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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Falmouth, MA: $124.22

Avg. Paid

$124.22

Range

$34.65 – $204.71

Total Claims

43,197

Providers

30

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 Falmouth, MA

Provider Avg. Paid Claims Patients
Falmouth Hospital Association Inc

100 Ter Heun Dr

 $204.71 15,962 14,851
Robert J Davis

100 Ter Heun Drive

 $75.21 3,921 3,815
Ryan J Bemis

100 Ter Heun Dr

 $80.81 3,702 3,654
Michael James O'Connell

100 Ter Heun Dr

 $77.15 3,418 3,380
Mark K Durfee

100 Ter Heun Drive

 $62.05 2,926 2,879
Matthew Adamo

100 Ter Heun Dr

 $82.07 2,165 2,139
Sucharita Paul

100 Ter Heun Drive

 $85.29 2,061 2,048
Sarah Todd

100 Ter Heun Dr

 $81.03 1,873 1,860
Jonathan R Pilcher

100 Ter Heun Dr

 $80.82 1,434 1,427
Mir Shuttari

90 Ter Heun Dr

 $103.39 1,219 383
Debra I Poletto

100 Ter Heun Drive Falmouth Hospital

 $84.80 1,146 1,138
Matthew Leonard Gomberg

100 Ter Heun Drive

 $51.76 651 649
Emergency Physicians Of Falmouth

100 Ter Heun Dr

 $41.48 410 365
Mark F Losordo

100 Ter Haun Drive

 $74.05 338 335
Aron Randall Nigh

100 Ter Heun Dr

 $62.31 337 334
William Stephen Sutton-Ohannesian

100 Ter Heun Dr

 $65.25 295 226
Thomas William Irvine

340 Gifford St

 $78.72 258 70
Jacob Teixeira

100 Ter Heun Dr

 $62.65 254 250
Sarah Beth Callahan

100 Ter Heun Dr

 $54.44 139 139
Lauren Kierian Roslyn Hildreth

40 Davis Straits

 $46.76 124 122
Physicians Of Falmouth Hospital

100 Ter Heun Dr

 $53.26 95 92
Vladimir Koren

100 Ter Heun Dr

 $146.06 86 31
Nancy A Schaefer

100 Ter Heun Drive

 $80.84 80 80
Anne C Chiavegato

100 Ter Heun Drive

 $34.65 78 77
Lisa A Mayhew

360 Gifford St

 $109.85 69 55
Valerie Garland

100 Ter Heun Dr

 $97.45 57 15
Brittany Whiting

100 Ter Heun Dr

 $59.99 36 36
Simon Jacobs

100 Ter Heun Dr

 $160.01 34 13
Shawn V. Hennessy

100 Ter Heun Dr

 $60.27 15 15
Jean E Talbert

182 Palmer Ave

 $39.70 14 12

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 Falmouth, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Falmouth, MA is $124.22 per claim, based on 43,197 claims from 30 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 Falmouth, MA?

There are 30 Medicaid providers offering Emergency Room Visit related services in Falmouth, MA according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Falmouth, MA ranges from $34.65 to $204.71 per claim, with an average of $124.22. 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 Falmouth, MA

Psychiatric Evaluation

Avg $80.84

187,265 claims

Office Visit

Avg $57.92

95,899 claims

EKG / ECG (Electrocardiogram)

Avg $4.32

29,661 claims

Vaccines & Immunizations

Avg $16.19

28,166 claims

Non-Emergency Medical Transportation

Avg $17.77

27,792 claims

Blood Work & Lab Tests

Avg $9.99

25,954 claims

Substance Abuse Treatment

Avg $93.43

23,655 claims

Ambulance Transport

Avg $95.98

20,086 claims