Average Medicaid Emergency Room Visit Payments in Providence, RI: $92.98
Avg. Paid
$92.98
Range
$20.94 – $680.08
Total Claims
754,000
Providers
367
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 Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael J Waxman
593 Eddy St |
$106.67 | 12 | 12 |
|
Christine Garro
593 Eddy St |
$97.77 | 12 | 12 |
|
Rachael Erin Prendergast
593 Eddy St |
$680.08 | 12 | 12 |
|
Victoria R Quinn
593 Eddy St |
$78.86 | 12 | 12 |
|
Nader N Azab
164 Summit Ave |
$41.92 | 12 | 12 |
|
Mitch Otu
593 Eddy St |
$191.58 | 12 | 12 |
|
Kira Jeanne Galeano
593 Eddy St. |
$141.59 | 12 | 12 |
|
Cailyne Ghazarian
593 Eddy St |
$89.55 | 13 | 13 |
|
Brent Jonathan Emigh
593 Eddy Street |
$44.55 | 13 | 13 |
|
Joshua Nathanael Honeyman
2 Dudley St Ste 190 |
$63.27 | 13 | 12 |
|
Garrett Logan Gaillard
593 Eddy St |
$76.81 | 13 | 13 |
|
Deepak Ravindra Pradhan
164 Summit Ave. |
$29.08 | 14 | 12 |
|
Scott Lamay
80 Dudley St |
$96.55 | 14 | 14 |
|
Samera Nessralla
593 Eddy Street |
$82.53 | 15 | 15 |
|
Nicholas Valentini
593 Eddy Street |
$157.32 | 15 | 14 |
|
Ashley Valenzuela
101 Dudley St |
$60.32 | 16 | 15 |
|
Patricia Maria Russo-Magno
101 Dudley St |
$139.63 | 16 | 12 |
|
Alexis Gadson
101 Dudley St |
$55.97 | 16 | 15 |
|
Rachel Ruderman-Looff
146 W River St Ste 11A |
$147.06 | 18 | 13 |
|
Erin Christine Brousseau
235 Plain St |
$20.94 | 18 | 16 |
|
Allison Jones
593 Eddy St |
$62.54 | 19 | 19 |
|
Brittany M Silvestre
593 Eddy St |
$40.48 | 19 | 14 |
|
Lisa Braff Shea
345 Blackstone Blvd |
$133.86 | 19 | 14 |
|
Margaret Scheffler
593 Eddy St |
$322.11 | 21 | 12 |
|
Giuseppe Salvatore D'Amelio
35 S Angell St Ste 8 |
$145.66 | 23 | 16 |
|
Robin Laurence Mckinney
593 Eddy St |
$334.71 | 24 | 12 |
|
Gabriel Heiderich
593 Eddy St |
$25.21 | 24 | 24 |
|
Lee Alexander Polikoff
593 Eddy St |
$351.37 | 25 | 12 |
|
Natalie Chadwick
593 Eddy St |
$52.60 | 26 | 26 |
|
Beverly Mcgillivray
593 Eddy St |
$78.36 | 26 | 26 |
|
Sean Monaghan
2 Dudley St |
$105.67 | 26 | 13 |
|
Ravi Sarpatwari
593 Eddy St |
$150.36 | 27 | 14 |
|
Lynne Brownell
101 Dudley St |
$56.03 | 27 | 25 |
|
Kurt Maxwell Futral
593 Eddy Street, Claverick 2 |
$74.97 | 29 | 29 |
|
Derrick Li-Feng Cheng
593 Eddy St |
$95.95 | 30 | 12 |
|
Nicholas Edward Sherman
593 Eddy St |
$161.62 | 40 | 38 |
|
Rose Ann My Huynh
101 Dudley St |
$87.87 | 40 | 39 |
|
William M Oldham
593 Eddy St |
$100.81 | 40 | 14 |
|
Dianne M. Black
593 Eddy St |
$53.32 | 41 | 40 |
|
Katherine V Chadurjian
593 Eddy St |
$62.10 | 42 | 41 |
|
Noah K Rosenberg
593 Eddy St |
$62.75 | 42 | 40 |
|
Francesca L. Beaudoin
593 Eddy St |
$61.83 | 44 | 43 |
|
Andrea Gaul
593 Eddy St |
$141.44 | 45 | 28 |
|
Michael Mello
164 Summit Ave |
$66.69 | 46 | 45 |
|
Daniel Savitt
164 Summit Ave |
$83.26 | 48 | 48 |
|
Rhode Island Hospital
593 Eddy St |
$228.51 | 51 | 50 |
|
Lauren E Abern
101 Dudley St |
$79.74 | 52 | 51 |
|
Rachel Catherine Taylor
101 Dudley St |
$101.21 | 53 | 51 |
|
Elisabeth Davies Howard
101 Dudley St |
$90.06 | 55 | 55 |
|
Joshua David Nims
593 Eddy St |
$69.99 | 57 | 57 |
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 Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Providence, RI is $92.98 per claim, based on 754,000 claims from 367 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 Providence, RI?
There are 367 Medicaid providers offering Emergency Room Visit related services in Providence, RI according to public payment data.
What is the price range for Emergency Room Visit in Providence, RI?
Medicaid reimbursement for Emergency Room Visit in Providence, RI ranges from $20.94 to $680.08 per claim, with an average of $92.98. 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 Providence, RI
Personal Care Services
Avg $125.03
2,057,051 claims
Office Visit
Avg $73.05
1,843,254 claims
Behavioral & Mental Health Therapy
Avg $129.47
740,415 claims
Dental Cleaning & Exam
Avg $30.60
677,431 claims
Case Management Services
Avg $18.33
599,589 claims
Psychiatric Evaluation
Avg $71.24
531,502 claims
Substance Abuse Treatment
Avg $47.48
496,940 claims
Physical Therapy
Avg $27.41
391,517 claims