Average Medicaid Emergency Room Visit Payments in Leominster, MA: $143.57
Avg. Paid
$143.57
Range
$34.38 – $194.14
Total Claims
96,862
Providers
22
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 Leominster, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Umass Memorial Healthalliance Clinton Hospital Inc
60 Hospital Rd |
$194.14 | 56,742 | 53,353 |
|
James J. Sullivan
60 Hospital Rd |
$77.95 | 6,890 | 6,756 |
|
Leewood L Lane
60 Hospital Rd |
$76.51 | 6,839 | 6,795 |
|
James J Rifino
60 Hospital Rd |
$83.43 | 5,111 | 5,052 |
|
John B Latimer
60 Hospital Rd |
$63.77 | 4,496 | 4,441 |
|
Michael F Larochelle
60 Hospital Rd |
$72.01 | 3,429 | 3,389 |
|
Plutarco E Castellanos
50 Memorial Drive |
$65.63 | 2,242 | 778 |
|
Payam Aghassi
50 Memorial Drive |
$72.03 | 2,063 | 807 |
|
Mandeep Hundal
100 Hospital Rd Ste 2A |
$76.73 | 1,625 | 592 |
|
Ryan Chua Chua
100 Hospital Rd |
$70.14 | 1,534 | 538 |
|
Roberto Larios
60 Hospital Road |
$72.62 | 1,345 | 1,286 |
|
Sherard Nj Lacaille
14 Monument Sq |
$39.17 | 1,156 | 538 |
|
Eric Damian Spagnuolo
60 Hospital Rd |
$52.56 | 942 | 934 |
|
Corey B Saltin
50 Memorial Drive |
$69.97 | 702 | 284 |
|
Jan C Rockwood
60 Hospital Rd |
$78.91 | 586 | 582 |
|
Steven B Gutwillig
87 N Main St |
$37.30 | 558 | 479 |
|
Julie Stomel
60 Hospital Rd |
$55.82 | 237 | 237 |
|
Charles H Loucraft
60 Hospital Rd |
$34.38 | 152 | 147 |
|
Wachusett Emergency Physicians, Pc
60 Hospital Rd |
$78.75 | 134 | 129 |
|
Lazaros Xanthopoulos
60 Hospital Rd |
$38.01 | 38 | 36 |
|
Sham Rang Khalsa
60 Hospital Rd |
$58.45 | 29 | 29 |
|
Brian P Houle
60 Hospital Rd |
$81.60 | 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 Leominster, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Leominster, MA is $143.57 per claim, based on 96,862 claims from 22 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 Leominster, MA?
There are 22 Medicaid providers offering Emergency Room Visit related services in Leominster, MA according to public payment data.
What is the price range for Emergency Room Visit in Leominster, MA?
Medicaid reimbursement for Emergency Room Visit in Leominster, MA ranges from $34.38 to $194.14 per claim, with an average of $143.57. 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 Leominster, MA
Office Visit
Avg $74.91
300,728 claims
Dental Cleaning & Exam
Avg $38.10
179,062 claims
Ambulance Transport
Avg $97.38
178,129 claims
Blood Work & Lab Tests
Avg $7.22
155,932 claims
Personal Care Services
Avg $86.87
143,959 claims
Home Health Visit
Avg $76.04
126,081 claims
Vaccines & Immunizations
Avg $23.63
81,757 claims
EKG / ECG (Electrocardiogram)
Avg $4.45
67,143 claims