Average Medicaid Emergency Room Visit Payments in South Boston, VA: $110.99
Avg. Paid
$110.99
Range
$18.51 – $133.68
Total Claims
106,244
Providers
15
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 South Boston, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Halifax Regional Hospital, Inc.
2204 Wilborn Ave |
$133.68 | 69,723 | 58,521 |
|
Dan A Williams
2232 Wilborn Ave |
$83.42 | 8,350 | 7,724 |
|
James Mccubbin
2204 Wilborn Ave |
$78.31 | 7,671 | 6,834 |
|
Michael Weston Mcdowell
2204 Wilborn Ave |
$59.68 | 7,415 | 6,742 |
|
Victor Mihal
2204 Wilborn Ave |
$57.89 | 4,436 | 4,026 |
|
Mulbriar Emergency Physicians Llc
2204 Wilborn Ave |
$51.83 | 3,409 | 3,096 |
|
Ashley Pritchett Hudson
2204 Wilborn Ave |
$48.07 | 2,388 | 2,221 |
|
Barry Dodd Mccormick
2204 Wilborn Ave |
$55.31 | 1,626 | 1,537 |
|
Parker L Jamieson
101 Aubreys Loop |
$98.89 | 746 | 360 |
|
Rebecca Mae Kirsch
2204 Wilborn Ave |
$50.04 | 190 | 182 |
|
Adriana E. Foster
424 Hamilton Blvd |
$18.51 | 138 | 95 |
|
Paul Carpenter Maccarty
4157 River Rd |
$72.72 | 82 | 80 |
|
Patrick Ryan O'Connell
2204 Wilborn Ave |
$25.94 | 27 | 24 |
|
Rodney Bowen
2204 Wilborn Ave |
$40.19 | 27 | 25 |
|
Jon M Hughes
2204 Wilborn Ave |
$20.23 | 16 | 14 |
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 South Boston, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in South Boston, VA is $110.99 per claim, based on 106,244 claims from 15 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 South Boston, VA?
There are 15 Medicaid providers offering Emergency Room Visit related services in South Boston, VA according to public payment data.
What is the price range for Emergency Room Visit in South Boston, VA?
Medicaid reimbursement for Emergency Room Visit in South Boston, VA ranges from $18.51 to $133.68 per claim, with an average of $110.99. 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 South Boston, VA
Office Visit
Avg $57.41
194,176 claims
Blood Work & Lab Tests
Avg $4.16
176,474 claims
Home Health Visit
Avg $90.36
150,086 claims
Non-Emergency Medical Transportation
Avg $32.17
133,807 claims
X-Ray
Avg $6.81
64,747 claims
Vaccines & Immunizations
Avg $10.47
56,206 claims
Psychiatric Evaluation
Avg $43.09
53,792 claims
Urinalysis & Urine Tests
Avg $1.17
50,441 claims