Average Medicaid Emergency Room Visit Payments in Pittsfield, MA: $163.41
Avg. Paid
$163.41
Range
$0.00 – $241.25
Total Claims
177,109
Providers
47
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 Pittsfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Berkshire Medical Center, Inc
725 North St |
$241.25 | 99,062 | 88,098 |
|
Dean A. Rose
725 North St |
$93.42 | 10,922 | 9,850 |
|
Konstantin Vatrenko
725 North Street |
$56.90 | 6,819 | 6,676 |
|
Batya Cohen
777 North St |
$60.13 | 4,738 | 4,658 |
|
Patrick Chambers
725 North St |
$63.22 | 4,607 | 4,505 |
|
Erryn Leinbaugh
725 North St |
$63.11 | 4,558 | 4,436 |
|
Robert Joseph Wenger
725 North St |
$56.50 | 4,555 | 4,450 |
|
Daisy Fischer
725 North St |
$60.03 | 3,497 | 3,443 |
|
Nestor Olivier Bond
725 North St |
$50.40 | 2,587 | 2,517 |
|
Jessica Pelkey
725 North St |
$62.01 | 2,573 | 2,526 |
|
Hafez Alsmaan
725 North St |
$80.78 | 2,568 | 1,152 |
|
Tracy Lynn Martin
725 North St |
$56.41 | 2,382 | 2,354 |
|
Raymond Halford Webb
725 North St |
$50.62 | 2,134 | 2,110 |
|
Conor William Coyne
725 North St |
$65.56 | 2,049 | 2,020 |
|
Brian A Hagan
725 North St |
$62.88 | 1,989 | 1,959 |
|
Mark E Nicoletti
725 North St |
$55.88 | 1,893 | 1,873 |
|
Jessica Marylou Powers
725 North St |
$67.63 | 1,759 | 1,716 |
|
Benjamin Hough Evenchik
40 Colt Rd |
$69.52 | 1,668 | 1,653 |
|
Ronald F. Hayden
725 North St |
$60.09 | 1,594 | 1,566 |
|
Michael Wolfe Pierce
725 North St |
$65.06 | 1,567 | 1,543 |
|
Taylor Maxwell Goller
725 North St |
$67.01 | 1,477 | 1,451 |
|
William Timothy Buckenroth
725 North St |
$56.49 | 1,333 | 1,319 |
|
Ashley Tanguay
999 Dalton Ave |
$37.52 | 1,138 | 1,136 |
|
Sean T Douglas
999 Dalton Ave |
$51.99 | 1,111 | 1,100 |
|
Valerie S. Nicoletti
725 North St |
$59.27 | 1,044 | 1,037 |
|
Mary Kathryn Apholt
725 North St |
$57.56 | 967 | 962 |
|
Katlyn Vachula
725 North St |
$53.89 | 815 | 807 |
|
Austin James Michael
725 North St |
$53.97 | 645 | 637 |
|
Jeremy Michael Morris
725 North St |
$61.09 | 592 | 581 |
|
Roniel M. Santos
725 North St |
$35.90 | 567 | 523 |
|
Cynthia Yan Callahan
725 North St |
$71.41 | 525 | 270 |
|
Roberto Luis Rosa
725 North St |
$61.33 | 510 | 497 |
|
Melissa Sze-Hwa Terrill
725 North St |
$56.65 | 444 | 440 |
|
Donald J Thomson
725 North St |
$49.48 | 407 | 405 |
|
Evan Smith
725 North St |
$62.21 | 407 | 399 |
|
Glenda Jeannette Bowen
725 North St |
$74.04 | 376 | 203 |
|
Michael Kristopher Jefferson
725 North St |
$56.08 | 327 | 322 |
|
Kelly Lee Streit
725 North St |
$47.38 | 225 | 218 |
|
Michael Riordan
725 North St |
$63.77 | 222 | 212 |
|
Michael J Mchugh
725 North Street |
$62.07 | 197 | 195 |
|
Michael Paul Mortelliti
725 North St |
$68.00 | 80 | 39 |
|
Sandi Shiaolin Chen
725 North St |
$70.85 | 62 | 62 |
|
Brian J Quinn
725 North St |
$27.23 | 40 | 40 |
|
Cassandra Lane
426 Souith Street |
$70.02 | 36 | 36 |
|
Alexander J. Rachmiel
725 North St |
$50.59 | 15 | 15 |
|
Peter W Greenwald
725 North St |
$141.08 | 13 | 13 |
|
Eric Heimlicher
725 North St |
$0.00 | 13 | 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 Pittsfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Pittsfield, MA is $163.41 per claim, based on 177,109 claims from 47 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 Pittsfield, MA?
There are 47 Medicaid providers offering Emergency Room Visit related services in Pittsfield, MA according to public payment data.
What is the price range for Emergency Room Visit in Pittsfield, MA?
Medicaid reimbursement for Emergency Room Visit in Pittsfield, MA ranges from $0.00 to $241.25 per claim, with an average of $163.41. 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 Pittsfield, MA
Office Visit
Avg $73.14
623,777 claims
Blood Work & Lab Tests
Avg $12.45
463,423 claims
Psychiatric Evaluation
Avg $73.67
226,329 claims
Substance Abuse Treatment
Avg $131.70
211,387 claims
Case Management Services
Avg $115.32
205,804 claims
Non-Emergency Medical Transportation
Avg $25.61
140,235 claims
Home Health Visit
Avg $214.30
130,001 claims
Dental Cleaning & Exam
Avg $35.86
118,955 claims