Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Worcester, MA: $101.48

Avg. Paid

$101.48

Range

$0.00 – $254.29

Total Claims

753,637

Providers

356

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 Worcester, MA

Provider	Avg. Paid	Claims	Patients
Umass Memorial Medical Center, Inc. 55 Lake Avenue	$211.80	95,804	89,115
Vhs Acquisition Subsidiary Number 7 Inc 123 Summer St	$183.60	60,370	55,011
Eric Cirino 55 Lake Ave N	$75.10	13,171	13,016
Craig Longo 281 Lincoln St	$92.47	11,500	11,368
Michael C. Butler 55 Lake Ave N	$183.51	10,366	9,320
Susan Y. Ly 55 Lake Ave N	$77.87	10,211	10,078
Veera R. Sudireddy 55 Lake Ave N	$69.93	9,537	9,459
Juan P. Vernon 123 Summer St	$76.51	9,193	9,086
Dennis R. Paoloni 123 Summer St	$76.46	8,533	8,456
Gary R. Sharpe 55 Lake Ave N	$115.75	7,928	7,161
Gordon L. Feibish 123 Summer St	$78.89	7,736	7,652
Rafael Jose De La Puente 55 Lake Ave N	$65.39	7,733	6,391
Michael Arce 55 Lake Ave N	$91.27	7,375	7,310
Alexander Hart 55 Lake Ave N	$76.80	7,143	6,911
Laura E. Polan 123 Summer St	$77.97	6,844	6,787
Catherine A James 55 Lake Ave N	$67.59	6,786	6,729
Marc Andrew Lieberman 55 Lake Ave N	$68.72	6,745	6,692
Madeline Mccarthy 55 Lake Ave N	$68.59	6,276	6,216
Jared Dibenedetto 55 Lake Ave N	$95.53	6,194	6,042
James E. Fidrocki 55 Lake Ave N	$68.35	5,999	5,947
Marie King 55 Lake Ave N	$81.12	5,991	5,885
Paul A. Zgurzynski 55 Lake Ave N	$73.17	5,676	5,637
Falgun P Wylie 55 Lake Ave N	$72.44	5,640	5,584
Joselle Marie Otero Palacios 55 Lake Ave N	$79.96	5,563	5,515
Thomas Andrew Gould St. Vincent Hospital-Emergency Department	$72.75	5,559	5,510
Justin L. Chapman 55 Lake Ave N	$67.31	5,128	5,101
Amit Kumar 55 Lake Ave N	$60.35	4,979	4,917
Theodore Eric Macnow 55 Lake Ave N	$74.71	4,833	4,776
David L. Polan 55 Lake Ave N	$65.23	4,806	4,776
Maurine J. Williams 55 Lake Ave N	$73.49	4,799	4,743
Seth David Lampert 123 Summer St	$77.97	4,794	4,734
Charlotte L. Deleo 55 Lake Ave N	$76.84	4,731	4,674
Megan E. Pelis 55 Lake Ave N	$62.75	4,687	4,641
Christian G. Klaucke 55 Lake Ave N	$65.05	4,671	4,634
Jennifer L. Cooke 55 Lake Ave N	$76.15	4,657	4,510
Joshua C. Lerner 55 Lake Ave N	$71.45	4,632	4,585
Bonnie L Mathews 55 Lake Ave N	$69.49	4,604	4,570
Gayle M. Galletta 55 Lake Ave N	$62.00	4,477	4,418
Colin H O'Brien 55 Lake Ave N	$63.72	4,407	3,595
Iva Gotz 123 Summer St	$81.26	4,314	4,289
Robert Brewer 281 Lincoln St	$64.57	4,265	4,239
Garima Sarda 55 Lake Avenue North	$73.52	4,230	4,098
John P. Broach 55 Lake Ave N	$71.34	4,215	4,185
Melissa K. Leming 55 Lake Ave N	$48.08	4,138	2,831
Bradford Vlahos Cotter 55 Lake Ave N	$73.41	4,088	4,057
Neil D. Mccormack 55 Lake Ave N	$70.81	4,015	3,935
Richard J. Church 55 Lake Ave N	$67.27	3,980	3,946
Ameer F. Ibrahim 55 Lake Ave N	$69.79	3,960	3,918
Bonnie J. Ryan 55 Lake Ave N	$75.45	3,916	3,888
Christopher A. Crean 55 Lake Ave N	$92.79	3,814	3,711

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 Worcester, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Worcester, MA is $101.48 per claim, based on 753,637 claims from 356 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 Worcester, MA?

There are 356 Medicaid providers offering Emergency Room Visit related services in Worcester, MA according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Worcester, MA ranges from $0.00 to $254.29 per claim, with an average of $101.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Worcester, MA: $101.48

Providers Offering Emergency Room Visit in Worcester, MA

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

Detroit, MI

Chicago, IL

Phoenix, AZ

Indianapolis, IN

New York, NY

Columbus, OH

Brooklyn, NY

Philadelphia, PA

Other Procedures in Worcester, MA

Substance Abuse Treatment

Office Visit

Psychiatric Evaluation

Non-Emergency Medical Transportation

Home Health Visit

Dental Cleaning & Exam

Blood Work & Lab Tests

Behavioral & Mental Health Therapy