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Based on public Medicaid payment data.

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

Other Procedures in Reston, VA