Average Medicaid Emergency Room Visit Payments in Rocky Mount, VA: $154.43
Avg. Paid
$154.43
Range
$54.61 – $186.80
Total Claims
76,799
Providers
10
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 Rocky Mount, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carilion Franklin Memorial Hospital
180 Floyd Ave |
$177.40 | 55,289 | 48,907 |
|
Richard Dykstra
180 Floyd Ave |
$186.80 | 4,948 | 4,249 |
|
Craig L Bookout
180 Floyd Ave |
$55.30 | 4,912 | 4,629 |
|
Benjamin M Philpott
180 Floyd Ave |
$61.98 | 3,426 | 3,257 |
|
Kurt Edward Schapira
180 Floyd Ave |
$103.63 | 3,317 | 3,162 |
|
Charles J Lane
180 Floyd Ave |
$54.61 | 2,038 | 1,937 |
|
Sherrill Worth Stockton
180 Floyd Ave |
$59.12 | 1,951 | 1,807 |
|
Albert L Briggs
180 Floyd Ave |
$79.93 | 891 | 827 |
|
Kodanda Ramulu Shali Valusa
591 Old Fort Rd |
$86.57 | 14 | 12 |
|
Elizabeth Wingfield
390 S Main St |
$81.17 | 13 | 13 |
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 Rocky Mount, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Rocky Mount, VA is $154.43 per claim, based on 76,799 claims from 10 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 Rocky Mount, VA?
There are 10 Medicaid providers offering Emergency Room Visit related services in Rocky Mount, VA according to public payment data.
What is the price range for Emergency Room Visit in Rocky Mount, VA?
Medicaid reimbursement for Emergency Room Visit in Rocky Mount, VA ranges from $54.61 to $186.80 per claim, with an average of $154.43. 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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Avg $203.26
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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 Rocky Mount, VA
Home Health Visit
Avg $86.75
104,067 claims
Blood Work & Lab Tests
Avg $3.53
82,479 claims
Office Visit
Avg $55.55
74,196 claims
Speech Therapy
Avg $25.82
51,948 claims
Physical Therapy
Avg $148.83
29,611 claims
X-Ray
Avg $8.83
22,888 claims
Ambulance Transport
Avg $44.33
22,346 claims
Urinalysis & Urine Tests
Avg $0.33
20,609 claims