Average Medicaid Emergency Room Visit Payments in East Boston, MA: $86.63
Avg. Paid
$86.63
Range
$52.19 – $138.20
Total Claims
98,842
Providers
18
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 East Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medical Associates Of Ebnhc
10 Gove St |
$90.60 | 71,907 | 69,994 |
|
Pamela H Guggina
10 Gove St |
$69.64 | 8,603 | 8,428 |
|
Katja Von Tiesenhausen
10 Gove St |
$82.46 | 5,197 | 5,160 |
|
Susan K Boreri
10 Gove St |
$68.33 | 3,631 | 3,526 |
|
Neighborhealth Corporation
10 Gove St |
$98.69 | 3,033 | 2,866 |
|
Caroline Castleforte
10 Gove St |
$53.73 | 1,952 | 1,943 |
|
Elizabeth Pressly Kettyle
10 Gove Street |
$79.62 | 1,725 | 1,623 |
|
Michael C Murphy
10 Gove St |
$92.97 | 787 | 776 |
|
Samuel Kang
10 Gove St |
$72.68 | 465 | 460 |
|
Kimberlyn C Grams
10 Gove St |
$77.69 | 435 | 428 |
|
Brittany Murphy
10 Gove St |
$73.87 | 350 | 348 |
|
Rose-Marie Khnaizir
10 Gove St |
$73.34 | 222 | 219 |
|
Ty Thi Iancovici
10 Gove St |
$70.92 | 125 | 124 |
|
Jeffrey R Schapiro
10 Gove St |
$106.93 | 115 | 113 |
|
Irving S. Danesh
10 Gove St |
$75.17 | 105 | 99 |
|
Jackie S Fantes
10 Gove St |
$138.20 | 85 | 85 |
|
Jill D Teplensky
10 Gove St |
$52.19 | 58 | 56 |
|
Phillip M Falkoff
10 Gove St |
$86.43 | 47 | 45 |
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 East Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in East Boston, MA is $86.63 per claim, based on 98,842 claims from 18 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 East Boston, MA?
There are 18 Medicaid providers offering Emergency Room Visit related services in East Boston, MA according to public payment data.
What is the price range for Emergency Room Visit in East Boston, MA?
Medicaid reimbursement for Emergency Room Visit in East Boston, MA ranges from $52.19 to $138.20 per claim, with an average of $86.63. 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 East Boston, MA
Office Visit
Avg $35.86
606,020 claims
Vaccines & Immunizations
Avg $9.74
170,490 claims
Dental Cleaning & Exam
Avg $32.46
161,308 claims
Psychiatric Evaluation
Avg $59.28
155,304 claims
Substance Abuse Treatment
Avg $54.95
140,212 claims
Behavioral & Mental Health Therapy
Avg $92.47
84,843 claims
Eye Exam
Avg $64.10
60,811 claims
Dental Filling
Avg $61.48
49,045 claims