Average Medicaid Emergency Room Visit Payments in South Charleston, WV: $104.71
Avg. Paid
$104.71
Range
$44.87 – $244.13
Total Claims
98,390
Providers
26
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 Charleston, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Herbert J. Thomas Memorial Hospital Association
4605 Maccorkle Ave Sw |
$115.03 | 38,114 | 33,807 |
|
Maccorkle Emergency Physicians Pllc
4605 Maccorkle Ave Sw |
$92.68 | 16,461 | 15,129 |
|
Ths Physician Partners Inc
4605 Maccorkle Ave Sw |
$84.07 | 13,659 | 11,874 |
|
Joseph Joyce
4605 Maccorkle Ave Sw |
$44.87 | 5,864 | 5,535 |
|
Robert Romaine
4605 Maccorkle Ave Sw |
$183.42 | 4,808 | 4,224 |
|
Pulmonary Associates Of Char Llc
4619 Kanawha Ave., Sw |
$131.74 | 3,646 | 871 |
|
Nancy G Rader
4605 Maccorkle Ave Sw |
$62.49 | 2,761 | 2,361 |
|
David O Wright
4605 Maccorkle Ave Sw |
$65.65 | 2,319 | 2,197 |
|
William Thomas Daly
4605 Maccorkle Ave Sw |
$117.58 | 1,855 | 1,553 |
|
James D. Perry
4619 Kanawha Ave Sw |
$125.99 | 1,625 | 708 |
|
Sound Physicians Emergency Medicine Of West Virginia Pllc
4605 Maccorkle Ave Sw |
$88.74 | 1,457 | 1,371 |
|
Phillip Cox
4619 Kanawha Ave Sw |
$107.11 | 944 | 418 |
|
William Alexander Wade
4619 Kanawha Ave., Sw |
$125.64 | 846 | 336 |
|
Tamejiro Takubo
4619 Kanawha Ave Sw |
$125.72 | 806 | 385 |
|
Robby L Keith
4619 Kanawha Avenue, Se |
$120.85 | 594 | 246 |
|
Kevin L Eggleston
4619 Kanawha Ave., Sw |
$122.34 | 590 | 225 |
|
Matthew Wayne Williamson
4605 Maccorkle Ave Sw |
$115.00 | 455 | 412 |
|
David S Mullett
4605 Maccorkle Ave Sw |
$244.13 | 424 | 314 |
|
Howard Wesley Lafferty
509 2Nd Ave |
$124.67 | 344 | 301 |
|
Jamie Spencer
4619 Kanawha Ave Sw |
$83.77 | 291 | 150 |
|
Dustin Crites
4605 Maccorkle Ave Sw |
$130.79 | 229 | 200 |
|
Heather Anderson
4605 Maccorkle Ave Sw |
$119.37 | 136 | 123 |
|
Christine Carole Martin
4619 Kanawha Ave Sw |
$117.09 | 87 | 30 |
|
Aris L Smith
4605 Maccorkle Ave Sw |
$183.16 | 42 | 42 |
|
Mohamad B. Haffar
117 7Th Ave |
$54.60 | 18 | 15 |
|
Caitlin Johnson
4619 Kanawha Ave Sw |
$62.93 | 15 | 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 South Charleston, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in South Charleston, WV is $104.71 per claim, based on 98,390 claims from 26 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 Charleston, WV?
There are 26 Medicaid providers offering Emergency Room Visit related services in South Charleston, WV according to public payment data.
What is the price range for Emergency Room Visit in South Charleston, WV?
Medicaid reimbursement for Emergency Room Visit in South Charleston, WV ranges from $44.87 to $244.13 per claim, with an average of $104.71. 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 Charleston, WV
Office Visit
Avg $57.79
745,810 claims
Blood Work & Lab Tests
Avg $17.69
253,168 claims
Personal Care Services
Avg $366.81
143,455 claims
X-Ray
Avg $15.64
115,267 claims
Urinalysis & Urine Tests
Avg $10.20
108,673 claims
Durable Medical Equipment (DME)
Avg $39.77
69,766 claims
Vaccines & Immunizations
Avg $12.72
64,090 claims
Ultrasound
Avg $54.22
53,512 claims