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
Ryan Scot Schum 55 Lake Ave N	$55.02	13	13
Elizabeth R. Allocco 33 Kendall St	$58.32	14	13
Elyssa A. Pellish 55 Lake Ave N	$46.65	14	14
Stephen M Cahill 55 Lake Avenue North	$72.71	14	13
Megan L. Mcburnie 55 Lake Ave N	$88.63	14	14
Erica Kimberly Nicasio 119 Belmont St	$61.87	14	14
Jane Macharia 55 Lake Ave N	$80.85	15	15
Camille D Audette 55 Lake Ave N	$90.36	15	15
Mohamad Tanta 19 Foster St	$69.62	15	15
Daniel James Spicer 123 Summer St	$67.37	15	15
Emil L Tigas 55 Lake Ave N	$73.38	15	12
Cameron Augustus Burke 55 Lake Ave N	$79.19	16	16
William Felts 123 Summer St	$25.08	16	16
Benjamin D Prentiss Umass Memorial Healthcare	$56.56	17	12
Allison Marie Illsley 55 Lake Ave N	$22.37	19	12
John C. Madore 55 Lake Ave N	$94.33	19	12
Kwame Okyere Amponsah 10 Winthrop St Ste 312	$40.84	19	19
Nils Henninger 55 Lake Ave N	$87.85	20	16
Alexandra Michelle Young 55 Lake Ave N	$45.14	20	14
Jacob Barrett Waldman 55 Lake Ave N	$72.99	21	13
Dina J. Costa 55 Lake Ave N	$74.42	21	21
Eric John Yakuze 55 Lake Ave N	$82.06	22	12
Stefanie Gauguet 55 Lake Ave N	$143.48	23	13
Joshua Francis Clouette 55 Lake Ave N	$32.24	23	13
John Mark Madison 55 Lake Ave N	$104.86	24	13
William D. Hoffman 55 Lake Ave N	$121.42	25	13
Nisha Megan Fahey 55 Lake Ave N	$61.11	25	25
Margaret Rose Persing 55 Lake Ave N	$33.08	26	12
Lakshmi Pavan Manchineni 119 Belmont St	$135.70	26	12
Reasmey Chan Taing 55 Lake Ave N	$85.82	26	13
Jillian R Levy 119 Belmont St	$48.71	27	14
Jennifer Lynn Gustafson 55 Lake Ave N	$78.80	27	12
Gregory James Mitchon 55 Lake Ave N	$106.61	28	12
Matthew Gottbrecht 55 Lake Ave N	$81.66	29	12
Maksim Zayaruzny 119 Belmont St	$88.91	29	16
Susant Gurung 123 Summer St	$82.96	30	12
Shaun M. Toomey 55 Lake Ave N	$54.74	30	14
Melissa H Tukey 55 Lake Ave N	$132.73	31	12
Kiley B Knowlton 55 Lake Ave N	$59.45	31	13
Gustavo G. Angaramo 55 Lake Ave N	$72.33	31	15
Sheila J Bilica 55 Lake Ave N	$45.80	33	24
Christina Carbone 119 Belmont St	$88.62	34	26
Antonio Aponte-Feliciano 55 Lake Ave N	$90.07	35	13
Brian J. Greenberg 55 Lake Ave N	$56.60	42	42
Michaela Dumais 202 Russell St	$26.15	43	41
Craig S Smith 55 Lake Ave N	$116.41	43	15
Mariann M Manno 55 Lake Ave N	$69.96	43	43
Paul J Lavallee 55 Lake Ave N	$63.71	45	24
Kaitlyn Gavalchin 55 Lake Ave N	$49.84	45	39
Elyse Lebeau Johnson 55 Lake Ave N	$46.00	45	27

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

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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