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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Boston, MA: $120.95

Avg. Paid

$120.95

Range

$0.00 – $923.97

Total Claims

2,297,423

Providers

1,146

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 Boston, MA

Provider Avg. Paid Claims Patients
Boston Medical Center Corporation

1 Boston Medical Ctr Pl

$210.94 263,780 238,313
Children'S Hospital Corporation

300 Longwood Ave

$226.47 114,729 110,957
The General Hospital Corporation

55 Fruit St

$255.69 79,610 71,967
Tufts Medical Center, Inc.

800 Washington St

$189.39 70,642 63,653
Beth Israel Deaconess Medical Center, Inc.

330 Brookline Ave

$202.98 43,702 40,026
Brigham & Womens Hospital, Inc.

75 Francis St

$202.92 34,864 32,647
Brigham And Women'S Faulkner Hospital, Inc

1153 Centre St

$191.62 27,951 26,554
Margaret Kaitlin Sheehy

55 Fruit St

$103.82 22,087 20,417
Steward St. Elizabeth'S Medical Center Of Boston, Inc.

736 Cambridge St

$190.36 17,279 16,146
Thomas L Knorr

330 Brookline Ave

$108.44 17,074 14,596
Murray J Mclachlan

55 Fruit St

$158.45 15,393 14,150
Massachusetts Eye And Ear Infirmary

243 Charles St

$116.79 14,018 13,457
Steven Matthew Mcguire

1 Boston Medical Ctr Pl

$73.98 13,492 13,283
Victoria A Coburn

1 Boston Medical Ctr Pl

$76.62 11,597 11,257
Robert A. Lowenstein

1 Boston Medical Ctr Pl

$75.26 11,207 11,045
David Young

75 Francis St

$107.37 10,593 9,760
Christopher Joseph Dudek

55 Fruit St

$54.07 10,561 6,694
Katherine E Northern

1 Boston Medical Ctr Pl

$72.32 10,058 9,954
James M Stephen

750 Washington St # 311

$70.37 10,039 9,877
Jennifer P. Emerson

1 Boston Medical Ctr Pl

$45.88 9,202 9,133
Jeffrey Richard Salerno

1 Boston Medical Ctr Pl

$135.51 8,920 7,721
Elizabeth L. Mitchell

1 Boston Medical Ctr Pl

$73.64 8,389 8,320
Christopher W Russell

1 Boston Medical Center Place

$76.99 8,257 8,057
Barbara L Edwards

840 Harrison Ave

$73.01 8,169 8,121
Matthew J. Bivens

330 Brookline Ave

$89.79 8,137 8,071
Wee-Jhong Chua

55 Fruit St

$75.00 7,822 7,127
Charise L Freundlich

840 Harrison Ave

$77.44 7,802 7,754
Cristopher William Amanti

One Boston Medical Center Place

$71.28 7,765 7,688
Krithika Muruganandan

1 Boston Medical Ctr Pl

$75.24 7,602 7,537
Annemieke Atema

1 Boston Medical Ctr Pl

$74.50 7,585 7,532
Alexander L Dogon

1153 Centre St

$77.62 7,521 7,429
Neil David Hadfield

1 Boston Medical Ctr Pl

$83.84 7,444 7,395
Eilan Mark Levkowitz

300 Longwood Ave

$64.82 7,415 6,470
Vicki E Noble

55 Fruit St

$99.48 7,380 7,080
Alexander Yiqing Sheng

1 Boston Medical Ctr Pl

$79.97 7,367 7,280
Judith A Linden

1 Boston Medical Ctr Pl

$75.29 7,313 7,253
Avery Emerson Clark

1 Boston Medical Ctr Pl

$76.84 7,222 7,140
Carrie Danziger

300 Longwood Ave

$72.31 7,114 7,077
Julian Orenstein

300 Longwood Ave

$66.54 7,099 6,280
Benjamin T Shelton

1 Boston Medical Ctr Pl

$162.33 7,072 6,556
Jheanelle Mckay

300 Longwood Ave

$86.04 7,031 5,668
John Wesley Hardin

1 Deaconess Road, W-Cc2

$76.58 7,028 6,952
Barbara M Walsh

840 Harrison Ave

$83.85 6,943 6,921
Kerry Kilander Mccabe

1 Boston Medical Ctr Pl

$78.22 6,816 6,771
Kevin Michael Ryan

1 Boston Medical Ctr Pl

$76.76 6,744 6,647
Benjamin S Grimmnitz

1 Boston Medical Ctr Pl

$76.63 6,726 6,661
Trevor C Wilson

1 Boston Medical Ctr Pl

$81.79 6,589 6,513
Andrea Marie Cotter

80 East Concord St

$82.29 6,579 6,511
Vonzella A. Bryant

1 Boston Medical Ctr Pl

$74.97 6,569 6,521
Doris Obando-Larguet

One Boston Medical Center Place

$42.05 6,531 6,482

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 Boston, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Boston, MA is $120.95 per claim, based on 2,297,423 claims from 1146 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 Boston, MA?

There are 1146 Medicaid providers offering Emergency Room Visit related services in Boston, MA according to public payment data.

What is the price range for Emergency Room Visit in Boston, MA?

Medicaid reimbursement for Emergency Room Visit in Boston, MA ranges from $0.00 to $923.97 per claim, with an average of $120.95. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Boston, MA