Average Medicaid Emergency Room Visit Payments in West Reading, PA: $98.99
Avg. Paid
$98.99
Range
$0.00 – $267.73
Total Claims
165,328
Providers
65
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 West Reading, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Joseph Dougherty
420 S 5Th Ave |
$91.28 | 13 | 12 |
|
Jayamohan Nair
420 S 5Th Ave |
$0.00 | 14 | 12 |
|
Jonathan David Buerger
420 S 5Th Ave |
$95.27 | 43 | 42 |
|
Richard Loynd
6Th Avenue And Spruce Street |
$58.05 | 43 | 14 |
|
Ebenezer Oni
420 S 5Th Ave |
$98.24 | 63 | 27 |
|
John Brennan Ghee
420 S 5Th Ave |
$60.67 | 103 | 97 |
|
Krystal Velez
420 S 5Th Ave |
$31.91 | 136 | 135 |
|
Nancy Olinger
420 S 5Th Ave |
$29.74 | 156 | 156 |
|
Emily M Starczewski
301 S 7Th Ave |
$229.51 | 161 | 158 |
|
Megan Ulsh
420 S 5Th Ave |
$130.93 | 162 | 162 |
|
Xuezhi Jiang
420 S 5Th Ave |
$88.23 | 194 | 186 |
|
Charles Barbera
420 S 5Th Ave |
$33.34 | 199 | 199 |
|
Benjamin W. Carr
420 S 5Th Ave |
$147.04 | 201 | 200 |
|
Steven Kurban
420 S 5Th Ave |
$187.65 | 204 | 202 |
|
William Charles Mcbride
420 S 5Th Ave |
$152.81 | 238 | 111 |
|
Diane Frances Godorov
6Th Avenue And Spruce Street |
$17.47 | 250 | 250 |
|
Sara Bergey
420 S 5Th Ave |
$60.03 | 277 | 267 |
|
Timothy John Schisselbauer
420 S 5Th Ave |
$120.95 | 295 | 294 |
|
Lori Godown
6Th Avenue & Spruce Street |
$114.91 | 404 | 393 |
|
Jennifer S. Clark
420 S 5Th Ave |
$99.65 | 563 | 537 |
|
Alexis Boccabella
420 S 5Th Ave |
$126.97 | 652 | 643 |
|
Daniel Shea Demarco
420 S 5Th Ave |
$73.77 | 658 | 639 |
|
Laura Frank
6Th Ave & Spruce St |
$81.02 | 664 | 656 |
|
Anthony Palmisano
420 S 5Th Ave |
$67.07 | 736 | 643 |
|
Syed Rasikh Jaffery
420 S 5Th Ave |
$167.31 | 867 | 852 |
|
Hannah Maina Mude Mishkin
420 S 5Th Ave |
$81.50 | 897 | 877 |
|
Tiffany Gillis
420 S 5Th Ave |
$49.90 | 930 | 909 |
|
Rachael Trupp
420 S 5Th Ave |
$124.54 | 1,016 | 1,008 |
|
Taylor Russell
420 S 5Th Ave |
$112.23 | 1,171 | 1,154 |
|
Harpreet Singh
420 S 5Th Ave |
$50.88 | 1,233 | 1,163 |
|
Monisha Bindra
6Th Avenue And Spruce Street |
$93.52 | 1,296 | 1,273 |
|
Audrey K. Groff
6Th Ave And Spruce St |
$66.15 | 1,425 | 1,386 |
|
Shannon Marie Davidson
420 S 5Th Ave |
$64.63 | 1,439 | 1,387 |
|
Maria Bansner
Trhmc Regional Center Ctr., Building N Ground |
$113.78 | 1,446 | 1,435 |
|
Paul Copperman
420 S 5Th Ave |
$65.81 | 1,547 | 1,535 |
|
Eric Smith
420 S 5Th Ave |
$75.17 | 1,585 | 1,503 |
|
Jordan Wohl
420 S 5Th Ave |
$48.28 | 1,587 | 1,467 |
|
Jennifer Ziegler
420 S 5Th Ave |
$85.51 | 1,637 | 1,599 |
|
Tower Health Medical Group
420 S 5Th Ave |
$82.43 | 1,960 | 1,732 |
|
Nidhi Mahendru
420 S 5Th Ave |
$76.00 | 1,964 | 1,919 |
|
Zaide Mariah Ladensack
420 S 5Th Ave |
$125.86 | 2,155 | 2,132 |
|
Ali Chaudhary
6Th Avenue & Spruce St |
$267.73 | 2,484 | 2,317 |
|
Joaquin Ramos
420 S 5Th Ave |
$51.62 | 2,668 | 2,504 |
|
Ngan T. Q Nguyen
420 S 5Th Ave |
$132.51 | 2,726 | 2,685 |
|
Jacob Cattell Mccormick
420 S 5Th Ave |
$79.88 | 3,091 | 3,007 |
|
Seth Edward Ilgenfritz
420 S 5Th Ave |
$86.01 | 3,207 | 2,920 |
|
Henry Louis Kramarski
420 S 5Th Ave |
$81.93 | 3,295 | 3,252 |
|
Kara Coval Mischler
420 S 5Th Ave |
$86.30 | 3,339 | 3,284 |
|
Arthur Gross
420 S 5Th Ave |
$101.88 | 3,444 | 2,939 |
|
Glenn Grosshanten
420 S 5Th Ave |
$121.39 | 3,449 | 3,396 |
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 West Reading, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in West Reading, PA is $98.99 per claim, based on 165,328 claims from 65 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 West Reading, PA?
There are 65 Medicaid providers offering Emergency Room Visit related services in West Reading, PA according to public payment data.
What is the price range for Emergency Room Visit in West Reading, PA?
Medicaid reimbursement for Emergency Room Visit in West Reading, PA ranges from $0.00 to $267.73 per claim, with an average of $98.99. 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 West Reading, PA
Office Visit
Avg $49.45
137,685 claims
Blood Work & Lab Tests
Avg $8.63
88,395 claims
EKG / ECG (Electrocardiogram)
Avg $8.02
87,352 claims
X-Ray
Avg $12.27
40,977 claims
Durable Medical Equipment (DME)
Avg $36.31
37,571 claims
Urinalysis & Urine Tests
Avg $4.37
29,557 claims
Ultrasound
Avg $51.71
19,107 claims
Physical Therapy
Avg $38.97
14,588 claims