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
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 Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims
Case Management Services
Avg $92.51
826,723 claims