Average Medicaid Emergency Room Visit Payments in South Weymouth, MA: $176.93
Avg. Paid
$176.93
Range
$45.11 – $196.93
Total Claims
113,403
Providers
16
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 Weymouth, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
South Shore Hospital Inc.
55 Fogg Road |
$196.93 | 94,807 | 90,074 |
|
Daniel J Corrigan
55 Fogg Rd |
$69.10 | 4,196 | 4,146 |
|
David S Cingari
South Shore Hospital |
$76.95 | 2,892 | 2,868 |
|
Mark A Mullins
55 Fogg Rd |
$65.03 | 2,800 | 2,757 |
|
Chuncong Sam Du
55 Fogg Rd |
$101.17 | 1,999 | 1,930 |
|
Stephanie Ann Mcauley
55 Fogg Rd |
$71.39 | 1,601 | 1,592 |
|
Shaheen Andreas
55 Fogg Rd |
$81.04 | 1,272 | 1,264 |
|
Micaela Dumas
55 Fogg Rd |
$73.26 | 969 | 964 |
|
Connor Long
55 Fogg Rd |
$68.78 | 931 | 927 |
|
Emily Christine Roblee
55 Fogg Rd |
$75.33 | 844 | 839 |
|
Shane Thomas Reilly
55 Fogg Rd |
$76.98 | 600 | 597 |
|
Patricia Mclaughlin
55 Fogg Rd |
$78.85 | 293 | 292 |
|
Stephanie Louise Oppel
55 Fogg Rd |
$56.16 | 119 | 119 |
|
Sarah Kugler Peifer
55 Fogg Rd |
$61.49 | 40 | 37 |
|
Stella Maria Matarazzo
55 Fogg Rd |
$83.98 | 25 | 25 |
|
Sean O'Reilly
55 Fogg Rd |
$45.11 | 15 | 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 Weymouth, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in South Weymouth, MA is $176.93 per claim, based on 113,403 claims from 16 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 Weymouth, MA?
There are 16 Medicaid providers offering Emergency Room Visit related services in South Weymouth, MA according to public payment data.
What is the price range for Emergency Room Visit in South Weymouth, MA?
Medicaid reimbursement for Emergency Room Visit in South Weymouth, MA ranges from $45.11 to $196.93 per claim, with an average of $176.93. 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
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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 Weymouth, MA
Blood Work & Lab Tests
Avg $7.63
264,864 claims
EKG / ECG (Electrocardiogram)
Avg $4.30
72,994 claims
X-Ray
Avg $7.76
70,646 claims
Ambulance Transport
Avg $114.73
51,221 claims
CT Scan (Computed Tomography)
Avg $86.89
46,363 claims
Office Visit
Avg $68.14
46,024 claims
Urinalysis & Urine Tests
Avg $3.47
44,646 claims
Physical Therapy
Avg $78.47
25,143 claims