Average Medicaid Emergency Room Visit Payments in Augusta, ME: $128.80
Avg. Paid
$128.80
Range
$10.07 – $342.00
Total Claims
168,482
Providers
36
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 Augusta, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Harry W Grimmnitz
6 E Chestnut St |
$40.85 | 13 | 13 |
|
Rita Margaret Pakulski
35 Medical Center Pkwy |
$10.07 | 37 | 19 |
|
Alexandra Filippi
35 Medical Center Pkwy |
$102.76 | 42 | 14 |
|
Erin Marie Adler
361 Old Belgrade Rd |
$342.00 | 47 | 42 |
|
Gretchen M Andrews
6 E Chestnut St |
$118.84 | 66 | 65 |
|
Rob S Boudewijn
6 E Chestnut St |
$36.19 | 92 | 91 |
|
Anna Dulin
6 E Chestnut St |
$27.17 | 105 | 103 |
|
Michael Thomas Mozer
35 Medical Center Pkwy |
$112.04 | 136 | 134 |
|
Pamela Slaughter
35 Medical Center Pkwy |
$14.57 | 183 | 145 |
|
George Louka
35 Medical Center Pkwy |
$68.77 | 270 | 265 |
|
David W Argereow
10 Whitten Rd |
$52.57 | 290 | 288 |
|
Isabella Askari
35 Medical Center Pkwy |
$38.13 | 409 | 401 |
|
Katherine Russell
35 Medical Center Pkwy |
$60.96 | 607 | 558 |
|
E Chin Mak
35 Medical Center Pkwy |
$53.50 | 635 | 571 |
|
Samantha Deming-Berr
35 Medical Center Pkwy |
$40.98 | 870 | 853 |
|
Nicholas Ballard
35 Medical Center Pkwy |
$51.29 | 911 | 887 |
|
Chelsea R L Roan
35 Medical Center Pkwy |
$41.94 | 973 | 950 |
|
Lorn Augustin Wolfe
35 Medical Center Pkwy |
$198.49 | 1,093 | 1,032 |
|
Paul Plumer
6 E Chestnut St |
$35.83 | 1,210 | 1,178 |
|
Mary Ledoux
35 Medical Center Pkwy |
$56.12 | 1,253 | 1,231 |
|
John R Joseph
6 E Chestnut St |
$47.00 | 1,416 | 1,269 |
|
Tamar Stokelman
35 Medical Center Pkwy |
$96.74 | 1,421 | 1,288 |
|
Margaret D Barnes
6 E Chestnut St |
$41.72 | 1,542 | 1,452 |
|
Douglas Robert Wood
10 Whitten Rd |
$50.19 | 1,560 | 1,477 |
|
John Cooper
35 Medical Center Pkwy |
$52.92 | 1,681 | 1,641 |
|
Giles Gifford
35 Medical Center Pkwy |
$46.50 | 1,991 | 1,952 |
|
Emory Elizabeth Liscord
35 Medical Center Pkwy |
$40.96 | 2,369 | 2,321 |
|
William D Rodriguez
6 E Chestnut St |
$52.98 | 2,413 | 2,360 |
|
Charles David Springer
35 Medical Center Pkwy |
$100.05 | 2,857 | 2,101 |
|
Matthew Douglas Campbell
15 Enterprise Dr |
$58.48 | 2,918 | 2,795 |
|
Michelle Hicks
35 Medical Center Pkwy |
$108.19 | 2,932 | 2,769 |
|
Paul T. Renaud
35 Medical Center Pkwy |
$44.68 | 3,397 | 3,329 |
|
Josee Proulx
15 E Chestnut St |
$58.39 | 4,107 | 3,940 |
|
Thomas E Liscord
6 E Chestnut St |
$42.54 | 4,335 | 4,253 |
|
Reid Austin Roberts
35 Medical Center Pkwy |
$43.10 | 5,087 | 4,887 |
|
Mainegeneral Medical Center
35 Medical Center Pkwy |
$157.29 | 119,214 | 107,836 |
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 Augusta, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Augusta, ME is $128.80 per claim, based on 168,482 claims from 36 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 Augusta, ME?
There are 36 Medicaid providers offering Emergency Room Visit related services in Augusta, ME according to public payment data.
What is the price range for Emergency Room Visit in Augusta, ME?
Medicaid reimbursement for Emergency Room Visit in Augusta, ME ranges from $10.07 to $342.00 per claim, with an average of $128.80. 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 Augusta, ME
Blood Work & Lab Tests
Avg $3.01
870,668 claims
Case Management Services
Avg $63.93
382,731 claims
Office Visit
Avg $39.94
321,589 claims
Home Health Visit
Avg $355.87
297,937 claims
Physical Therapy
Avg $33.98
191,641 claims
Behavioral & Mental Health Therapy
Avg $170.20
157,636 claims
Vaccines & Immunizations
Avg $6.84
156,135 claims
X-Ray
Avg $17.63
130,801 claims