Average Medicaid Emergency Room Visit Payments in Dumfries, VA: $87.55
Avg. Paid
$87.55
Range
$44.08 – $100.37
Total Claims
408
Providers
3
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 Dumfries, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tenbit Afework
3928 Lansing Ct |
$100.37 | 264 | 253 |
|
Shubha Aryal
3700 Fettler Park Dr |
$44.08 | 89 | 58 |
|
Jeffrey A Gall
Mainspring Recovery |
$96.36 | 55 | 50 |
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 Dumfries, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Dumfries, VA is $87.55 per claim, based on 408 claims from 3 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 Dumfries, VA?
There are 3 Medicaid providers offering Emergency Room Visit related services in Dumfries, VA according to public payment data.
What is the price range for Emergency Room Visit in Dumfries, VA?
Medicaid reimbursement for Emergency Room Visit in Dumfries, VA ranges from $44.08 to $100.37 per claim, with an average of $87.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $130.02
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Avg $130.10
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Avg $135.52
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Other Procedures in Dumfries, VA
Home Health Visit
Avg $178.67
325,432 claims
Office Visit
Avg $62.26
74,268 claims
Dental Cleaning & Exam
Avg $22.16
71,186 claims
Physical Therapy
Avg $260.29
63,285 claims
Vaccines & Immunizations
Avg $11.70
32,195 claims
Non-Emergency Medical Transportation
Avg $57.59
30,890 claims
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Avg $64.42
24,848 claims
Substance Abuse Treatment
Avg $454.61
23,205 claims