Average Medicaid Emergency Room Visit Payments in Burlington, MA: $129.97
Avg. Paid
$129.97
Range
$5.13 – $212.26
Total Claims
104,721
Providers
86
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 Burlington, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lahey Clinic Hospital, Inc.
41 Mall Rd |
$212.26 | 41,208 | 38,865 |
|
Daniel Cohen
41 Mall Rd |
$80.24 | 12,256 | 12,128 |
|
Jennifer Coles Chapman
41 Mall Rd. |
$65.83 | 8,628 | 7,395 |
|
Tucker F. Webb
41 Mall Rd |
$74.78 | 3,319 | 3,296 |
|
Andrew Goldsmith
41 Mall Rd |
$78.34 | 2,696 | 2,673 |
|
Meaghen Erin Finan
41 Mall Road |
$114.90 | 2,474 | 2,296 |
|
Benjamin Chin
41 Mall Rd |
$79.06 | 2,121 | 2,087 |
|
Bettina Norma Johnson
Lahey Clinic |
$49.60 | 1,579 | 1,569 |
|
Bernard M Bettencourt
Lahey Clinic |
$65.39 | 1,573 | 1,300 |
|
Ruth Youngerman Lewis
41 Mall Rd |
$157.88 | 1,514 | 1,486 |
|
Kate Melanie Mignosi
41 Mall Rd |
$71.57 | 1,464 | 1,432 |
|
Kevin F Dunbar
41 Mall Rd |
$74.17 | 1,456 | 1,442 |
|
Yining Fu
41 Mall Road |
$72.90 | 1,414 | 1,389 |
|
Katerina Papa
Lahey Hospital And Medical Center |
$68.59 | 1,122 | 1,105 |
|
Daniel Kowalsky
41 Mall Rd |
$86.92 | 1,051 | 1,042 |
|
Anika Parab
41 Mall Rd. |
$73.07 | 1,005 | 996 |
|
Casper Reske-Nielsen
41 Mall Rd |
$68.79 | 974 | 957 |
|
Mark E Bracken
41 Mall Rd. |
$70.51 | 961 | 944 |
|
Seth P. Jones
41 Mall Rd |
$73.91 | 899 | 885 |
|
Ellen Marie Vollmers
41 Mall Road |
$73.19 | 899 | 890 |
|
Lahey Clinic, Inc.
41 Mall Rd |
$68.09 | 887 | 807 |
|
Thomas M Brand
Lahey Clinic |
$70.25 | 868 | 854 |
|
Matthew J. Barmmer
Lahey Hospital And Medical Ctr |
$75.93 | 797 | 780 |
|
Paul Dennis Jondro
41 Mall Rd |
$73.66 | 775 | 768 |
|
Jennifer Alexandra Zacharia
41 Mall Rd |
$72.79 | 703 | 695 |
|
Susan R. Wilcox
41 Mall Rd |
$82.47 | 703 | 571 |
|
Khaled E Eissa
Lahey Hospital And Medical Ctr 41 Mall Road |
$81.59 | 674 | 370 |
|
Gillian L Mccafferty
41 Mall Rd |
$64.82 | 667 | 655 |
|
Christopher Meals
41 Mall Rd |
$64.98 | 636 | 635 |
|
Kevan John Mamdouhi
41 Mall Rd |
$71.06 | 635 | 628 |
|
Heidi Prieur
41 Mall Rd |
$47.00 | 606 | 599 |
|
David Lerner
41 Mall Rd Lahey Hospital And Medical Ctr |
$124.34 | 588 | 234 |
|
Erik E-Kai Wang
41 Mall Rd. |
$64.95 | 559 | 553 |
|
Ryan Mason Kring
41 Mall Rd |
$87.30 | 517 | 513 |
|
Jennifer L Barker
41 Mall Rd |
$53.49 | 486 | 484 |
|
Ping Lien
Lahey Hospital & Medical Center |
$66.54 | 478 | 475 |
|
Carolyn J. Sporn
Lahey Hospital & Medical Center |
$71.09 | 452 | 450 |
|
Maher Tabba
41 Mall Rd |
$78.92 | 426 | 195 |
|
Alla Tibbetts
41 Mall Rd |
$66.94 | 421 | 159 |
|
Kellie Wheeler
41 Mall Rd |
$60.19 | 302 | 237 |
|
Jacob J Kim
41 Mall Rd |
$72.94 | 293 | 286 |
|
Christina Maria Johnson
Lahey Hospital And Medical Center |
$5.13 | 256 | 240 |
|
Ghazwan Acash
Lahey Clinic |
$65.60 | 252 | 116 |
|
Fraser Colin Mackay
Lahey Hospital & Medical Center 41 Mall Rd |
$64.84 | 192 | 185 |
|
Ioana R Preston
41 Mall Rd |
$86.44 | 189 | 68 |
|
Christopher Kevin Hansen
41 Mall Road Lahey Hospital And Medical Center |
$85.16 | 185 | 119 |
|
Megan Rebecca Weidemann
41 Mall Rd |
$70.49 | 181 | 175 |
|
Brendan Michael Johnston
41 Mall Rd |
$61.70 | 181 | 176 |
|
Cyrus Arash Kholdani
41 Mall Rd |
$88.00 | 160 | 54 |
|
Joshua Giaccotto
41 Mall Rd |
$54.45 | 151 | 104 |
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 Burlington, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Burlington, MA is $129.97 per claim, based on 104,721 claims from 86 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 Burlington, MA?
There are 86 Medicaid providers offering Emergency Room Visit related services in Burlington, MA according to public payment data.
What is the price range for Emergency Room Visit in Burlington, MA?
Medicaid reimbursement for Emergency Room Visit in Burlington, MA ranges from $5.13 to $212.26 per claim, with an average of $129.97. 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 Burlington, MA
Blood Work & Lab Tests
Avg $10.09
375,899 claims
Office Visit
Avg $95.84
354,634 claims
EKG / ECG (Electrocardiogram)
Avg $5.13
128,245 claims
X-Ray
Avg $9.87
96,273 claims
Non-Emergency Medical Transportation
Avg $26.15
88,835 claims
Dental Cleaning & Exam
Avg $34.37
51,649 claims
Pathology & Lab Services
Avg $42.69
51,588 claims
Urinalysis & Urine Tests
Avg $3.67
50,612 claims