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
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 Springfield, MA
Substance Abuse Treatment
Avg $20.44
8,386,620 claims
Office Visit
Avg $71.94
2,654,243 claims
Blood Work & Lab Tests
Avg $7.91
2,608,014 claims
Psychiatric Evaluation
Avg $77.04
2,573,099 claims
Behavioral & Mental Health Therapy
Avg $146.55
1,190,715 claims
Non-Emergency Medical Transportation
Avg $22.82
911,143 claims
Personal Care Services
Avg $86.61
764,746 claims
Case Management Services
Avg $59.99
712,832 claims