Cost analysis for CPT 99284 — Emergency department visit, problem of high severity
Average Medicare Payment
$87.66
2023 data
Total Payments (2023)
$423.2M
Services (2023)
4.8M
Price Change (2014–2023)
+2.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $85.17 | $495.7M | 5.8M | — |
| 2015 | $85.76 | $501.1M | 5.8M | +0.7% |
| 2016 | $85.03 | $498.4M | 5.8M | -0.9% |
| 2017 | $85.44 | $493.4M | 5.7M | +0.5% |
| 2018 | $84.97 | $474.9M | 5.5M | -0.6% |
| 2019 | $85.44 | $457.3M | 5.3M | +0.6% |
| 2020 | $88.92 | $348.5M | 3.9M | +4.1% |
| 2021 | $93.44 | $368.0M | 3.9M | +5.1% |
| 2022 | $91.86 | $363.4M | 3.9M | -1.7% |
| 2023 | $87.66 | $423.2M | 4.8M | -4.6% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $116.01 vs VI at $75.13.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $116.01 | $1.6M | 13.5K | 164 |
| AA | $112.42 | $26.9K | 239 | 4 |
| AP | $100.09 | $67.0K | 669 | 9 |
| NY | $97.72 | $29.6M | 302.5K | 4.4K |
| NJ | $95.03 | $12.0M | 126.4K | 1.6K |
| DC | $94.10 | $1.7M | 17.7K | 261 |
| FL | $92.71 | $29.9M | 322.8K | 4.0K |
| PR | $91.91 | $591.5K | 6.4K | 127 |
| CT | $91.86 | $5.7M | 62.2K | 864 |
| DE | $91.57 | $2.1M | 22.5K | 226 |
| IL | $90.99 | $19.4M | 213.6K | 2.7K |
| MI | $90.72 | $17.9M | 197.2K | 2.8K |
| RI | $90.70 | $1.9M | 21.3K | 310 |
| MD | $90.58 | $9.1M | 99.9K | 1.2K |
| MA | $90.56 | $11.4M | 125.5K | 1.7K |
| CA | $89.67 | $34.8M | 388.2K | 5.7K |
| NV | $89.44 | $3.0M | 33.5K | 494 |
| GU | $89.44 | $168.9K | 1.9K | 18 |
| PA | $89.15 | $23.2M | 260.1K | 3.3K |
| NM | $88.30 | $2.8M | 31.5K | 457 |
| WA | $88.16 | $6.1M | 69.3K | 1.0K |
| AE | $87.94 | $62.3K | 708 | 9 |
| TX | $87.45 | $26.5M | 302.6K | 4.6K |
| GA | $87.25 | $10.5M | 120.9K | 1.8K |
| WV | $87.18 | $3.7M | 42.5K | 453 |
| CO | $87.13 | $5.6M | 64.8K | 1.1K |
| VA | $87.02 | $11.4M | 131.1K | 1.7K |
| OH | $86.91 | $17.5M | 200.9K | 2.9K |
| ZZ | $86.89 | $41.6K | 479 | 7 |
| SC | $86.81 | $10.6M | 122.3K | 1.2K |
| ND | $86.65 | $944.0K | 10.9K | 128 |
| LA | $86.52 | $6.7M | 77.6K | 1.1K |
| NH | $86.48 | $2.1M | 23.9K | 302 |
| MO | $86.46 | $8.7M | 100.7K | 1.3K |
| AZ | $86.02 | $7.6M | 88.3K | 1.2K |
| ME | $85.86 | $2.3M | 26.6K | 351 |
| HI | $85.52 | $1.1M | 13.2K | 214 |
| UT | $85.38 | $2.5M | 29.5K | 487 |
| MT | $85.34 | $1.3M | 15.6K | 175 |
| OR | $85.21 | $4.1M | 47.9K | 741 |
| KY | $84.94 | $7.1M | 83.2K | 1.0K |
| MS | $84.84 | $5.1M | 60.6K | 616 |
| OK | $84.71 | $7.1M | 83.4K | 854 |
| VT | $84.68 | $1.2M | 14.0K | 140 |
| TN | $84.46 | $8.9M | 105.1K | 1.4K |
| IN | $84.38 | $8.7M | 102.7K | 1.4K |
| NC | $84.38 | $13.1M | 154.7K | 2.2K |
| MN | $84.34 | $6.3M | 74.6K | 1.2K |
| WY | $84.06 | $704.7K | 8.4K | 97 |
| AL | $83.98 | $5.4M | 64.1K | 873 |
| AR | $83.60 | $5.0M | 59.8K | 564 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Michael Parrott | Emergency Medicine | NY | $58.7K | 537 | $109.32 |
| Paresh Savani | Internal Medicine | FL | $57.9K | 590 | $98.07 |
| Susan Hackman-Quinty | Family Practice | SC | $55.5K | 614 | $90.42 |
| Erica Katz | Emergency Medicine | OH | $54.6K | 500 | $109.17 |
| Michael Bogey | Emergency Medicine | CA | $54.2K | 548 | $98.98 |
| Ruslan Ivanov | Family Practice | FL | $51.9K | 551 | $94.13 |
| Leonard Simmons | Physician Assistant | FL | $50.0K | 637 | $78.45 |
| Eddie Kim | Undersea and Hyperbaric Medicine | NV | $49.8K | 449 | $110.82 |
| Kenneth Moses | Emergency Medicine | CA | $47.8K | 521 | $91.79 |
| Ronel Millana | Emergency Medicine | FL | $47.8K | 484 | $98.75 |
| Arthur Pecora | Emergency Medicine | NJ | $47.4K | 497 | $95.45 |
| Jason Grabert | Emergency Medicine | NV | $46.7K | 468 | $99.87 |
| Donal Spry | Emergency Medicine | MI | $46.7K | 487 | $95.92 |
| Sally Speck | Emergency Medicine | PA | $46.0K | 463 | $99.34 |
| Jason Brooks | Emergency Medicine | NY | $45.1K | 440 | $102.59 |
| Jentry Mclaughlin | Emergency Medicine | OK | $45.1K | 527 | $85.59 |
| Caleb Leibee | Emergency Medicine | MD | $45.0K | 462 | $97.34 |
| Glen Hanson | Family Practice | IA | $44.2K | 503 | $87.80 |
| Randye Bernot | Emergency Medicine | NY | $44.0K | 397 | $110.85 |
| Eric Goldenberg | Emergency Medicine | IN | $43.6K | 449 | $97.18 |
Based on the data, CPT 99284 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 2.9% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.