Average Medicaid Emergency Room Visit Payments in Portsmouth, VA: $113.18
Avg. Paid
$113.18
Range
$29.57 – $537.92
Total Claims
346,338
Providers
68
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 Portsmouth, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maryview Hospital Llc
3636 High St |
$149.71 | 184,046 | 154,338 |
|
Craig Ian Schranz
620 John Paul Jones Cir |
$90.57 | 23,641 | 19,766 |
|
David Wayne Champ
620 John Paul Jones Cir |
$72.66 | 14,248 | 11,951 |
|
Charles Erdman
620 John Paul Jones Circle |
$55.56 | 12,278 | 10,275 |
|
Todd Jospeh Luyber
620 John Paul Jones Cir |
$49.71 | 9,772 | 9,232 |
|
Lauren Beth Giglia
620 John Paul Jones Cir |
$65.61 | 7,904 | 7,615 |
|
Mark Ainsley Innis
3636 High St |
$70.28 | 7,464 | 6,903 |
|
Douglas Ernest Latham
620 John Paul Jones Cir |
$54.48 | 6,979 | 6,682 |
|
Scott W Hines
620 John Paul Jones Cir |
$55.07 | 6,350 | 5,632 |
|
Todd Justin Ochsner
Naval Medical Center Portsmouth |
$51.43 | 5,720 | 4,776 |
|
Derek John Davies
620 John Paul Jones Cir |
$67.26 | 5,381 | 4,970 |
|
Daniel Isaac Salomonsky
3636 High St |
$65.45 | 4,743 | 4,351 |
|
Jana Lentzner Galyo
3636 High St |
$62.24 | 4,692 | 4,349 |
|
Reem Adnan Alhawas
3636 High St |
$62.22 | 4,557 | 4,093 |
|
Johnathan Paul Kinzer
3636 High St |
$71.51 | 4,354 | 4,135 |
|
David Anthony Vennard
3636 High St |
$73.27 | 4,250 | 3,914 |
|
David Ryan Lamborn
620 John Paul Jones Circle |
$94.10 | 3,464 | 3,408 |
|
Amy Kim Brough Padgett
3636 High St |
$65.14 | 2,870 | 2,698 |
|
Brian Christopher Ahearn
3636 High St |
$94.25 | 2,774 | 2,659 |
|
William David Bianchi
620 John Paul Jones Cir |
$142.39 | 2,653 | 2,620 |
|
Audrey Louise Grant
3636 High St |
$56.69 | 2,547 | 2,435 |
|
Michael P Malone
3636 High St |
$69.87 | 2,075 | 1,739 |
|
Matthew Wayne Lawrence
620 John Paul Jones Cir |
$127.20 | 1,993 | 1,873 |
|
Christopher J Hejmanowski
620 John Paul Jones Cir |
$69.27 | 1,935 | 1,809 |
|
Jamie Sievers
3636 High St |
$35.76 | 1,616 | 1,292 |
|
Thomas Lavell Bennett
620 John Paul Jones Circle |
$66.79 | 1,436 | 1,346 |
|
Elizabeth Mclaughlin Snyder
3636 High St |
$108.66 | 1,405 | 1,315 |
|
Keneth Kwame Sarpong
3636 High St |
$82.38 | 1,381 | 1,298 |
|
Micah John Gaspary
620 John Paul Jones Cir |
$53.78 | 1,349 | 1,261 |
|
Andrew Mcgowan
620 John Paul Jones Cir |
$60.98 | 1,165 | 1,137 |
|
Brady Cox
620 John Paul Jones Cir |
$80.45 | 1,135 | 1,053 |
|
Christopher Bailey Taylor
3636 High St |
$79.36 | 1,127 | 1,074 |
|
Patrick Dager Cronyn
620 John Paul Jones Cir |
$80.42 | 1,112 | 971 |
|
Aaron Eugene Sents
301 Goode Way Ste 206 |
$76.01 | 1,023 | 985 |
|
Adrianna Isabel Kyle
620 John Paul Jones Cir |
$79.31 | 744 | 669 |
|
Manali R Patel
3636 High St |
$51.29 | 595 | 431 |
|
Kelly Marie Streiff
3235 Academy Ave Ste 305 |
$151.94 | 554 | 542 |
|
Richard Slama
620 John Paul Jones Cir |
$67.84 | 517 | 487 |
|
Kevin Joseph Knoop
620 John Paul Jones Cir |
$79.17 | 491 | 454 |
|
Eric Schmieler
620 John Paul Jones Cir |
$123.82 | 460 | 451 |
|
Robert L Frank
620 John Paul Jones Cir |
$47.07 | 453 | 405 |
|
Marcelo Carlos Darabos
620 John Paul Jones Circle |
$72.21 | 391 | 354 |
|
David H Cyr
3235 Academy Ave |
$41.89 | 340 | 278 |
|
Joshua Lesko
620 John Paul Jones Cir |
$102.38 | 334 | 313 |
|
Marcus Antonio Walton
620 Jhn Paul Jns Cir |
$50.21 | 235 | 126 |
|
Lauren Schalk
620 John Paul Jones Circle Drive |
$81.69 | 218 | 216 |
|
Jared Verga
620 John Paul Jones Cir |
$94.16 | 202 | 202 |
|
Margrethe E Weston
620 John Paul Jones Cir |
$94.51 | 200 | 182 |
|
Megan Hope Halliday
620 John Paul Jones Cir |
$537.92 | 134 | 106 |
|
Brian Michael Keuski
620 John Paul Jones Cir |
$85.18 | 130 | 121 |
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 Portsmouth, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Portsmouth, VA is $113.18 per claim, based on 346,338 claims from 68 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 Portsmouth, VA?
There are 68 Medicaid providers offering Emergency Room Visit related services in Portsmouth, VA according to public payment data.
What is the price range for Emergency Room Visit in Portsmouth, VA?
Medicaid reimbursement for Emergency Room Visit in Portsmouth, VA ranges from $29.57 to $537.92 per claim, with an average of $113.18. 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 Portsmouth, VA
Home Health Visit
Avg $126.59
907,767 claims
Physical Therapy
Avg $60.24
480,067 claims
Blood Work & Lab Tests
Avg $6.52
444,693 claims
Dental Cleaning & Exam
Avg $26.26
321,342 claims
Office Visit
Avg $56.69
239,652 claims
Non-Emergency Medical Transportation
Avg $16.28
226,212 claims
Substance Abuse Treatment
Avg $113.38
215,486 claims
Psychiatric Evaluation
Avg $60.40
167,418 claims