Average Medicaid Emergency Room Visit Payments in Melrose, MA: $65.51
Avg. Paid
$65.51
Range
$25.65 – $84.67
Total Claims
14,664
Providers
27
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 Melrose, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ariel Leroy
585 Lebanon St |
$77.95 | 5,881 | 5,711 |
|
Thomas L Michelman
585 Lebanon St |
$68.20 | 2,239 | 2,136 |
|
Melrose Wakefield Emergency Physicians, Inc.
585 Lebanon St |
$53.76 | 1,573 | 1,472 |
|
Michael P Mcglynn
585 Lebanon St |
$43.57 | 1,552 | 1,538 |
|
John Nadolny
585 Lebanon St |
$58.77 | 1,148 | 1,119 |
|
Gary Kleeman
585 Lebanon St |
$65.06 | 482 | 481 |
|
Shannon Bottari
585 Lebanon St |
$66.42 | 395 | 390 |
|
Sarah Bloom
585 Lebanon St |
$47.69 | 268 | 265 |
|
Jessica Lebowitz
585 Lebanon St |
$57.79 | 246 | 244 |
|
Jingli Ma
585 Lebanon St |
$62.09 | 189 | 78 |
|
Neil Denis Mccarthy
585 Lebanon St |
$57.16 | 149 | 149 |
|
Kristin E Hoffman
585 Lebanon St |
$37.03 | 126 | 126 |
|
Abby Canner
585 Lebanon St |
$40.94 | 80 | 79 |
|
Alexander O. Walker
585 Lebanon St |
$59.84 | 68 | 68 |
|
Frankie Ferrucci
585 Lebanon St |
$56.42 | 41 | 41 |
|
Angelo Pucillo
585 Lebanon St |
$31.68 | 37 | 37 |
|
Monika L Parrish
585 Lebanon St |
$31.09 | 37 | 37 |
|
Miranda L Kopnisky
585 Lebanon St |
$40.23 | 24 | 24 |
|
Sonia R.U. Beauvais
585 Lebanon St |
$84.67 | 20 | 20 |
|
Emilie Leokadia Iwaszkiewicz
585 Lebanon St |
$46.94 | 18 | 18 |
|
Richard Morris
50 Rowe St Ste 200 |
$56.00 | 16 | 16 |
|
Sara Breglio
585 Lebanon Street |
$25.65 | 14 | 14 |
|
Shawn Mccoy
585 Lebanon St |
$47.27 | 13 | 13 |
|
Mackenzie Lacroix
585 Lebanon St |
$64.01 | 12 | 12 |
|
James Church
585 Lebanon St |
$51.21 | 12 | 12 |
|
Klaus Grim
585 Lebanon St |
$65.04 | 12 | 12 |
|
Brett Aponas
585 Lebanon St |
$65.04 | 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 Melrose, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Melrose, MA is $65.51 per claim, based on 14,664 claims from 27 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 Melrose, MA?
There are 27 Medicaid providers offering Emergency Room Visit related services in Melrose, MA according to public payment data.
What is the price range for Emergency Room Visit in Melrose, MA?
Medicaid reimbursement for Emergency Room Visit in Melrose, MA ranges from $25.65 to $84.67 per claim, with an average of $65.51. 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 Melrose, MA
Office Visit
Avg $52.79
36,750 claims
Substance Abuse Treatment
Avg $13.96
34,215 claims
EKG / ECG (Electrocardiogram)
Avg $3.92
24,187 claims
X-Ray
Avg $4.53
17,479 claims
Dental Cleaning & Exam
Avg $37.67
15,458 claims
Blood Work & Lab Tests
Avg $39.01
9,226 claims
Ambulance Transport
Avg $74.06
6,292 claims
Speech Therapy
Avg $16.08
6,041 claims