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
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 Cambridge, MA
Office Visit
Avg $95.08
1,113,324 claims
Blood Work & Lab Tests
Avg $11.10
628,577 claims
Vaccines & Immunizations
Avg $11.84
293,236 claims
Psychiatric Evaluation
Avg $54.53
227,557 claims
X-Ray
Avg $9.79
212,454 claims
EKG / ECG (Electrocardiogram)
Avg $5.66
168,153 claims
Dental Cleaning & Exam
Avg $38.07
166,876 claims
Ambulance Transport
Avg $94.56
144,098 claims