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 |
|---|---|---|---|
|
John Emery Alex
620 John Paul Jones Cir |
$137.40 | 12 | 12 |
|
Edward S. Thur
620 John Paul Jones Cir |
$29.57 | 13 | 12 |
|
Alexis Goss
620 John Paul Jones Cir |
$114.09 | 14 | 14 |
|
Megan Mcgeary
620 John Paul Jones Cir |
$58.09 | 15 | 15 |
|
Tyler Church
Nmrtc, Portsmouth |
$93.71 | 15 | 13 |
|
Eric Francis Sulava
620 John Paul Jones Cir |
$87.49 | 27 | 26 |
|
Tuan Ngoc Hoang
620 John Paul Jones Cir |
$72.46 | 28 | 28 |
|
Paul James Diggins Roszko
Naval Medical Center Portsmouth |
$46.90 | 28 | 26 |
|
Clifford Sander Hecht
1040 University Blvd Ste 205 |
$58.83 | 29 | 16 |
|
Joon Sung Yun
620 John Paul Jones Cir |
$82.29 | 31 | 16 |
|
Richard Lee Blumling
620 John Paul Jones Cir |
$209.20 | 43 | 41 |
|
Robin A C Marshall
620 John Paul Jones Cir |
$63.48 | 48 | 40 |
|
Alexandre F Migala
Nmrtc |
$64.82 | 56 | 53 |
|
Michelle C Miller
620 John Paul Jones Cir |
$55.36 | 97 | 95 |
|
Michael D Owens
620 John Paul Jones Circile |
$63.03 | 101 | 96 |
|
Stacy Forbes
3636 High St |
$74.62 | 108 | 101 |
|
Ian Anthony Grasso
620 John Paul Jones Circle |
$88.02 | 113 | 57 |
|
Lauren Beth Kalodner
620 John Paul Jones Cir |
$76.46 | 123 | 118 |
|
Brian Michael Keuski
620 John Paul Jones Cir |
$85.18 | 130 | 121 |
|
Megan Hope Halliday
620 John Paul Jones Cir |
$537.92 | 134 | 106 |
|
Margrethe E Weston
620 John Paul Jones Cir |
$94.51 | 200 | 182 |
|
Jared Verga
620 John Paul Jones Cir |
$94.16 | 202 | 202 |
|
Lauren Schalk
620 John Paul Jones Circle Drive |
$81.69 | 218 | 216 |
|
Marcus Antonio Walton
620 Jhn Paul Jns Cir |
$50.21 | 235 | 126 |
|
Joshua Lesko
620 John Paul Jones Cir |
$102.38 | 334 | 313 |
|
David H Cyr
3235 Academy Ave |
$41.89 | 340 | 278 |
|
Marcelo Carlos Darabos
620 John Paul Jones Circle |
$72.21 | 391 | 354 |
|
Robert L Frank
620 John Paul Jones Cir |
$47.07 | 453 | 405 |
|
Eric Schmieler
620 John Paul Jones Cir |
$123.82 | 460 | 451 |
|
Kevin Joseph Knoop
620 John Paul Jones Cir |
$79.17 | 491 | 454 |
|
Richard Slama
620 John Paul Jones Cir |
$67.84 | 517 | 487 |
|
Kelly Marie Streiff
3235 Academy Ave Ste 305 |
$151.94 | 554 | 542 |
|
Manali R Patel
3636 High St |
$51.29 | 595 | 431 |
|
Adrianna Isabel Kyle
620 John Paul Jones Cir |
$79.31 | 744 | 669 |
|
Aaron Eugene Sents
301 Goode Way Ste 206 |
$76.01 | 1,023 | 985 |
|
Patrick Dager Cronyn
620 John Paul Jones Cir |
$80.42 | 1,112 | 971 |
|
Christopher Bailey Taylor
3636 High St |
$79.36 | 1,127 | 1,074 |
|
Brady Cox
620 John Paul Jones Cir |
$80.45 | 1,135 | 1,053 |
|
Andrew Mcgowan
620 John Paul Jones Cir |
$60.98 | 1,165 | 1,137 |
|
Micah John Gaspary
620 John Paul Jones Cir |
$53.78 | 1,349 | 1,261 |
|
Keneth Kwame Sarpong
3636 High St |
$82.38 | 1,381 | 1,298 |
|
Elizabeth Mclaughlin Snyder
3636 High St |
$108.66 | 1,405 | 1,315 |
|
Thomas Lavell Bennett
620 John Paul Jones Circle |
$66.79 | 1,436 | 1,346 |
|
Jamie Sievers
3636 High St |
$35.76 | 1,616 | 1,292 |
|
Christopher J Hejmanowski
620 John Paul Jones Cir |
$69.27 | 1,935 | 1,809 |
|
Matthew Wayne Lawrence
620 John Paul Jones Cir |
$127.20 | 1,993 | 1,873 |
|
Michael P Malone
3636 High St |
$69.87 | 2,075 | 1,739 |
|
Audrey Louise Grant
3636 High St |
$56.69 | 2,547 | 2,435 |
|
William David Bianchi
620 John Paul Jones Cir |
$142.39 | 2,653 | 2,620 |
|
Brian Christopher Ahearn
3636 High St |
$94.25 | 2,774 | 2,659 |
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
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
4,304,161 claims · 851 providers
Indianapolis, IN
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
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
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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