Average Medicaid Emergency Room Visit Payments in Calais, ME: $32.81
Avg. Paid
$32.81
Range
$14.03 – $107.27
Total Claims
57,217
Providers
10
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 Calais, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Calais Community Hospital
24 Hospital Ln |
$14.03 | 37,649 | 29,193 |
|
Cressey W Brazier
22 Hospital Ln |
$52.90 | 4,287 | 3,746 |
|
Tamara Suzanne Boots
24 Hospital Ln |
$49.25 | 2,926 | 2,793 |
|
Thomston Trowbridge
24 Hospital Ln |
$98.59 | 2,680 | 2,269 |
|
Scott P Pelletier
24 Hospital Ln |
$35.49 | 2,665 | 2,440 |
|
Gregory Whatley
24 Hospital Ln |
$97.23 | 2,383 | 2,224 |
|
Michelle Lee Sachet
24 Hospital Ln |
$94.21 | 2,000 | 1,967 |
|
Riley Cooper
24 Hospital Ln |
$59.28 | 1,470 | 1,434 |
|
Kolapo Olayink Dasilva
24 Hospital Ln |
$107.27 | 1,011 | 872 |
|
Jennifer Yandow
24 Hospital Ln |
$25.82 | 146 | 115 |
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 Calais, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Calais, ME is $32.81 per claim, based on 57,217 claims from 10 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 Calais, ME?
There are 10 Medicaid providers offering Emergency Room Visit related services in Calais, ME according to public payment data.
What is the price range for Emergency Room Visit in Calais, ME?
Medicaid reimbursement for Emergency Room Visit in Calais, ME ranges from $14.03 to $107.27 per claim, with an average of $32.81. 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 Calais, ME
Blood Work & Lab Tests
Avg $0.57
86,123 claims
Office Visit
Avg $11.64
33,291 claims
Substance Abuse Treatment
Avg $73.52
31,811 claims
Behavioral & Mental Health Therapy
Avg $140.22
30,463 claims
Physical Therapy
Avg $6.93
18,915 claims
EKG / ECG (Electrocardiogram)
Avg $4.53
13,312 claims
Urinalysis & Urine Tests
Avg $0.28
12,482 claims
X-Ray
Avg $17.98
11,674 claims