Average Medicaid Emergency Room Visit Payments in Newton, MA: $141.52
Avg. Paid
$141.52
Range
$33.94 – $183.32
Total Claims
48,477
Providers
18
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 Newton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Newton-Wellesley Hospital
2014 Washington St |
$183.32 | 29,857 | 28,537 |
|
Mark Robert Zonfrillo
2014 Washington St |
$85.64 | 3,512 | 3,400 |
|
Joshua A Small
2014 Washington St |
$75.19 | 3,361 | 3,332 |
|
Andrew Woods Ames
2014 Washington St |
$68.60 | 2,121 | 2,100 |
|
Frank Michael Carrano
2014 Washington St |
$75.45 | 1,651 | 1,641 |
|
David Hark
2014 Washington St |
$78.52 | 1,622 | 1,599 |
|
Jamie L Rosene
2014 Washington St |
$49.50 | 1,422 | 1,339 |
|
Jill Zimmer Simon
2014 Washington St |
$87.79 | 1,096 | 1,085 |
|
David Storr Huckins
2014 Washington St |
$69.89 | 710 | 705 |
|
Jean Leigh Jackson
2014 Washington St |
$90.47 | 706 | 702 |
|
Mark Francis Lemons
2014 Washington St |
$71.06 | 616 | 612 |
|
Newton Wellesley Emergency Medicine Specialist, P .C.
2014 Washington St |
$54.67 | 377 | 360 |
|
Keenan Mahan
2014 Washington St |
$77.77 | 367 | 364 |
|
Vincent Liao
2014 Washington St |
$67.68 | 329 | 328 |
|
Barry J Tils
Newton Wellesly Hospital |
$64.76 | 327 | 322 |
|
Brandin Phillips
2014 Washington St |
$43.63 | 273 | 262 |
|
Kathryn A. Ryan
2000 Washington St |
$33.94 | 80 | 80 |
|
Mass General Brigham Medical Group Suburban Massachusetts Inc
2014 Washington Street |
$106.76 | 50 | 44 |
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 Newton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Newton, MA is $141.52 per claim, based on 48,477 claims from 18 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 Newton, MA?
There are 18 Medicaid providers offering Emergency Room Visit related services in Newton, MA according to public payment data.
What is the price range for Emergency Room Visit in Newton, MA?
Medicaid reimbursement for Emergency Room Visit in Newton, MA ranges from $33.94 to $183.32 per claim, with an average of $141.52. 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 Newton, MA
Non-Emergency Medical Transportation
Avg $20.01
248,090 claims
Home Health Visit
Avg $36.03
200,176 claims
Blood Work & Lab Tests
Avg $6.17
90,908 claims
Personal Care Services
Avg $158.64
61,630 claims
Office Visit
Avg $45.68
52,016 claims
Ultrasound
Avg $41.20
33,531 claims
Psychiatric Evaluation
Avg $59.93
32,899 claims
Nursing Facility Care
Avg $10.76
28,719 claims