Average Medicaid Emergency Room Visit Payments in Culpeper, VA: $202.07
Avg. Paid
$202.07
Range
$38.91 – $232.78
Total Claims
106,692
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 Culpeper, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Uva Culpeper Medical Center
501 Sunset Ln |
$232.78 | 87,749 | 76,623 |
|
Thomas Mcelroy
501 Sunset Ln |
$51.10 | 2,688 | 2,491 |
|
Erin Lynn Clipp
501 Sunset Ln |
$49.19 | 2,653 | 2,453 |
|
Keri Jo Abshire Mchugh
501 Sunset Ln |
$67.42 | 2,297 | 2,150 |
|
Catherine V Perry
501 Sunset Ln |
$67.46 | 2,253 | 1,803 |
|
Karen L Sisk
501 Sunset Ln |
$46.25 | 1,907 | 1,714 |
|
Erin Nicole Lopez
15237 Creativity Dr |
$65.53 | 1,847 | 1,796 |
|
Jerry Harrison Gill
Lee Street |
$59.07 | 1,544 | 1,532 |
|
Elizabeth Lohr Scott
501 Sunset Ln |
$58.91 | 1,113 | 1,075 |
|
Kelly Oneill
16268 Bennett Rd |
$77.75 | 1,005 | 958 |
|
April Kopanyi
501 Sunset Ln |
$73.60 | 695 | 660 |
|
Christina M. Walsh
541 Sunset Ln |
$54.30 | 525 | 452 |
|
Sok Yi
633 Sunset Ln |
$67.04 | 128 | 52 |
|
Seth Robertson Wood
501 Sunset Ln |
$107.98 | 90 | 64 |
|
Matthew Richard Kucia
633 Sunset Ln Ste A |
$38.91 | 63 | 58 |
|
Melinda Brennan
501 Sunset Ln |
$113.12 | 49 | 26 |
|
Katherine L Mostrag
501 Sunset Ln |
$72.40 | 45 | 27 |
|
Kaitlin Burkhardt
501 Sunset Ln |
$123.43 | 41 | 24 |
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 Culpeper, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Culpeper, VA is $202.07 per claim, based on 106,692 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 Culpeper, VA?
There are 18 Medicaid providers offering Emergency Room Visit related services in Culpeper, VA according to public payment data.
What is the price range for Emergency Room Visit in Culpeper, VA?
Medicaid reimbursement for Emergency Room Visit in Culpeper, VA ranges from $38.91 to $232.78 per claim, with an average of $202.07. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Avg $84.83
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Avg $203.26
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Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
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Avg $135.52
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Other Procedures in Culpeper, VA
Non-Emergency Medical Transportation
Avg $34.16
248,413 claims
Blood Work & Lab Tests
Avg $6.55
246,308 claims
Office Visit
Avg $79.58
217,881 claims
Substance Abuse Treatment
Avg $8.05
114,571 claims
Vaccines & Immunizations
Avg $9.93
76,755 claims
Psychiatric Evaluation
Avg $82.43
66,694 claims
Physical Therapy
Avg $62.64
65,030 claims
Behavioral & Mental Health Therapy
Avg $164.81
59,012 claims