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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Cambridge, MA: $130.28

Avg. Paid

$130.28

Range

$48.45 – $205.59

Total Claims

400,697

Providers

62

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 Cambridge, MA

Provider Avg. Paid Claims Patients
Cambridge Public Health Commission

1493 Cambridge St

$136.91 300,267 274,907
Mount Auburn Hospital

330 Mount Auburn St

$205.59 18,063 16,451
Jordan Wagner

1493 Cambridge St

$89.96 11,231 11,153
Alex Goldstein

1493 Cambridge St

$72.49 5,537 5,479
Cambridge Public Health Commission

1493 Cambridge St

$196.66 4,779 4,179
Joshua Michael Mularella

1493 Cambridge St

$74.11 4,619 4,574
James Walsh Murrett

1493 Cambridge St

$91.99 4,052 3,942
Mark Elmer

1493 Cambridge St

$83.14 3,821 3,788
Joseph Leary

1493 Cambridge St

$86.54 3,406 2,357
Rama El Yafawi

1493 Cambridge St

$96.01 3,052 748
Michelle Lee Kuo

1493 Cambridge St

$57.55 2,978 2,957
Justin David Larson

1493 Cambridge St

$81.05 2,777 2,758
Benjamin T Milligan

1493 Cambridge St

$64.56 2,690 2,680
Cambridge Public Health Commission

1493 Cambridge St

$195.33 2,575 2,410
Daniel Damonn Hegg

1493 Cambridge Street

$71.34 2,531 2,507
Paul C Chen

1493 Cambridge St

$72.85 2,413 2,396
Jeffrey Evans

330 Mount Auburn St

$69.37 2,200 2,174
Danielle Silverman

1493 Cambridge St

$81.37 2,054 2,034
Tami Olive Tiamfook-Morgan

330 Mount Auburn Street

$119.06 1,852 1,599
Valerie Pei-Sing Ng

1493 Cambridge St

$82.93 1,695 1,685
Jacqueline Eagan

102 Hampshire St

$48.45 1,527 1,515
Stephen Joseph Allegra

1493 Cambridge St

$76.42 1,114 1,100
Todd Thomsen

330 Mount Auburn St

$80.71 1,074 1,059
Justyna Notargiacomo

330 Mount Auburn St

$75.41 1,047 1,033
Hannah Bach

1493 Cambridge St

$88.43 910 900
Zachary Oliff

1493 Cambridge St

$79.04 889 883
Michael Patrick O'Rourke

330 Mount Auburn St

$51.14 824 760
Frederic M Celestin

330 Mount Auburn St

$67.62 815 409
Sharon Gwendolyn Lamont

1493 Cambridge St

$54.70 790 777
Danielle Dacunha

330 Mount Auburn St

$61.17 785 782
Margaret Rose Maynard

1493 Cambridge St

$75.16 766 764
Michael Samuel Tcheyan

1493 Cambridge St

$79.32 700 695
Stephanie Tauscher

1493 Cambridge St

$73.42 662 653
Manon Loonis

1493 Cambridge St

$82.22 530 527
Tom P Workman

1493 Cambridge St

$90.33 514 508
Mark Brady

1493 Cambridge St

$54.96 467 459
Max Kravitz

1493 Cambridge St

$92.22 467 467
Nicholas D Gottshall

330 Mount Auburn St # Surgery

$63.29 416 415
Casey Ann Cohen

1493 Cambridge St

$75.41 301 301
Arshad Khan

330 Mount Auburn St

$68.23 295 285
Alan Higgins

330 Mount Auburn St

$74.02 286 285
Devon Thibodeau

1493 Cambridge St

$76.84 258 258
Ashley Erin Robshaw

1493 Cambridge St

$72.45 242 241
Deborah Wong

330 Mount Auburn St

$82.38 235 232
Luis F Lobon

1493 Cambridge St

$80.98 235 234
Daniel Glidden

1493 Cambridge St

$51.95 234 234
Nyaradzo Prisca Munjanja

1400 Cambridge St

$62.29 226 226
Jason Imperato

330 Mount Auburn St

$93.98 223 219
Kayla Elizabeth Small

1493 Cambridge St

$77.31 197 195
Slava V Gaufberg

1493 Cambridge St

$73.64 162 160

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 Cambridge, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Cambridge, MA is $130.28 per claim, based on 400,697 claims from 62 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 Cambridge, MA?

There are 62 Medicaid providers offering Emergency Room Visit related services in Cambridge, MA according to public payment data.

What is the price range for Emergency Room Visit in Cambridge, MA?

Medicaid reimbursement for Emergency Room Visit in Cambridge, MA ranges from $48.45 to $205.59 per claim, with an average of $130.28. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Cambridge, MA