washington, PA ranges from $5.53 to $203.43 per claim, with an average of $96.94. 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 Washington, PA
Office Visit
Avg $42.05
115,863 claims
Blood Work & Lab Tests
Avg $2.46
51,344 claims
Physical Therapy
Avg $36.61
40,469 claims
Speech Therapy
Avg $19.20
35,965 claims
Ambulance Transport
Avg $154.69
35,032 claims
Dental Cleaning & Exam
Avg $27.37
31,851 claims
EKG / ECG (Electrocardiogram)
Avg $7.95
28,286 claims
Durable Medical Equipment (DME)
Avg $39.25
22,540 claims