Average Medicaid Emergency Room Visit Payments in Southbridge, MA: $140.99
Avg. Paid
$140.99
Range
$27.22 – $169.48
Total Claims
105,545
Providers
23
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 Southbridge, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Umass Memorial Health-Harrington Hospital Inc
100 South Street |
$169.48 | 73,017 | 68,347 |
|
James C Stephens
100 South St |
$83.09 | 4,954 | 4,870 |
|
Giza M. High
100 South St |
$78.75 | 3,705 | 3,661 |
|
Michael J. Gray
100 South St |
$68.83 | 2,979 | 2,718 |
|
Kathleen Cara Coan
100 South St |
$78.56 | 2,897 | 2,853 |
|
Rachel S Gershaw
100 South St |
$88.61 | 2,855 | 2,802 |
|
Andrew Marino
100 South St |
$82.86 | 2,837 | 2,809 |
|
Joyce S Rosenfeld
100 South St |
$78.24 | 2,717 | 2,688 |
|
Rahul Dev Roy
100 South St |
$87.06 | 2,642 | 2,584 |
|
Vincent L. Kan
100 South St |
$67.05 | 2,513 | 2,480 |
|
Tatyana Shvilkina
100 South St |
$88.96 | 1,429 | 1,412 |
|
Edward Ye
100 South St |
$35.92 | 988 | 981 |
|
John J. Flanagan
100 South St |
$65.61 | 615 | 439 |
|
Michael P. Gaudet
100 South St |
$58.44 | 478 | 475 |
|
Christian G. Heinis
100 South St |
$42.21 | 285 | 252 |
|
Jennifer Bernardo-Bailey
100 South St |
$36.21 | 245 | 243 |
|
Pamela D. Kutzer
100 South St |
$42.12 | 112 | 110 |
|
Alyssa Rose Mitchell
100 South St |
$58.55 | 82 | 81 |
|
Dianne Aguirre
100 South St |
$38.88 | 64 | 63 |
|
Tai Temple
100 South St |
$73.15 | 43 | 15 |
|
William Francis Petrone
Harrington Memorial Hospital |
$27.22 | 30 | 27 |
|
Allison S Betts
100 South St |
$34.64 | 29 | 29 |
|
Jacqueline Ann Berube
100 South St |
$71.56 | 29 | 29 |
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 Southbridge, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Southbridge, MA is $140.99 per claim, based on 105,545 claims from 23 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 Southbridge, MA?
There are 23 Medicaid providers offering Emergency Room Visit related services in Southbridge, MA according to public payment data.
What is the price range for Emergency Room Visit in Southbridge, MA?
Medicaid reimbursement for Emergency Room Visit in Southbridge, MA ranges from $27.22 to $169.48 per claim, with an average of $140.99. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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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 Southbridge, MA
Non-Emergency Medical Transportation
Avg $26.45
1,362,619 claims
Blood Work & Lab Tests
Avg $8.47
224,974 claims
Psychiatric Evaluation
Avg $79.54
202,198 claims
Office Visit
Avg $54.94
186,614 claims
Behavioral & Mental Health Therapy
Avg $89.53
104,626 claims
Home Health Visit
Avg $21.89
72,252 claims
EKG / ECG (Electrocardiogram)
Avg $5.09
69,845 claims
Case Management Services
Avg $338.70
60,301 claims