Average Medicaid Emergency Room Visit Payments in Winchester, MA: $170.08
Avg. Paid
$170.08
Range
$36.23 – $195.10
Total Claims
43,772
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 Winchester, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Winchester Hospital
41 Highland Ave |
$195.10 | 33,813 | 32,297 |
|
Joseph L Chang
41 Highland Ave |
$85.55 | 1,794 | 1,765 |
|
Samuel Gross
41 Highland Ave |
$89.42 | 1,698 | 1,681 |
|
Calvin A Lee
41 Highland Ave |
$83.77 | 1,662 | 1,630 |
|
Joshua Lee Penn
41 Highland Ave |
$84.72 | 1,394 | 1,374 |
|
Le Grand G Reynolds
41 Highland Ave |
$83.80 | 1,117 | 1,104 |
|
Ehab Billatos
41 Highland Ave |
$107.29 | 688 | 342 |
|
Winchester Emergency Medical Associates Pc
41 Highland Ave |
$83.61 | 385 | 374 |
|
Marisa Kearney
41 Highland Ave |
$80.21 | 233 | 230 |
|
Donald Amiralian
41 Highland Ave |
$77.43 | 228 | 227 |
|
Shauna Claire Culhane
41 Highland Ave |
$57.39 | 181 | 179 |
|
Gregory Weisz
41 Highland Ave |
$72.99 | 179 | 177 |
|
Teriggi Ciccone
41 Highland Ave |
$77.68 | 150 | 149 |
|
Joseph Mercurio
41 Highland Ave |
$47.84 | 89 | 89 |
|
Eric Ebert
41 Highland Ave |
$72.97 | 75 | 73 |
|
Alison Robbins
41 Highland Ave |
$46.91 | 43 | 40 |
|
Christopher Kareores
41 Highland Ave |
$58.92 | 26 | 26 |
|
Mark Zuckerman
41 Highland Ave |
$36.23 | 17 | 15 |
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 Winchester, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Winchester, MA is $170.08 per claim, based on 43,772 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 Winchester, MA?
There are 18 Medicaid providers offering Emergency Room Visit related services in Winchester, MA according to public payment data.
What is the price range for Emergency Room Visit in Winchester, MA?
Medicaid reimbursement for Emergency Room Visit in Winchester, MA ranges from $36.23 to $195.10 per claim, with an average of $170.08. 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 Winchester, MA
Blood Work & Lab Tests
Avg $5.18
273,112 claims
Urinalysis & Urine Tests
Avg $2.61
56,711 claims
Pathology & Lab Services
Avg $33.49
49,265 claims
Office Visit
Avg $100.19
41,242 claims
Culture & Microbiology Tests
Avg $4.66
34,924 claims
Dental Cleaning & Exam
Avg $41.05
30,044 claims
X-Ray
Avg $35.08
14,566 claims
EKG / ECG (Electrocardiogram)
Avg $4.12
13,873 claims