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
Madelyn Rose Chamis 1 Boston Medical Ctr Pl	$49.13	12	12
Bridget Valerie Murphy 75 Francis St	$69.89	12	12
Florina Haimovici 1153 Centre St	$32.86	12	12
Patrick H Doyle 55 Fruit St	$74.59	12	12
Jennifer Ann Brooks 300 Longwood Ave	$29.94	12	12
Nicholas Joseph Pacella 202 Robinson Hall	$38.41	12	12
Omar Yusef Kudsi 330 Brookline Ave	$26.08	12	12
Arianna Rossetti 75 Francis St	$71.60	12	12
Catherine Liu 243 Charles St	$69.84	12	12
Derek Mai 243 Charles St	$40.85	12	12
Shu Y Lu Massachusetts General Hospital	$73.55	12	12
Isaac Bleicher 243 Charles St	$29.98	12	12
Richard Everard Wolfe Bidmc	$43.73	12	12
Katherine Brady Tang 330 Brookline Ave	$87.75	12	12
Anne Clayman 31 Peterborough St Apt B2	$58.62	12	12
David Wilbur Chen Mgh, Wang 835	$62.42	12	12
Joseph Robert Luvisi 243 Charles St	$43.46	12	12
Ashley E. D. Kane 330 Brookline Ave	$100.07	12	12
Shoshana Moriarty 75 Francis St	$74.59	12	12
Abraham E. Jaffe 725 Albany Street, Suite 3B	$25.79	12	12
Grayson Wilkes Armstrong 243 Charles St	$31.15	13	12
Amanda S Green Massachusetts General Hospital	$58.03	13	13
Titilope O Olanipekun 15 Francis Street	$75.16	13	12
Mariel Linnea Cataldi 15 Parkman St # 8	$52.44	13	13
Aline Souza Snietka 75 Francis St	$70.90	13	13
Matthew John Brochu 75 Francis St	$68.34	13	13
Mark David Dexter 300 Longwood Ave	$189.96	13	12
Michelle L Greer 75 Francis St	$77.85	13	13
Nahyoung Grace Lee 243 Charles St	$32.37	13	13
Jose Davila 243 Charles St	$29.96	13	13
Sahand Babapoorfarrokhran 55 Fruit St	$100.90	13	13
Daniel J Ainsworth 55 Fruit St	$63.75	13	13
Ashley Navarro 850 Harrison Avenue, Fl 4	$405.97	13	13
Corina A Vidal 243 Charles St	$125.48	13	13
Julia Lane Cowenhoven 300 Longwood Ave	$98.69	14	14
Christine C Cheston 840 Harrison Ave	$88.63	14	14
Kirsten Greineder Engel 55 Fruit St	$61.52	14	13
Reza Seyedsadjadi 165 Cambridge St Ste 820	$81.96	14	13
Kory Markel 330 Brookline Ave	$40.52	14	14
John William Tyson 75 Francis St	$157.83	14	14
Robert Harrington Helm 732 Harrison Ave	$510.60	14	12
Kathryn A Jones 133 Brookline Ave	$65.84	14	14
Caroline Fu 55 Fruit St	$87.09	14	13
Erin Nicole Moorefield 360 Huntington Ave	$43.89	14	14
Rachel Harris 75 Francis St	$20.70	14	12
Yan Ying Au Yeung 75 State St Fl 26	$0.00	14	14
Haatem Mostafa Reda 55 Fruit Street	$46.19	14	14
Abigail Hart Scully 800 Washington St	$71.72	15	15
Meghan Maclean Weir 1 Boston Medical Ctr Pl	$52.00	15	15
Christie J Lucente 75 Francis St	$34.45	15	15

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.

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

Providers Offering Emergency Room Visit in Boston, MA

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

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Indianapolis, IN

New York, NY

Columbus, OH

Brooklyn, NY

Philadelphia, PA

Other Procedures in Boston, MA

Office Visit

Blood Work & Lab Tests

X-Ray

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)

Psychiatric Evaluation

Vaccines & Immunizations

Case Management Services