Average Medicaid Emergency Room Visit Payments in South Portland, ME: $58.88
Avg. Paid
$58.88
Range
$27.21 – $100.69
Total Claims
20,353
Providers
25
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 South Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julie E Pelletier
50 Foden Rd Ste 3 |
$41.23 | 3,871 | 3,569 |
|
Ronald M. Reilly
50 Foden Rd Ste 3 |
$38.61 | 3,048 | 2,856 |
|
Eric S. Sampson
50 Foden Rd, Ste 3 |
$58.76 | 2,668 | 2,432 |
|
Todd Severson
50 Foden Rd Ste 3 |
$64.75 | 2,433 | 2,202 |
|
Richard R Riker
100 Foden Road |
$87.04 | 1,981 | 760 |
|
Christopher M Cathcart
100 Foden Rd Ste 203 |
$37.49 | 1,255 | 1,232 |
|
Colman James Hatton
100 Foden Rd Ste 103 |
$91.40 | 1,040 | 486 |
|
Kate Radlinski
707 Sable Oaks Dr |
$39.66 | 1,033 | 967 |
|
Kathleen Virginia Lonergan
119 Gannett Dr |
$66.45 | 622 | 592 |
|
Hilamber Subba
100 Foden Rd Ste 103 |
$99.24 | 322 | 154 |
|
David Marks Cohen
100 Foden Rd Ste 103B |
$85.54 | 297 | 136 |
|
David B Seder
100 Foden Road |
$87.53 | 276 | 141 |
|
Michael Jaeger
100 Foden Rd Ste 103 |
$93.14 | 266 | 125 |
|
Adam A Alter
100 Foden Rd Ste 103 |
$94.32 | 211 | 96 |
|
M. Elizabeth Knauft
100 Foden Road |
$79.19 | 209 | 93 |
|
Teresa L May
100 Foden Rd |
$81.73 | 202 | 81 |
|
Meagan W Moore
100 Foden Rd Ste 103 |
$78.02 | 174 | 78 |
|
Edmund Hamilton Sears
100 Foden Rd |
$100.69 | 121 | 71 |
|
Thomas E Van Der Kloot
100 Foden Road |
$84.24 | 97 | 40 |
|
Brittany Elyce Lachance
100 Foden Rd Ste 103 |
$66.07 | 60 | 13 |
|
Daniel John Bulanowski
100 Foden Rd Ste 103 |
$77.80 | 56 | 29 |
|
Jennifer Palminteri Agren
100 Foden Road |
$86.75 | 40 | 24 |
|
Joel A. Wirth
100 Foden Road |
$89.79 | 35 | 25 |
|
Jeanine A. Ward
50 Foden Rd Ste 3 |
$67.20 | 23 | 23 |
|
Amy F. Parker
50 Foden Rd Ste 3 |
$27.21 | 13 | 12 |
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 South Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in South Portland, ME is $58.88 per claim, based on 20,353 claims from 25 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 South Portland, ME?
There are 25 Medicaid providers offering Emergency Room Visit related services in South Portland, ME according to public payment data.
What is the price range for Emergency Room Visit in South Portland, ME?
Medicaid reimbursement for Emergency Room Visit in South Portland, ME ranges from $27.21 to $100.69 per claim, with an average of $58.88. 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 South Portland, ME
Personal Care Services
Avg $126.38
850,870 claims
Home Health Visit
Avg $246.46
379,127 claims
Substance Abuse Treatment
Avg $91.27
297,857 claims
Case Management Services
Avg $68.45
222,206 claims
Office Visit
Avg $43.25
104,221 claims
Behavioral & Mental Health Therapy
Avg $236.70
54,529 claims
Physical Therapy
Avg $19.62
29,902 claims
Eye Exam
Avg $54.38
19,121 claims