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 |
|---|---|---|---|
|
Matthew P Guilbeault
1601 Congress St |
$30.77 | 12 | 12 |
|
Bryant Christopher Shannon
22 Bramhall St |
$84.75 | 12 | 12 |
|
Robert Earl Downing
22 Bramhall St |
$75.99 | 12 | 12 |
|
Samuel Francis Burke
22 Bramhall St |
$82.81 | 13 | 12 |
|
Heather Metcalf
22 Bramhall St |
$29.66 | 13 | 13 |
|
Steven C. Blessington
1685 Congress St |
$27.33 | 13 | 13 |
|
Laura Taylor Director
22 Bramhall St |
$25.45 | 14 | 12 |
|
Erin Rose O'Day
22 Bramhall St |
$75.07 | 14 | 14 |
|
Bryan Morse
887 Congress St |
$98.21 | 17 | 13 |
|
Mark Christian Morris
22 Bramhall St |
$65.36 | 22 | 13 |
|
Arielle D. Butterly
22 Bramhall St |
$53.11 | 23 | 12 |
|
Anna Mckeown
22 Bramhall St |
$60.84 | 23 | 18 |
|
Sai Krishna Surapa Raju
22 Bramhall St |
$423.16 | 25 | 12 |
|
Rhianon Liu
22 Bramhall St |
$0.00 | 25 | 24 |
|
Mary Anne Carroll
Maine Medical Center |
$80.95 | 26 | 24 |
|
Daniel Joseph Rogers
22 Bramhall St |
$167.74 | 26 | 12 |
|
Nikolas A Collins
22 Bramhall St |
$50.08 | 41 | 39 |
|
Joseph Frederick Rappold
887 Congress St |
$90.95 | 43 | 13 |
|
Tricia Nicole Haviland
22 Bramhall St |
$72.40 | 45 | 44 |
|
Terry Lynn Mooers
22 Bramhall St |
$13.10 | 54 | 50 |
|
Kristina Wong Bermas
887 Congress St Ste 400 |
$219.40 | 58 | 29 |
|
Laura C Mcphee
22 Bramhall St |
$75.52 | 59 | 26 |
|
Gabriela Maria Lopes
22 Bramhall St |
$51.34 | 63 | 62 |
|
Camille Lillian Hanson
22 Bramhall St |
$66.71 | 71 | 71 |
|
Andrew D Perron
22 Bramhall St |
$84.48 | 78 | 75 |
|
Albert G Sledge
22 Bramhall St |
$49.64 | 78 | 77 |
|
Hadley Elizabeth Gunnell
22 Bramhall St |
$83.75 | 81 | 81 |
|
Rosemary L Prentice
191 Marginal Way |
$40.52 | 87 | 86 |
|
Nicole Lessard
27 Bramhall St |
$52.40 | 106 | 99 |
|
Michael R Baumann
22 Bramhall St |
$76.41 | 109 | 105 |
|
Haley Estabrook Acker
22 Bramhall St |
$71.34 | 114 | 112 |
|
Nicholas Walsh Carrellas
22 Bramhall St |
$86.09 | 115 | 113 |
|
Abby Lynn Labrecque
22 Bramhall St |
$63.43 | 121 | 115 |
|
Richard H Beasley
76 Beacon St |
$88.18 | 121 | 41 |
|
Emily E Muns
22 Bramhall St |
$239.71 | 125 | 125 |
|
Alexander Ross Lange
22 Bramhall St |
$94.38 | 129 | 129 |
|
Rachel Cotton
84 Marginal Way Ste 1000 |
$41.00 | 136 | 136 |
|
Katherine Elizabeth Stewart
22 Bramhall St |
$129.61 | 138 | 134 |
|
Brian Edward Malley
22 Bramhall St |
$92.86 | 139 | 138 |
|
John Christopher Lewis
22 Bramhall St |
$101.53 | 144 | 135 |
|
Tammi H Schaeffer
22 Bramhall St |
$56.79 | 157 | 154 |
|
Michele Catherine Siciliano
22 Bramhall St |
$65.15 | 180 | 46 |
|
Katie Stokem
22 Bramhall St |
$58.05 | 187 | 103 |
|
Nicholas Angelo Pozzessere
22 Bramhall St |
$81.05 | 198 | 83 |
|
Sarah Kuffert
22 Bramhall St |
$43.72 | 203 | 203 |
|
Nathan W Mick
22 Bramhall St |
$46.42 | 204 | 202 |
|
Paul Andrew Queior
22 Bramhall St |
$90.82 | 212 | 207 |
|
Patrick Murphy
22 Bramhall St |
$65.20 | 219 | 217 |
|
Anna Kaletina
22 Bramhall St |
$59.09 | 261 | 250 |
|
Ryan Christopher Jackson
335 Brighton Ave |
$75.53 | 262 | 256 |
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.
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 Portland, ME
Blood Work & Lab Tests
Avg $1.50
622,485 claims
Office Visit
Avg $36.14
593,977 claims
Home Health Visit
Avg $319.11
499,937 claims
Case Management Services
Avg $67.60
459,038 claims
Substance Abuse Treatment
Avg $116.83
397,924 claims
X-Ray
Avg $10.50
304,258 claims
Behavioral & Mental Health Therapy
Avg $199.04
231,478 claims
Ultrasound
Avg $41.00
223,352 claims