Average Medicaid Emergency Room Visit Payments in Biddeford, ME: $127.05
Avg. Paid
$127.05
Range
$26.62 – $177.08
Total Claims
170,953
Providers
51
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 Biddeford, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mainehealth
One Medical Center Drive |
$177.08 | 97,292 | 88,559 |
|
Wendy A Ciovacco
1 Medical Center Drive |
$56.97 | 10,855 | 10,792 |
|
Michael R D'Angelo
1 Medical Center Dr |
$52.78 | 4,052 | 3,974 |
|
Robert Brown
1 Medical Center Dr |
$54.27 | 3,866 | 3,035 |
|
Jason M Aines
One Medical Center Drive |
$60.52 | 3,568 | 3,291 |
|
Nadeem S Ali
30 West Cole Road |
$80.61 | 3,026 | 2,658 |
|
Andrew J Crouter
1 Medical Center Dr |
$51.70 | 2,697 | 2,659 |
|
Holly N Gunyan
1 Medical Center Dr |
$61.85 | 2,554 | 2,501 |
|
Marc William Gordon
1 Medical Center Dr |
$57.57 | 2,486 | 2,438 |
|
Michael J Burla
1 Medical Center Dr |
$55.85 | 2,400 | 2,365 |
|
Caitlin E Dwyer
1 Medical Center Dr |
$88.67 | 2,321 | 2,105 |
|
Brandon Elliot Giberson
1 Medical Center Dr |
$69.49 | 2,313 | 2,126 |
|
Daniel Gorlen
1 Medical Center Dr |
$48.87 | 2,126 | 2,076 |
|
Elizabeth Beil
1 Medical Center Dr |
$59.40 | 2,104 | 2,070 |
|
Caitlin Ann Wesling
1 Medical Center Dr |
$61.20 | 2,064 | 2,025 |
|
Michael William Schmitz
1 Medical Center Dr |
$57.40 | 1,966 | 1,934 |
|
Paul Yannopoulos
Southern Maine Health Care Of 1 Medical Center Drive |
$63.18 | 1,949 | 1,910 |
|
John J Kurucz
One Medical Center Drive |
$48.41 | 1,818 | 1,799 |
|
Justin Berkner
1 Medical Center Dr |
$84.83 | 1,722 | 1,701 |
|
Jessica H Stevens
One Medical Center Drive |
$50.81 | 1,663 | 1,621 |
|
Allison Palmer
1 Medical Center Dr |
$51.52 | 1,658 | 1,633 |
|
Anna M Schmid
1 Medical Center Dr |
$59.32 | 1,396 | 1,326 |
|
Lauren Kinney Dube
1 Medical Center Dr |
$70.40 | 1,379 | 1,353 |
|
Mason Andrew Bosse
1 Medical Center Dr |
$60.29 | 1,371 | 1,302 |
|
Douglas George Nilson
1 Medical Center Dr |
$73.37 | 1,348 | 1,221 |
|
Scott A Farrell
1 Medical Center Dr |
$41.66 | 1,273 | 1,250 |
|
Keith Rosenberg
1 Medical Center Dr |
$58.64 | 960 | 934 |
|
Alicia J Faller
1 Medical Center Dr |
$42.64 | 934 | 916 |
|
Megan Cara Betts
1 Medical Center Dr |
$83.85 | 835 | 777 |
|
Joshua James Grzyb
1 Medical Center Dr |
$63.87 | 777 | 766 |
|
Micaela Blaine Sulloway
1 Medical Center Dr |
$74.47 | 755 | 743 |
|
Houston Walter Macintyre
1 Medical Center Dr |
$80.72 | 570 | 560 |
|
Cynthia Marie Gaudet
1 Medical Center Dr |
$90.85 | 519 | 512 |
|
Brett E. Johnson
1 Medical Center Dr |
$73.16 | 504 | 499 |
|
Madeleine Marie Puissant
1 Medical Center Dr |
$89.40 | 450 | 444 |
|
Katrina S Good
1 Medical Center Dr |
$57.55 | 413 | 371 |
|
Timothy M Haley
1 Medical Center Dr |
$55.25 | 407 | 383 |
|
Richard Martin Kahn
9 Healthcare Drive |
$81.53 | 362 | 165 |
|
Jennifer Lynne Sears
1 Medical Center Dr |
$48.85 | 319 | 315 |
|
Jessie E Klauer
1 Medical Center Dr |
$60.12 | 310 | 310 |
|
Kristyna Grace Bernatchez
1 Medical Center Dr |
$65.16 | 301 | 296 |
|
Kirk E Benson
1 Medical Center Dr |
$41.11 | 273 | 267 |
|
Hannah Catherine Terrazzino
30 W Cole Rd |
$42.70 | 244 | 227 |
|
Katie Marie Picard
1 Medical Center Dr |
$78.15 | 159 | 158 |
|
Kimberly Ann Perreault
1 Medical Center Dr |
$59.50 | 154 | 153 |
|
James C Conley
1 Medical Center Dr |
$42.32 | 148 | 144 |
|
John Peranzi
1 Medical Center Dr |
$79.00 | 105 | 105 |
|
Christopher P Cox
1 Medical Center Dr |
$46.03 | 85 | 73 |
|
Mainehealth
1 Medical Center Dr |
$57.96 | 56 | 26 |
|
Mahesh Bandara
9 Healthcare Dr |
$26.62 | 30 | 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 Biddeford, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Biddeford, ME is $127.05 per claim, based on 170,953 claims from 51 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 Biddeford, ME?
There are 51 Medicaid providers offering Emergency Room Visit related services in Biddeford, ME according to public payment data.
What is the price range for Emergency Room Visit in Biddeford, ME?
Medicaid reimbursement for Emergency Room Visit in Biddeford, ME ranges from $26.62 to $177.08 per claim, with an average of $127.05. 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 Biddeford, ME
Blood Work & Lab Tests
Avg $2.86
412,189 claims
Substance Abuse Treatment
Avg $98.78
154,685 claims
Office Visit
Avg $34.38
136,297 claims
Vaccines & Immunizations
Avg $9.47
105,299 claims
Physical Therapy
Avg $21.28
99,781 claims
EKG / ECG (Electrocardiogram)
Avg $3.52
65,692 claims
X-Ray
Avg $17.37
64,771 claims
Urinalysis & Urine Tests
Avg $0.51
58,558 claims