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Based on public Medicaid payment data.

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

Other Procedures in Providence, RI