Average Medicaid Emergency Room Visit Payments in Framingham, MA: $132.57
Avg. Paid
$132.57
Range
$35.56 – $211.51
Total Claims
112,323
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 Framingham, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vhs Acquisition Subsidiary Number 9 Inc
115 Lincoln St |
$211.51 | 47,433 | 44,381 |
|
Michael Vulfovich
115 Lincoln St |
$79.74 | 5,836 | 5,778 |
|
Paul Kotzampaltiris
115 Lincoln Street |
$68.13 | 5,222 | 5,175 |
|
Michael K Chung
115 Lincoln Street |
$76.88 | 5,107 | 5,035 |
|
Jennifer Anne Artick
115 Lincoln St Dept Of |
$82.82 | 4,835 | 4,788 |
|
Bridget Elizabeth Lee
115 Lincoln St |
$74.94 | 4,681 | 4,613 |
|
Suneer Chander
115 Lincoln Street |
$67.14 | 4,563 | 4,191 |
|
Emily Healy Groom
115 Lincoln Street |
$79.32 | 3,912 | 3,891 |
|
Charles G Murphy
115 Lincoln St |
$76.80 | 3,742 | 3,712 |
|
Kevin Stone
115 Lincoln St |
$78.59 | 3,635 | 3,572 |
|
Peter Greg Hellberg
115 Lincoln St |
$78.82 | 3,633 | 3,601 |
|
Laura Elizabeth Connolly
115 Lincoln St |
$81.83 | 3,216 | 3,185 |
|
Ellen Hsu-Hung
115 Lincoln St |
$78.47 | 3,098 | 3,078 |
|
David M Morris
115 Lincoln St |
$77.84 | 2,894 | 2,868 |
|
Constance A Collins
117 Lincoln St. |
$79.55 | 2,591 | 2,556 |
|
Johnny Jongsun Kim
117 Lincoln St |
$65.79 | 1,851 | 1,784 |
|
Aileen Babaran
115 Lincoln St |
$38.73 | 1,677 | 1,621 |
|
Marcos Pienasola
115 Lincoln St |
$76.76 | 826 | 730 |
|
Diego Fernando Bonilla
115 Lincoln St |
$35.56 | 810 | 338 |
|
Mercedes R Colangelo
115 Lincoln St |
$68.53 | 658 | 657 |
|
Colin Burton Devonshire
115 Lincoln St |
$86.67 | 544 | 536 |
|
Kedar Sashi Deshpande
115 Lincoln St |
$67.39 | 435 | 167 |
|
Tyler Verton Mohr
115 Lincoln St |
$68.55 | 430 | 428 |
|
Sarah E Taylor
115 Lincoln St |
$69.27 | 156 | 156 |
|
Metrowest Emergency Physicians Inc
115 Lincoln Street |
$74.23 | 126 | 119 |
|
Jason Matthew Konter
115 Lincoln Street |
$57.40 | 100 | 36 |
|
Stefano Gabriele
115 Lincoln St |
$50.81 | 92 | 90 |
|
Yan Ni
115 Lincoln St |
$76.39 | 89 | 88 |
|
Sew-Leong Kwa
115 Lincoln St |
$88.83 | 72 | 36 |
|
David C. Rishikof
115 Lincoln St |
$87.76 | 59 | 28 |
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 Framingham, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Framingham, MA is $132.57 per claim, based on 112,323 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 Framingham, MA?
There are 30 Medicaid providers offering Emergency Room Visit related services in Framingham, MA according to public payment data.
What is the price range for Emergency Room Visit in Framingham, MA?
Medicaid reimbursement for Emergency Room Visit in Framingham, MA ranges from $35.56 to $211.51 per claim, with an average of $132.57. 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 Framingham, MA
Case Management Services
Avg $30.64
366,983 claims
Substance Abuse Treatment
Avg $53.68
345,950 claims
Blood Work & Lab Tests
Avg $9.87
312,830 claims
Office Visit
Avg $61.05
311,025 claims
Psychiatric Evaluation
Avg $67.95
275,260 claims
Behavioral & Mental Health Therapy
Avg $99.96
273,359 claims
Non-Emergency Medical Transportation
Avg $24.65
160,821 claims
Personal Care Services
Avg $64.30
153,995 claims