Average Medicaid Emergency Room Visit Payments in Northampton, MA: $95.84
Avg. Paid
$95.84
Range
$22.05 – $200.18
Total Claims
98,711
Providers
34
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 Northampton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cooley Dickinson Hospital Inc
30 Locust St |
$200.18 | 23,456 | 21,448 |
|
Andrew Thomas Liao Griffith
30 Locust St |
$74.40 | 9,058 | 8,091 |
|
Tae Hyong Kim
351 Pleasant St # 149 |
$58.90 | 8,242 | 8,102 |
|
Domenick P Sciaruto
30 Locust St |
$82.67 | 7,094 | 6,888 |
|
Enoch O Darko
30 Locust Street |
$54.14 | 5,594 | 5,343 |
|
Justus Guerrieri
30 Locust St |
$56.96 | 5,351 | 4,963 |
|
Justin Gregory Savage
30 Locust St |
$63.82 | 5,288 | 5,020 |
|
Tor Krogius
30 Locust St |
$67.59 | 4,817 | 4,664 |
|
Benjamin Gordon Steinberg
30 Locust St |
$61.55 | 4,339 | 4,204 |
|
Adrian Davis Daul
30 Locust St |
$64.39 | 3,552 | 3,404 |
|
Robert A. Sills
30 Locust St |
$60.94 | 3,148 | 3,089 |
|
Whitney Scholz
30 Locust St |
$61.61 | 2,538 | 2,493 |
|
Peter S Morse
30 Locust St |
$59.16 | 1,881 | 1,823 |
|
Dennis W. Owens
325B King St |
$66.87 | 1,798 | 1,780 |
|
Donald A Chiulli
30 Locust St |
$46.95 | 1,576 | 1,522 |
|
Godfrey J Tutay
73 Barrett St |
$85.17 | 1,443 | 1,439 |
|
Jacob A Chapman
30 Locust St |
$27.36 | 1,426 | 1,370 |
|
Aron Slear
30 Locust St |
$66.74 | 1,410 | 1,394 |
|
Katherine Sloane Peterson
30 Locust St |
$42.08 | 1,370 | 1,356 |
|
Lauren Jacqueline Sullivan
30 Locust St |
$50.27 | 722 | 717 |
|
Aaron Morse
151 State St |
$50.65 | 687 | 686 |
|
Karl Martin Hirschegger
30 Locust St |
$46.65 | 656 | 641 |
|
Kristen L Hinchey
30 Locust St |
$57.33 | 619 | 612 |
|
Reid Motha
30 Locust St |
$42.72 | 516 | 515 |
|
Janet Burridge Wholey
30 Locust St |
$58.81 | 453 | 449 |
|
Christine Krinitsyn
30 Locust St |
$55.08 | 402 | 399 |
|
Ann Cooper
325B King St |
$50.91 | 331 | 320 |
|
Julio A. Miranda
30 Locust St |
$79.93 | 301 | 151 |
|
Anita Gabriela Lekarczyk
30 Locust Street |
$61.02 | 228 | 228 |
|
Mary Jane Dinneen
30 Locust Stret |
$41.59 | 196 | 195 |
|
Olyn Amanda Andrade
30 Locust St |
$68.17 | 141 | 141 |
|
Mass General Brigham Medical Group Western Massachusetts Inc
30 Locust St |
$79.48 | 37 | 35 |
|
Tonbira Syeda Zaman
30 Locust St |
$47.33 | 29 | 12 |
|
Sara Milena Kolinski
30 Locust St |
$22.05 | 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 Northampton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Northampton, MA is $95.84 per claim, based on 98,711 claims from 34 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 Northampton, MA?
There are 34 Medicaid providers offering Emergency Room Visit related services in Northampton, MA according to public payment data.
What is the price range for Emergency Room Visit in Northampton, MA?
Medicaid reimbursement for Emergency Room Visit in Northampton, MA ranges from $22.05 to $200.18 per claim, with an average of $95.84. 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 Northampton, MA
Office Visit
Avg $45.84
166,226 claims
Psychiatric Evaluation
Avg $65.18
151,069 claims
Non-Emergency Medical Transportation
Avg $27.44
117,301 claims
Blood Work & Lab Tests
Avg $8.04
104,278 claims
Ambulance Transport
Avg $87.28
56,038 claims
EKG / ECG (Electrocardiogram)
Avg $4.74
43,039 claims
Physical Therapy
Avg $46.06
36,234 claims
Dental Cleaning & Exam
Avg $37.04
34,347 claims