Average Medicaid Emergency Room Visit Payments in Reston, VA: $138.67
Avg. Paid
$138.67
Range
$32.56 – $172.02
Total Claims
96,483
Providers
31
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 Reston, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Reston Hospital Center Llc
1850 Town Center Pkwy |
$172.02 | 58,579 | 49,162 |
|
Samiur Rahman Khandker
12025 New Dominion Pkwy Apt 208 |
$120.14 | 14,623 | 13,895 |
|
N'Deevaw Artis
11484 Washington Plz W |
$55.16 | 4,921 | 4,618 |
|
Michael Stoker
1850 Town Center Pkwy |
$76.94 | 3,101 | 2,969 |
|
Rodney Biglow
1850 Town Center Parkway |
$55.50 | 2,904 | 2,703 |
|
Seon H Lee
1850 Town Center Pkwy |
$58.35 | 2,307 | 2,069 |
|
David Harold Jacobs
1850 Town Center Pkwy |
$68.91 | 1,793 | 1,613 |
|
David M Kruse
1850 Town Center Pkwy |
$65.49 | 1,221 | 1,102 |
|
Saad Amin
1850 Town Center Pkwy |
$71.54 | 998 | 871 |
|
Kawthar Yusuf
1850 Town Center Pkwy |
$69.68 | 919 | 845 |
|
Richard J Ferraro
1850 Town Center Pkwy |
$92.01 | 830 | 761 |
|
Ryan J Harris
1850 Town Center Pkwy |
$110.68 | 681 | 637 |
|
Todd Steven Larson
1850 Town Center Parkway |
$65.79 | 618 | 565 |
|
Vidya Reddy Raju
1850 Town Center Pkwy |
$70.47 | 562 | 501 |
|
Siew Mei Lee
1850 Town Center Pkwy |
$78.21 | 426 | 386 |
|
Paolo Alexander Hernandez
1850 Town Center Pkwy |
$72.62 | 419 | 376 |
|
Kirin Prakash
1850 Town Center Pkwy |
$69.61 | 326 | 317 |
|
Nicholas Batchelor
1850 Town Center Pkwy |
$74.36 | 234 | 91 |
|
Darren S Lisse
1850 Town Center Pkwy |
$69.63 | 223 | 189 |
|
Ralph Maroun
1850 Town Center Pkwy |
$46.76 | 184 | 68 |
|
Rachel Ellenbogen
1850 Town Center Pkwy |
$58.23 | 178 | 170 |
|
Susan G Holberger
1850 Town Center Parkway |
$57.17 | 105 | 100 |
|
Jeremy James Chaillet
1850 Town Center Pkwy |
$110.89 | 85 | 81 |
|
Laura Lynn Cook
1850 Town Center Pkwy |
$68.13 | 58 | 52 |
|
Pranee Chanthavongsa Smarsh
1488 Northpoint Village Ctr |
$65.32 | 51 | 45 |
|
Wesley Raymond Hodgson
1850 Town Center Pkwy |
$72.26 | 41 | 39 |
|
Haley Price
1850 Town Center Pkwy Ste 400 |
$58.82 | 33 | 30 |
|
Virginia Osorio
1850 Town Center Pkwy |
$44.10 | 21 | 13 |
|
Sherri L Franklin
1830 Town Center Dr |
$32.56 | 16 | 13 |
|
Jonathan S Gorbach
1850 Town Center Pkwy |
$77.29 | 13 | 13 |
|
Jamie Lynn Delmar
1860 Town Center Dr Ste 110 |
$70.83 | 13 | 12 |
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 Reston, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Reston, VA is $138.67 per claim, based on 96,483 claims from 31 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 Reston, VA?
There are 31 Medicaid providers offering Emergency Room Visit related services in Reston, VA according to public payment data.
What is the price range for Emergency Room Visit in Reston, VA?
Medicaid reimbursement for Emergency Room Visit in Reston, VA ranges from $32.56 to $172.02 per claim, with an average of $138.67. 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 Reston, VA
Office Visit
Avg $62.69
131,243 claims
Blood Work & Lab Tests
Avg $3.84
130,750 claims
Vaccines & Immunizations
Avg $21.36
58,619 claims
Home Health Visit
Avg $154.74
45,864 claims
X-Ray
Avg $7.75
43,151 claims
Urinalysis & Urine Tests
Avg $1.79
31,496 claims
Dental Cleaning & Exam
Avg $26.24
28,104 claims
EKG / ECG (Electrocardiogram)
Avg $4.65
27,531 claims