Average Medicaid Emergency Room Visit Payments in Brockton, MA: $115.39
Avg. Paid
$115.39
Range
$37.12 – $303.75
Total Claims
356,318
Providers
103
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 Brockton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brockton Hospital, Inc.
680 Centre St |
$135.74 | 128,460 | 121,405 |
|
Steward Good Samaritan Medical Center, Inc.
235 N Pearl St |
$198.96 | 52,118 | 49,176 |
|
Zachary B Kramer
235 N Pearl St |
$75.80 | 10,851 | 10,661 |
|
Khaled A Sorour
680 Centre St |
$78.91 | 10,085 | 2,919 |
|
Jacob E Moore
Gsmc - Emergency Department |
$76.06 | 9,830 | 9,702 |
|
James D Thomas
235 North Pearl St |
$73.14 | 9,493 | 9,397 |
|
Benjamin M. Terry
235 N Pearl St |
$76.07 | 9,351 | 9,194 |
|
Robert P Perry
Gsmc - Emergency Department |
$73.88 | 6,994 | 6,894 |
|
Jacob F. Kallenberg
235 N Pearl St |
$84.64 | 6,272 | 6,150 |
|
Samantha A Siegel
235 N Pearl St |
$77.94 | 5,522 | 5,357 |
|
Clayton Wood
680 Centre St |
$74.32 | 5,378 | 5,323 |
|
William Thomas Bennett
235 N Pearl St |
$79.26 | 5,042 | 4,950 |
|
Michele M Schroeder
680 Centre St |
$83.88 | 4,657 | 4,594 |
|
Gerald R. Gorman
680 Centre St |
$89.79 | 4,416 | 4,351 |
|
Joseph Ryan Donahue
235 N Pearl St |
$84.85 | 4,187 | 4,137 |
|
Alex H Hsieh
235 N Pearl St |
$92.66 | 4,108 | 4,057 |
|
Diane M. Daddario
235 N Pearl St |
$80.91 | 3,709 | 3,667 |
|
James O'Neill
680 Centre St |
$71.99 | 3,465 | 3,279 |
|
Gabriel P Simon
235 N Pearl St |
$73.74 | 3,395 | 3,349 |
|
Lydia Wallace
235 N Pearl St |
$112.57 | 3,328 | 3,251 |
|
Steven Bbuye
235 N Pearl St |
$74.57 | 3,236 | 3,196 |
|
Elizabeth Murphy
235 N Pearl St |
$84.17 | 2,585 | 2,516 |
|
Kayla Pavao
1342 Belmont St |
$65.61 | 2,563 | 2,559 |
|
Andrew John Deane
680 Centre St |
$48.81 | 2,188 | 2,174 |
|
Grant Wei
680 Centre St |
$181.60 | 2,126 | 2,054 |
|
Troilus A Plante
680 Centre St |
$69.35 | 2,014 | 1,987 |
|
Christopher S Johnson
235 N Pearl St |
$68.96 | 1,938 | 1,904 |
|
Lisa M Salisbury
680 Centre St |
$51.97 | 1,855 | 1,838 |
|
Emily K Serrano
680 Centre St |
$62.67 | 1,821 | 1,801 |
|
Daniel Kelly Babson
680 Centre St |
$52.28 | 1,821 | 1,804 |
|
Mark W Greve
680 Centre St |
$86.07 | 1,776 | 1,747 |
|
Michael Andrew Valkanas
235 N Pearl St |
$83.47 | 1,715 | 1,691 |
|
Kenneth A. Frausto
680 Centre St |
$64.49 | 1,630 | 1,589 |
|
Molly Jeffrey
680 Centre St |
$56.26 | 1,568 | 1,552 |
|
Stephen D Gunning
680 Centre St |
$49.58 | 1,553 | 1,522 |
|
Melisa Anne Poulos
680 Centre St |
$56.23 | 1,458 | 1,452 |
|
Sandra Soochin Yoon
680 Centre St |
$59.16 | 1,346 | 1,335 |
|
Brenda Jean Dos Santos
110 Liberty St |
$42.41 | 1,342 | 1,329 |
|
Richard S. Herman
235 North Pearl Street |
$77.29 | 1,286 | 1,280 |
|
Laura A Griffin
680 Centre Street |
$52.54 | 1,280 | 1,270 |
|
Renate Girard
680 Centre St |
$58.09 | 1,272 | 1,251 |
|
Howard Kesselman
235 N Pearl St |
$75.76 | 1,220 | 604 |
|
Lisa A. Rampone
235 N Pearl St |
$51.93 | 1,215 | 1,082 |
|
Christina Woodward
680 Centre St |
$108.05 | 1,211 | 1,122 |
|
Adrea S Lee
680 Centre St |
$56.31 | 1,178 | 1,162 |
|
Kristina Brita Mulcahy
Gsmc - Hospital Providers |
$54.04 | 1,162 | 776 |
|
Donald F Kornack
680 Centre St |
$56.02 | 1,157 | 1,147 |
|
Sarah M Lawson
235 N Pearl St |
$66.83 | 1,143 | 1,138 |
|
Heather E Tarrant
680 Centre St |
$61.62 | 1,121 | 1,107 |
|
Sara I. Lozano
680 Centre St |
$70.88 | 1,064 | 1,060 |
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 Brockton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Brockton, MA is $115.39 per claim, based on 356,318 claims from 103 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 Brockton, MA?
There are 103 Medicaid providers offering Emergency Room Visit related services in Brockton, MA according to public payment data.
What is the price range for Emergency Room Visit in Brockton, MA?
Medicaid reimbursement for Emergency Room Visit in Brockton, MA ranges from $37.12 to $303.75 per claim, with an average of $115.39. 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 Brockton, MA
Blood Work & Lab Tests
Avg $3.21
2,196,106 claims
Psychiatric Evaluation
Avg $84.97
1,218,054 claims
Office Visit
Avg $67.28
1,041,113 claims
Behavioral & Mental Health Therapy
Avg $130.21
768,179 claims
Non-Emergency Medical Transportation
Avg $33.89
656,074 claims
Dental Cleaning & Exam
Avg $37.04
526,480 claims
Urinalysis & Urine Tests
Avg $2.95
424,203 claims
Substance Abuse Treatment
Avg $18.01
379,311 claims