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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Springfield, MA: $119.65

Avg. Paid

$119.65

Range

$8.58 – $406.33

Total Claims

960,403

Providers

252

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 Springfield, MA

Provider Avg. Paid Claims Patients
Baystate Medical Center Inc

759 Chestnut St

$199.19 197,120 182,583
The Mercy Hospital Inc

271 Carew St

$182.99 158,230 149,820
Mansoor Anwer Zaidi

447 Sumner Ave

$76.41 30,245 29,278
Louis J Durkin

271 Carew St

$55.85 22,902 22,351
Peter Hakim

759 Chestnut St

$124.94 20,625 18,553
Gary L Montano

271 Carew St

$63.90 17,578 17,137
Kevin P Neenan

271 Carew St

$63.79 17,005 16,640
Michael P Noonan

271 Carew St

$68.19 15,441 15,108
Julien D Ginsberg-Peltz

759 Chestnut St

$79.58 14,717 14,588
Blake A Spirko

759 Chestnut St

$83.26 13,782 13,695
Tyler M Christensen

759 Chestnut St

$68.71 13,664 13,366
Holly E Perry

759 Chestnut St

$83.59 11,256 11,170
Ian S Goodman

759 Chestnut St

$80.79 10,889 10,822
Mark Abbott Kenton

271 Carew St

$62.18 10,383 10,185
Joshua Walterscheid

759 Chestnut St

$113.91 10,168 9,101
Katelyn Sullivan

Baystate Medical Ctr

$78.62 9,809 9,585
Michael A Forzano

Baystate Medical Ctr

$73.56 9,581 9,415
Dorka M Jimenez Almonte

759 Chestnut St

$80.41 9,373 9,328
Joeli Hettler

759 Chestnut Street

$79.30 9,065 9,017
James Francis Carroll

271 Carew St

$61.08 8,967 8,786
Michael Cronin Cooper

759 Chestnut St # S6538

$222.46 8,259 8,154
Samir B Patel

759 Chestnut St

$124.02 7,912 7,056
Richard J Gabor

759 Chestnut St

$79.37 7,885 7,830
Sukhdeep Singh

759 Chestnut St

$65.80 7,486 7,422
Anthony Brian Kitchen

759 Chestnut St

$83.16 7,371 7,319
Krista Turner Kitchen

759 Chestnut St

$87.58 7,245 7,190
Kimball A Prentiss

759 Chestnut St

$79.34 7,040 7,013
Jeremy Scott Sautner

759 Chestnut St

$154.73 6,331 6,156
Jocelyn R Jensen

759 Chestnut St

$80.45 5,790 5,755
Dylan Maziur

Baystate Medical Center 759 Chestnut Street

$82.40 5,547 4,893
Peter Quinby

759 Chestnut St

$63.18 5,535 5,028
Howard Smithline

759 Chestnut Street

$75.62 5,522 5,442
Scot A Millay

759 Chestnut Street

$68.39 5,483 5,372
Kathleen A Kerrigan

759 Chestnut St

$80.77 5,449 5,405
Agnieszka Nicora

3400 Main St Ste A

$70.76 5,440 5,369
Erica K Ogle

759 Chestnut St

$65.53 5,231 5,171
Cemil Mehmet Erdem

271 Carew St

$69.93 5,034 4,919
Gavin R Budhram

759 Chestnut Street

$74.85 4,944 4,900
Zachary M Testo

759 Chestnut St

$81.11 4,774 4,716
Carla Sterling

759 Chestnut St

$73.09 4,637 4,603
Ashley Boeri

759 Chestnut St

$76.80 4,597 4,549
Patrick Felton

759 Chestnut St

$77.97 4,558 4,499
Kenneth P Platt

759 Chestnut Street

$79.25 4,519 4,505
Ned I Rudnitzky

759 Chestnut St

$70.43 4,385 4,328
Liza Gonen Smith

759 Chestnut St

$77.55 4,353 4,319
Seth R Gemme

759 Chestnut St

$74.88 4,212 4,126
Jennifer L Cronsell

280 Chestnut St

$59.71 4,194 4,017
Donald Einck

Baystate Medical Ctr

$56.39 4,092 3,766
Sean C Devanney

759 Chestnut Street

$58.11 3,969 3,586
Kathleen Susan Wicks Zoltowski

759 Chestnut St

$79.55 3,813 3,804

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 Springfield, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Springfield, MA is $119.65 per claim, based on 960,403 claims from 252 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 Springfield, MA?

There are 252 Medicaid providers offering Emergency Room Visit related services in Springfield, MA according to public payment data.

What is the price range for Emergency Room Visit in Springfield, MA?

Medicaid reimbursement for Emergency Room Visit in Springfield, MA ranges from $8.58 to $406.33 per claim, with an average of $119.65. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Springfield, MA