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
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
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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 Fall River, MA
Substance Abuse Treatment
Avg $23.69
1,252,274 claims
Office Visit
Avg $45.39
1,119,590 claims
Blood Work & Lab Tests
Avg $7.34
865,376 claims
Psychiatric Evaluation
Avg $83.13
393,458 claims
Dental Cleaning & Exam
Avg $38.23
302,060 claims
Case Management Services
Avg $59.12
287,270 claims
Ambulance Transport
Avg $80.01
235,782 claims
Behavioral & Mental Health Therapy
Avg $123.36
214,033 claims