Average Medicaid Emergency Room Visit Payments in Hyannis, MA: $127.55
Avg. Paid
$127.55
Range
$33.95 – $233.57
Total Claims
122,041
Providers
46
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 Hyannis, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cape Cod Hospital Inc
27 Park St |
$215.95 | 40,333 | 36,979 |
|
Shant Broukian
27 Park St |
$85.81 | 6,630 | 6,560 |
|
Craig Cornwall
27 Park St |
$73.17 | 5,593 | 5,546 |
|
Ralph Delorie
27 Park St |
$74.62 | 5,193 | 5,161 |
|
Kinsey Marie Leonard
27 Park St |
$85.06 | 4,927 | 4,891 |
|
Steven Kohler
27 Park St |
$76.87 | 4,583 | 4,545 |
|
Michael Hall
27 Park St |
$78.37 | 4,027 | 4,003 |
|
Kristen Liska
27 Park St |
$85.82 | 3,608 | 3,578 |
|
Scott A. Barron
27 Park St |
$233.57 | 3,375 | 3,276 |
|
Nathan Rudman
27 Park St |
$81.35 | 3,273 | 3,255 |
|
Carl Sigsbee
27 Park St |
$75.66 | 3,237 | 3,217 |
|
Valerie Doyle
27 Park St |
$90.57 | 3,197 | 3,179 |
|
Jeff Herbst
27 Park St |
$73.84 | 3,028 | 2,987 |
|
Molly Malone
27 Park St |
$83.51 | 2,936 | 2,917 |
|
Cape Cod Emergency Associates Llp
27 Park St |
$33.95 | 2,764 | 2,401 |
|
Ashley Childers
27 Park St |
$56.82 | 2,701 | 2,678 |
|
Ryan Flagler Nichols
27 Park St |
$83.32 | 2,627 | 2,603 |
|
Robert Zarum
27 Park St |
$71.44 | 2,563 | 2,552 |
|
Sarah Lynn Parker
27 Park St |
$141.89 | 2,451 | 2,435 |
|
Haven William Spencer
27 Park St |
$83.88 | 2,012 | 1,997 |
|
Margaret Putnam
27 Park St |
$50.35 | 1,492 | 1,481 |
|
Ellen Carty
27 Park St |
$47.24 | 1,235 | 1,229 |
|
Andrea Ho-Wan Li
27 Park St |
$82.23 | 1,134 | 1,127 |
|
Carl Richard Williams
27 Park St |
$80.82 | 955 | 953 |
|
Isaac Goodman
27 Park St |
$94.40 | 940 | 849 |
|
Patricia Hammel
27 Park St |
$73.14 | 898 | 892 |
|
Kevin Bresnahan
27 Park St |
$71.04 | 821 | 816 |
|
Paul William Evans
91 Camp St |
$79.55 | 746 | 281 |
|
Joseph Michael Falank
27 Park Street |
$55.88 | 681 | 677 |
|
Carissa Wilson
27 Park St |
$47.55 | 657 | 653 |
|
Physicians Of Cape Cod Hospital
27 Park St |
$88.75 | 610 | 588 |
|
Lindsey Kathryn Phelan
27 Park St |
$60.67 | 510 | 506 |
|
Cape Cod Emergency Associates, Llc
27 Park St |
$53.18 | 437 | 395 |
|
Christina Vandine
27 Park St |
$46.21 | 378 | 375 |
|
Susan A Hoover
27 Park St |
$50.24 | 368 | 366 |
|
Jessica Linnell
27 Park St |
$65.23 | 293 | 291 |
|
Colleen Noel Schofield
27 Park St |
$86.29 | 227 | 166 |
|
Kristin O'Hara
489 Bearses Way |
$46.48 | 131 | 130 |
|
Chester H Mohr
91 Camp St |
$126.79 | 131 | 67 |
|
Courtney Marie Lyons
66 Lewis Bay Rd |
$52.80 | 105 | 104 |
|
Michael Foster Neel
43 Lewis Bay Rd |
$39.22 | 88 | 84 |
|
Timothy W Herrick
91 Camp St |
$91.39 | 58 | 28 |
|
Heather Koehl
27 Park St |
$41.48 | 35 | 35 |
|
Scott Andrew Slater
63 Main St |
$100.09 | 21 | 16 |
|
Lawrence Bradley Pliss
91 Camp Street |
$51.00 | 20 | 12 |
|
Eric Fortier
27 Park Street |
$70.80 | 12 | 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 Hyannis, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Hyannis, MA is $127.55 per claim, based on 122,041 claims from 46 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 Hyannis, MA?
There are 46 Medicaid providers offering Emergency Room Visit related services in Hyannis, MA according to public payment data.
What is the price range for Emergency Room Visit in Hyannis, MA?
Medicaid reimbursement for Emergency Room Visit in Hyannis, MA ranges from $33.95 to $233.57 per claim, with an average of $127.55. 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 Hyannis, MA
Non-Emergency Medical Transportation
Avg $27.24
509,620 claims
Ambulance Transport
Avg $86.05
262,035 claims
Office Visit
Avg $53.14
251,266 claims
Dental Cleaning & Exam
Avg $32.42
197,956 claims
Behavioral & Mental Health Therapy
Avg $83.93
102,117 claims
Blood Work & Lab Tests
Avg $12.07
98,268 claims
Home Health Visit
Avg $39.19
91,491 claims
EKG / ECG (Electrocardiogram)
Avg $4.72
82,102 claims