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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
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

Other Procedures in Portland, ME