Emergency · procedure code 99283

ER visit, moderate cost in New York

No plan has filed Emergency department visit, moderate severity in Batavia, NY in a form we can read, so this page shows New York instead and says so. These are the rates plans published under federal law. Not billed charges, and nothing here is scaled, adjusted or estimated to stand in for the market we do not hold.

State market

ER visit, moderate

NY · procedure code 99283

Statewide· n=151,030Pooled filings, payers not identified

We do not have a publishable distribution for Batavia, NY, so this is the NY market instead. The label above says so on purpose.

Medicare
$66
25th
$73
Median
$133
75th
$189
90th
$6625th
$73Median
$13375th
$18990th
$67Medicare

Middle price

$73

Half of this market is above it, half below

Middle half spans

$66 to $133

2.0x from low to high

The expensive end

$189

What the priciest providers charge

Medicare reference · Rest Of New York (nearest published locality)

$67

Performed in an office

Negotiated prices from published filings, reported only where the sample supports it. Statewide peer distribution, not a single-city sample. What plans have agreed to pay, not what a patient is billed. Filings as of July 20, 2026.

Reading it

What this distribution actually says.

The spread

The middle half of this market runs from $66 to $133, a 2.0x difference for the same procedure code in the same city. That gap is between contracts, not between quality.

Against Medicare

Medicare pays $67 for this service at its Rest Of New York locality. We do not turn that into a percentage here, because the price above is New York and that Medicare figure is one locality inside it. Two different maps do not divide.

The expensive end

One in ten filings sits at or above $189. If a plan's network is weighted toward that end, the difference does not show up in a premium quote. It shows up in the claims.

How wide the data runs

The carriers that filed for this procedure in this market. What each plan has agreed to pay, side by side. These are prices, not bills, so they do not show how often anyone needs it.

The same service elsewhere

ER visit, moderate across other markets.

Local · metro5 of 6 measured locally
MarketLow endMiddleHigh endProvidersBasis
New York this page$66$73$133151,030Statewide
New York, NY$69$73$142131,262Local · metro
Buffalo, NY$65$73$881,300Local · metro
Rochester, NY$69$73$1171,290Local · metro
Albany, NY$64$73$11810,864Local · metro
Syracuse, NY$65$73$93935Local · metro

Put this in front of a client.

Every figure on this page carries its source, its scope and the date the corpus was built, so it survives being forwarded to someone who was not in the meeting.

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