Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Portland, ME: $145.93

Avg. Paid

$145.93

Range

$0.00 – $423.16

Total Claims

357,964

Providers

135

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 Portland, ME

Provider	Avg. Paid	Claims	Patients
Mainehealth 22 Bramhall St	$226.82	147,902	132,173
Mercy Hospital 175 Fore River Pkwy	$171.18	46,539	40,225
Mark D Cousineau 22 Bramhall St	$78.13	9,270	8,278
Karen Callahan Wakeman 22 Bramhall St	$66.37	7,477	7,370
Gregory Scott Heaphy 144 State St	$57.48	4,583	4,280
Stephen P Sanders 22 Bramhall St	$55.48	4,572	4,487
Samantha L Wood 22 Bramhall St	$63.27	4,507	4,296
Jacob G Crowell 22 Bramhall St	$80.56	4,467	4,431
Jesse Michael Rideout 22 Bramhall St	$70.39	4,456	4,395
Amber Michele Richards 22 Bramhall St	$67.06	4,315	4,224
Marc Stuart Hoffman 144 State St	$41.96	3,878	3,698
Jeffrey D Schoengold 22 Bramhall St	$80.61	3,848	3,538
Robert S Anderson 66 Bramhall St	$62.68	3,573	3,447
Garreth C Debiegun 22 Bramhall St	$64.39	3,561	3,478
Jordan Gallo 144 State St	$44.26	3,462	3,282
Timothy W Sweeney 22 Bramhall St	$65.40	3,456	3,385
Thomas Michael O'Mara 144 State St	$45.75	3,291	3,107
Caitlin Civiello 22 Bramhall St	$61.29	3,284	3,046
John William Martel 22 Bramhall St	$51.02	3,094	2,815
Rachel Joan Williams 22 Bramhall St	$69.15	2,834	2,789
Gary Samuel Sorcher 22 Bramhall St	$102.71	2,772	2,467
Samuel B Potter Maine Medical Center	$23.84	2,771	2,651
Michael Stephen Bohanske 22 Bramhall St	$60.35	2,719	2,689
Timothy S Fallon 22 Bramhall St	$66.72	2,639	2,602
Sara W Nelson 22 Bramhall St	$67.06	2,606	2,563
Scott Michael Russo 144 State St	$45.12	2,585	2,462
Jennifer Bupp Meko 895 Washington Ave	$86.60	2,475	2,211
Christina Nicole Wilson 22 Bramhall St	$63.75	2,446	2,412
Daniel Casey 22 Bramhall St	$72.21	2,396	2,249
Ariel Clark 22 Bramhall St	$51.89	2,251	2,003
Nicholas Fling 22 Bramhall St	$77.16	2,022	1,967
William B Owens 22 Bramhall St	$57.78	1,935	1,919
Jacob A Denoncourt 22 Bramhall St	$64.24	1,902	1,776
Rebecca Anne Dreher 144 State St	$49.81	1,765	1,676
Jason F Hine E1 Clairmont Ct	$56.32	1,665	1,633
Casey Z Macvane 22 Bramhall St	$67.55	1,664	1,635
Anne Marie O'Connor 22 Bramhall St	$67.17	1,658	1,525
Lauren T Wendell 22 Bramhall St	$62.85	1,658	1,635
Joseph R Rolland 144 State St	$44.68	1,605	1,546
Erik Haldan Christensen 22 Bramhall St	$61.64	1,589	1,242
David C Mackenzie 22 Bramhall St	$58.44	1,587	1,497
Mark J. Neavyn 22 Bramhall St	$64.73	1,554	1,535
Joshua Rehberg 22 Bramhall St	$74.41	1,544	1,515
Christopher James Watson 22 Bramhall St	$88.37	1,480	1,460
Janessa Drew Leger 22 Bramhall St	$63.06	1,471	1,435
Danielle Jeanne Wood 144 State St	$49.03	1,463	1,409
Logan Joldersma 22 Bramhall St	$68.80	1,407	1,008
Peter E Croft 22 Bramhall St	$61.76	1,384	1,358
Micah Gibbs Ownbey 22 Bramhall St	$71.07	1,347	1,301
Leif Skjerli 22 Bramhall St	$61.86	1,283	1,252

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 Portland, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Portland, ME is $145.93 per claim, based on 357,964 claims from 135 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 Portland, ME?

There are 135 Medicaid providers offering Emergency Room Visit related services in Portland, ME according to public payment data.

What is the price range for Emergency Room Visit in Portland, ME?

Medicaid reimbursement for Emergency Room Visit in Portland, ME ranges from $0.00 to $423.16 per claim, with an average of $145.93. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Portland, ME: $145.93

Providers Offering Emergency Room Visit in Portland, ME

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

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Other Procedures in Portland, ME

Blood Work & Lab Tests

Office Visit

Home Health Visit

Case Management Services

Substance Abuse Treatment

X-Ray

Behavioral & Mental Health Therapy

Ultrasound