Average Medicaid Emergency Room Visit Payments in Martinsburg, WV: $125.16
Avg. Paid
$125.16
Range
$43.65 – $417.16
Total Claims
119,616
Providers
24
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 Martinsburg, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
City Hospital, Inc
2500 Hospital Dr |
$117.69 | 78,629 | 68,108 |
|
David Benjamin Deuell
2500 Hospital Dr |
$146.35 | 9,751 | 8,960 |
|
Ronald Clare Best
2500 Hospital Drive |
$146.50 | 6,684 | 6,172 |
|
Eric R Glass
2500 Hopsital Drive |
$152.44 | 6,214 | 5,740 |
|
Brandt H Williamson
2500 Hospital Drive |
$132.93 | 5,372 | 4,939 |
|
Bradley Wayne Mongold
2500 Hospital Drive |
$141.88 | 3,359 | 3,134 |
|
Daryl Michael Larusso
2500 Hospital Drive |
$143.62 | 3,056 | 2,844 |
|
Jessica A Stewart
2500 Hospital Drive |
$108.31 | 1,311 | 1,214 |
|
Kristen Aimee Pettrone
2500 Hospital Drive |
$53.74 | 1,116 | 1,005 |
|
Melinda Rae Morris
2500 Hospital Drive |
$124.00 | 1,030 | 946 |
|
Kevin R Garneau
2500 Hosptial Drive |
$105.67 | 879 | 816 |
|
Fred Andrew Williams
2500 Hospital Drive |
$59.37 | 353 | 329 |
|
Obhg West Virginia Corp
2500 Hospital Dr |
$43.65 | 307 | 209 |
|
Shanna Mae Naomi Mastrangelo
5187 Arden Nollville Rd |
$126.40 | 261 | 246 |
|
Feroz F Noori
2000 Foundation Way |
$158.83 | 213 | 73 |
|
Houssein Abbass Youness
41 Andalusian Dr |
$320.85 | 207 | 72 |
|
Thomas Riley Craig
2500 Hospital Dr |
$176.06 | 171 | 157 |
|
University Healthcare Physicians, Inc.
2500 Foundation Way |
$103.10 | 164 | 41 |
|
Phillip Bernard Aguila
2000 Foundation Way Ste 3300 |
$111.30 | 138 | 51 |
|
Jeffrey Blake Debord
65 Health Care Ln |
$141.22 | 96 | 78 |
|
Krista Hopkins
99 Tavern Rd |
$186.41 | 91 | 66 |
|
Ilya Lazzeri
2500 Hospital Dr |
$417.16 | 80 | 75 |
|
Misty Hunsader
2500 Hospital Dr |
$84.16 | 70 | 66 |
|
Seth Vance Kingree
2500 Hospital Dr |
$189.94 | 64 | 61 |
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 Martinsburg, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Martinsburg, WV is $125.16 per claim, based on 119,616 claims from 24 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 Martinsburg, WV?
There are 24 Medicaid providers offering Emergency Room Visit related services in Martinsburg, WV according to public payment data.
What is the price range for Emergency Room Visit in Martinsburg, WV?
Medicaid reimbursement for Emergency Room Visit in Martinsburg, WV ranges from $43.65 to $417.16 per claim, with an average of $125.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
4,694,783 claims · 272 providers
Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
4,304,161 claims · 851 providers
Indianapolis, IN
Avg $116.65
4,172,341 claims · 898 providers
New York, NY
Avg $130.02
3,905,512 claims · 1591 providers
Columbus, OH
Avg $98.63
3,813,295 claims · 929 providers
Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Martinsburg, WV
Office Visit
Avg $40.48
523,147 claims
Personal Care Services
Avg $208.80
318,358 claims
Blood Work & Lab Tests
Avg $16.27
300,533 claims
Substance Abuse Treatment
Avg $79.49
226,446 claims
Vaccines & Immunizations
Avg $11.95
135,738 claims
Psychiatric Evaluation
Avg $44.11
113,145 claims
Urinalysis & Urine Tests
Avg $10.33
83,831 claims
Physical Therapy
Avg $30.27
77,138 claims