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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Fall River, MA: $127.54

Avg. Paid

$127.54

Range

$34.33 – $195.42

Total Claims

256,274

Providers

78

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 Fall River, MA

Provider Avg. Paid Claims Patients
Southcoast Hospitals Group, Inc

363 Highland Ave

$195.42 70,891 66,595
Steward St. Annes Hospital Corporation

795 Middle St

$178.90 54,919 50,589
David Elmoramji Ignatius

795 Middle St

$80.57 12,452 12,037
Andrew C Old

795 Middle Street

$74.48 7,129 7,003
Arthur Calvin Carter

363 Highland Ave.

$76.27 6,681 6,547
Manuel Correia

363 Highland Ave

$76.64 6,462 6,329
Joseph Matthew Manchester

795 Middle St

$75.06 6,381 6,299
Kendra Justine Martin

1620 President Ave

$59.77 6,152 6,132
Joseph L Tondreau

363 Highland Ave

$68.97 5,958 5,857
Emily Suzanne Alves

363 Highland Ave

$57.53 5,689 5,666
Peter Alonzo Kirk

363 Highland Ave

$76.30 5,535 5,360
Michael A Pellegrino

Charlton Memorial Hosp

$72.18 5,374 5,247
Brian Donald Tsang

363 Highland Ave

$72.41 4,926 4,850
Haley Kathleen Murgo

363 Highland Ave

$61.85 4,320 4,292
Jessica Leilani Simeone

363 Highland Ave

$61.57 3,647 3,635
Victoria Elizabeth Fox

795 Middle St

$76.35 3,477 3,422
Kathleen Marie Cayanus

363 Highland Ave

$66.52 3,318 3,251
Kanaan Khalil El-Daher

363 Highland Ave

$65.48 3,170 3,154
Sarah A. Bernier

363 Highland Ave

$74.63 3,133 3,086
Bryan Saleeba

795 Middle St

$52.04 3,016 2,993
Pooja Aysola

795 Middle St

$70.63 2,976 2,950
First Physicians Corporation

363 Highland Ave

$48.32 2,812 2,607
Maya Grace Bouchard

795 Middle St

$54.30 2,811 2,803
Kerri H. Mathieu

101 Jeremiah V Sullivan Dr

$39.89 2,271 2,234
Richard Douglas Rucker

795 Middle St

$74.95 2,042 2,016
Katie Cardoso

795 Middle St

$49.00 1,869 1,861
Daisy Ormseth

277 Pleasant St

$55.50 1,702 1,692
Stephanie A Dabulis

795 Middle St

$127.80 1,303 1,193
Arvind Bansal

1030 President Ave

$84.70 1,258 539
Jennifer Cores

363 Highland Ave

$62.92 1,247 1,244
Steven Kilcoyne

795 Middle St

$46.41 1,071 1,064
Selena Jorgensen

363 Highland Ave

$87.58 1,039 1,033
Craig Joseph Baillie

363 Highland Ave

$55.11 949 945
Julia Valeri

795 Middle St

$67.37 874 872
Tenny J Thomas

795 Middle St

$68.88 800 799
Raymond B Khawand

851 Middle St

$70.12 776 774
David Edward Mcginnis

363 Highland Ave

$81.78 700 693
Greg Goodwin

1565 N Main St

$44.60 575 574
Timothy Peter Walsh

Charlton Memorial Hospital

$39.98 551 550
Nick Mucciardi

1030 President Ave

$76.02 426 166
John Nathanael Nollet

363 Highland Ave

$60.77 425 423
Theresa M Souza

363 Highland Ave

$51.74 415 412
Shannon Anne Kramarz

1620 President Ave

$64.79 400 396
Daniel F Sousa

1030 President Ave

$67.13 393 162
Terence J Mcgovern

1030 President Ave

$75.93 356 145
Christopher Abel Ferreira

363 Highland Ave

$57.81 324 324
Victor M Verkade

235 Hanover St

$37.58 297 287
Richard Stuart Fox

277 Pleasant St Ste 101

$34.33 254 252
Majid Hussain Dudha

277 Pleasant Street Box 1070

$94.05 224 114
Steward St. Anne'S Hospital Corporation

795 Middle St

$46.81 207 195

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 Fall River, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Fall River, MA is $127.54 per claim, based on 256,274 claims from 78 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 Fall River, MA?

There are 78 Medicaid providers offering Emergency Room Visit related services in Fall River, MA according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Fall River, MA ranges from $34.33 to $195.42 per claim, with an average of $127.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Fall River, MA