Average Medicaid Emergency Room Visit Payments in Ellsworth, ME: $138.85
Avg. Paid
$138.85
Range
$24.23 – $190.99
Total Claims
50,931
Providers
12
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 Ellsworth, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maine Coast Regional Health Facilities
50 Union St |
$190.99 | 30,164 | 27,432 |
|
Edwin Tower Layng
50 Union St |
$69.71 | 5,322 | 4,987 |
|
Arthur Gregory Manning
50 Union St |
$58.74 | 5,131 | 4,692 |
|
Tess Wiskel
50 Union St |
$67.94 | 4,799 | 4,574 |
|
Jonathan Taylor Grammer
50 Union St |
$73.90 | 1,639 | 1,553 |
|
Rachel Hartley
50 Union St |
$46.57 | 1,402 | 1,393 |
|
Susan Ann Parlin
235 High St |
$35.44 | 1,314 | 1,270 |
|
Anthony Shabro
50 Union St |
$74.70 | 589 | 548 |
|
Bradley Kent Lindstrom
50 Union St |
$94.27 | 245 | 240 |
|
Daniel J. Reinke
50 Union St |
$27.66 | 138 | 129 |
|
Amy Louise Case
50 Union St |
$56.99 | 112 | 106 |
|
Charles Markowitz
50 Union St |
$24.23 | 76 | 66 |
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 Ellsworth, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Ellsworth, ME is $138.85 per claim, based on 50,931 claims from 12 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 Ellsworth, ME?
There are 12 Medicaid providers offering Emergency Room Visit related services in Ellsworth, ME according to public payment data.
What is the price range for Emergency Room Visit in Ellsworth, ME?
Medicaid reimbursement for Emergency Room Visit in Ellsworth, ME ranges from $24.23 to $190.99 per claim, with an average of $138.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $203.26
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New York, NY
Avg $130.02
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Avg $98.63
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Avg $130.10
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Avg $135.52
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Other Procedures in Ellsworth, ME
Blood Work & Lab Tests
Avg $2.43
158,520 claims
Substance Abuse Treatment
Avg $112.12
139,145 claims
Office Visit
Avg $42.72
53,263 claims
Physical Therapy
Avg $30.05
50,439 claims
Urinalysis & Urine Tests
Avg $0.83
28,424 claims
Behavioral & Mental Health Therapy
Avg $301.71
26,710 claims
Prescription Medications
Avg $0.01
26,437 claims
Vaccines & Immunizations
Avg $10.80
22,920 claims