Average Medicaid Emergency Room Visit Payments in Plymouth, MA: $149.87
Avg. Paid
$149.87
Range
$18.67 – $238.65
Total Claims
66,869
Providers
25
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 Plymouth, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Beth Israel Deaconess Hospital Plymouth, Inc.
275 Sandwich St |
$215.45 | 29,684 | 27,897 |
|
Gary B Cole
275 Sandwich St |
$75.62 | 10,885 | 10,618 |
|
Peter Michael Pillitteri
Jordan Hospital Er |
$83.18 | 3,433 | 3,407 |
|
Samuel T Connolly
275 Sandwich St |
$77.95 | 3,020 | 2,998 |
|
Christopher James Shestak
275 Sandwich St |
$88.85 | 2,555 | 2,533 |
|
Charles D Schaub
275 Sandwich Street |
$97.74 | 2,493 | 2,456 |
|
Beth Israel Deaconess Hospital Plymouth, Inc.
275 Sandwich St |
$213.37 | 2,312 | 2,227 |
|
Scott Fairfield
275 Sandwich St |
$89.73 | 1,754 | 1,714 |
|
Beth Israel Deaconess Hospital Plymouth, Inc.
36 Cordage Park Cir |
$238.65 | 1,689 | 1,628 |
|
Mark David Newcomb
275 Sandwich St |
$103.67 | 1,439 | 1,433 |
|
Peter Treut
275 Sandwich St |
$106.86 | 1,139 | 1,124 |
|
August Kerschner
275 Sandwich St |
$109.87 | 1,131 | 1,128 |
|
Mark Joseph Tenerowicz
275 Sandwich St |
$93.40 | 1,023 | 1,013 |
|
Wendy Toole
275 Sandwich St |
$46.89 | 881 | 831 |
|
Emily Smith
148 Industrial Park Rd |
$89.15 | 880 | 877 |
|
Tareq Islam
275 Sandwich St |
$47.33 | 639 | 563 |
|
Michael Zavarin
28 Eel River Cir |
$82.56 | 613 | 272 |
|
Kimberly Ann Lonis-Scheub
275 Sandwich St |
$72.99 | 460 | 453 |
|
Chelsea Hassett
275 Sandwich St |
$34.76 | 391 | 386 |
|
Rebecca Lee Read
64 Industrial Park Rd |
$18.67 | 134 | 130 |
|
Victoria Lynn Gibson
37 Martingale Ln |
$61.78 | 97 | 97 |
|
Emily Ann Bumpus
275 Sandwich St |
$59.39 | 87 | 86 |
|
Laura Catherine Moody
275 Sandwich St |
$43.56 | 71 | 71 |
|
Margaret Connolly
275 Sandwich Street |
$67.10 | 30 | 12 |
|
Edward Innarelli
275 Sandwich St |
$23.74 | 29 | 28 |
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 Plymouth, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Plymouth, MA is $149.87 per claim, based on 66,869 claims from 25 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 Plymouth, MA?
There are 25 Medicaid providers offering Emergency Room Visit related services in Plymouth, MA according to public payment data.
What is the price range for Emergency Room Visit in Plymouth, MA?
Medicaid reimbursement for Emergency Room Visit in Plymouth, MA ranges from $18.67 to $238.65 per claim, with an average of $149.87. 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 Plymouth, MA
Office Visit
Avg $46.64
222,181 claims
Blood Work & Lab Tests
Avg $9.55
151,159 claims
Non-Emergency Medical Transportation
Avg $25.36
129,218 claims
Behavioral & Mental Health Therapy
Avg $136.09
74,148 claims
Psychiatric Evaluation
Avg $76.75
51,366 claims
Dental Cleaning & Exam
Avg $32.74
49,828 claims
Physical Therapy
Avg $46.09
43,698 claims
Vaccines & Immunizations
Avg $20.42
42,791 claims