How much does Emergency room visit (level 5) cost in Massachusetts?

Emergency room visit (level 5) · CPT 99285 · State: Massachusetts

In Massachusetts, the typical insurer-negotiated price for Emergency room visit (level 5) is about $882, with most between $691 and $1,378 ($2,062 cash/self-pay). Based on 31 Massachusetts hospitals — 28% lower than the national typical of $1,224. Hospital list charges run about $2,062 (2.3× higher).

Insurer-negotiated
$882
Massachusetts · $691–$1,378
Cash / self-pay
$2,062
typical cash price
Hospital list charge
$2,062
2.3× the negotiated rate

Source: medians across 31 Massachusetts hospitals' published price files (≥5 reporting). See the national Emergency room visit (level 5) cost for the full picture. Estimates vary by hospital, insurer, and plan.

Emergency room visit (level 5) cost in Massachusetts — FAQs

How much does an Emergency room visit (level 5) cost in Massachusetts?

In Massachusetts, the typical insurer-negotiated price for an Emergency room visit (level 5) is about $882, with most between $691 and $1,378, based on 31 Massachusetts hospitals. That's 28% lower than the national typical of $1,224.

How much does an Emergency room visit (level 5) cost without insurance in Massachusetts?

Cash or self-pay prices for an Emergency room visit (level 5) in Massachusetts run around $2,062. Hospitals often bill the higher "list" charge first (about $2,062), so ask for the cash or self-pay rate.

Why is my Massachusetts hospital bill for an Emergency room visit (level 5) so high?

Massachusetts hospital "list" charges for an Emergency room visit (level 5) run about $2,062 — roughly 2.3× the $882 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.

Can I negotiate the cost of an Emergency room visit (level 5) in Massachusetts?

Yes. If a Massachusetts hospital charged you well above the typical negotiated rate (about $882), that gap is negotiable. Upfronte audits your bill against real Massachusetts hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $882 in Massachusetts?

Upload your bill and Upfronte will check it against real Massachusetts hospital prices and negotiate overcharges. No savings, no fee.

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