Average Medicaid Emergency Room Visit Payments in Willimantic, CT: $217.25
Avg. Paid
$217.25
Range
$2.40 – $324.11
Total Claims
203,542
Providers
18
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 Willimantic, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Windham Community Memorial Hospital, Inc.
112 Mansfield Ave |
$324.11 | 122,758 | 105,808 |
|
Katherine Marie Baird
112 Mansfield Ave |
$43.78 | 13,935 | 12,699 |
|
Thomas Gilmore
112 Mansfield Ave |
$57.10 | 11,773 | 10,711 |
|
Orland Edwin Donald
112 Mansfield Ave |
$55.81 | 11,014 | 9,892 |
|
Max Austin Goldstein
112 Mansfield Ave |
$62.06 | 9,256 | 8,396 |
|
Neil Moynihan
112 Mansfield Ave |
$53.09 | 5,897 | 5,328 |
|
Gregory L Shangold
112 Mansfield Ave |
$57.37 | 5,418 | 4,930 |
|
Marc L. Guttman
112 Mansfield Ave |
$55.61 | 4,725 | 4,602 |
|
Tracy Hawthorne
112 Mansfield Ave |
$46.12 | 4,343 | 3,945 |
|
Stanley J Stutz
112 Mansfield Ave |
$60.55 | 2,979 | 2,735 |
|
Jessica Lise Vercruysse
112 Mansfield Ave |
$66.84 | 2,923 | 2,830 |
|
Kevin Jones
112 Mansfield Ave |
$57.44 | 2,573 | 2,503 |
|
Julia Prokesova
112 Mansfield Ave |
$77.55 | 2,315 | 2,189 |
|
Richard L Brody
1315 Main St |
$47.94 | 1,714 | 1,665 |
|
Bevan P Bonhomme
112 Mansfield Ave |
$69.14 | 1,152 | 1,130 |
|
Christopher Desmond
112 Mansfield Ave |
$6.71 | 513 | 207 |
|
Northeast Emergency Medicine Specialists, Llc
112 Mansfield Ave |
$2.40 | 198 | 160 |
|
Talal Kaiser
112 Mansfield Ave |
$79.36 | 56 | 28 |
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 Willimantic, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Willimantic, CT is $217.25 per claim, based on 203,542 claims from 18 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 Willimantic, CT?
There are 18 Medicaid providers offering Emergency Room Visit related services in Willimantic, CT according to public payment data.
What is the price range for Emergency Room Visit in Willimantic, CT?
Medicaid reimbursement for Emergency Room Visit in Willimantic, CT ranges from $2.40 to $324.11 per claim, with an average of $217.25. 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 Willimantic, CT
Substance Abuse Treatment
Avg $21.29
468,783 claims
Office Visit
Avg $18.46
184,843 claims
Blood Work & Lab Tests
Avg $0.31
153,794 claims
Psychiatric Evaluation
Avg $36.30
151,614 claims
Physical Therapy
Avg $28.23
118,107 claims
X-Ray
Avg $34.96
52,972 claims
Urinalysis & Urine Tests
Avg $0.31
46,234 claims
EKG / ECG (Electrocardiogram)
Avg $4.76
45,409 claims