Average Medicaid Emergency Room Visit Payments in Brighton, MA: $74.21
Avg. Paid
$74.21
Range
$24.61 – $126.17
Total Claims
49,984
Providers
32
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 Brighton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Natasha Brown Collins
736 Cambridge St |
$75.15 | 6,981 | 6,801 |
|
Garett Burke
255 Washington Street |
$77.77 | 6,338 | 6,190 |
|
Erik P. Deede
255 Washington Street |
$72.71 | 6,017 | 5,962 |
|
Edward J Oneil
736 Cambridge St |
$68.52 | 4,950 | 4,867 |
|
Angela Olson Wilson
736 Cambridge St |
$79.27 | 4,733 | 3,723 |
|
Curtis Chanyiu Chui
736 Cambridge St |
$69.66 | 4,371 | 4,310 |
|
Ivan E Liang
736 Cambridge Street |
$64.45 | 3,801 | 3,781 |
|
Swati Reddy Dhanireddy
255 Washington Street |
$68.77 | 2,974 | 2,869 |
|
Christopher M Avery
255 Washington Street |
$69.04 | 2,272 | 2,232 |
|
Nam Heui Kim
11 Nevins St. |
$103.83 | 1,358 | 546 |
|
Adam Chow
736 Cambridge St |
$60.54 | 1,052 | 1,042 |
|
Jenna Busa
255 Washington Street |
$48.93 | 981 | 977 |
|
Andrew Moraco
77 Warren St Fl 2 |
$101.87 | 836 | 285 |
|
Zahra Alhajji
736 Cambirdge St |
$81.27 | 598 | 588 |
|
Anand Azimbhai Mamdani
736 Cambridge St |
$119.50 | 443 | 132 |
|
John Rahul Tedrow
77 Warren St |
$97.93 | 354 | 135 |
|
Michelle Bethany Tait
255 Washington St |
$81.54 | 322 | 321 |
|
Mark D Pearlmutter
736 Cambridge St |
$80.61 | 225 | 221 |
|
Hernan M Avella
77 Warren St Fl 2 |
$96.26 | 196 | 84 |
|
Constantina Kostka
1560 Commonwealth Ave |
$63.75 | 192 | 190 |
|
Danai Khemasuwan
77 Warren St Fl 2 |
$84.86 | 182 | 71 |
|
Anna M. Ang
Brighton High School |
$75.17 | 160 | 158 |
|
Kamryn Marie Belardine
255 Washington Street |
$67.40 | 156 | 156 |
|
Dariush Jahandideh
736 Cambridge St |
$59.22 | 121 | 118 |
|
Aaron Amardey-Wellington
St. Elizabeth'S Hospital |
$65.96 | 73 | 70 |
|
Chan Yeu Pu
Pulmonary At St. Elizabeth'S Medical Center |
$104.96 | 68 | 24 |
|
James Tasch
736 Cambridge St |
$102.87 | 66 | 28 |
|
Nicholas Sadovnikoff
736 Cambridge St |
$90.35 | 58 | 24 |
|
Jonathan Dewald
736 Cambridge St |
$126.17 | 41 | 25 |
|
Henry T Mackiewicz
736 Cambridge St |
$101.59 | 39 | 25 |
|
Norman Zarsky
736 Cambridge St |
$24.61 | 13 | 13 |
|
Jairam R Eswara
11 Nevins Street |
$83.31 | 13 | 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 Brighton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Brighton, MA is $74.21 per claim, based on 49,984 claims from 32 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 Brighton, MA?
There are 32 Medicaid providers offering Emergency Room Visit related services in Brighton, MA according to public payment data.
What is the price range for Emergency Room Visit in Brighton, MA?
Medicaid reimbursement for Emergency Room Visit in Brighton, MA ranges from $24.61 to $126.17 per claim, with an average of $74.21. 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 Brighton, MA
Non-Emergency Medical Transportation
Avg $25.13
496,783 claims
Substance Abuse Treatment
Avg $31.72
234,650 claims
Office Visit
Avg $36.07
138,358 claims
Blood Work & Lab Tests
Avg $7.98
72,502 claims
Dental Cleaning & Exam
Avg $24.07
56,179 claims
X-Ray
Avg $6.29
54,240 claims
Psychiatric Evaluation
Avg $75.66
49,403 claims
Behavioral & Mental Health Therapy
Avg $158.83
35,955 claims