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Based on public Medicaid payment data.

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

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