Average Medicaid Emergency Room Visit Payments in Summersville, WV: $120.02
Avg. Paid
$120.02
Range
$44.65 – $438.13
Total Claims
80,749
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 Summersville, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
West Virginia Health Care Cooperative Inc
400 Fairview Heights Rd |
$138.20 | 32,635 | 24,298 |
|
West Virginia Health Care Cooperative Inc
400 Fairview Heights Rd |
$71.99 | 20,933 | 17,708 |
|
Summersville Regional Medical Center
400 Fairview Heights Rd |
$70.76 | 8,866 | 7,816 |
|
Stanley Thomas Morris
400 Fairview Heights Rd |
$174.27 | 5,100 | 4,203 |
|
Jonathan B Dale
400 Fairview Heights Rd |
$172.35 | 3,604 | 2,981 |
|
Callie Dawn Woods
400 Fairview Heights Rd |
$186.59 | 1,844 | 1,509 |
|
Deanne R Grim
4089 Webster Road |
$206.92 | 1,802 | 1,296 |
|
Joy P Ford
5870 Webster Rd |
$44.65 | 1,729 | 1,628 |
|
Myra D. Priddy
315 Fairview Heights Rd |
$213.50 | 1,610 | 1,446 |
|
Nicholas Emergency Group, Pllc
400 Fairview Heights Rd |
$82.75 | 1,516 | 1,396 |
|
Amy Mann
702 Professional Park Dr Ste 104 |
$177.12 | 510 | 425 |
|
Brian Thomas Jarrell
400 Fairview Heights Rd |
$418.38 | 349 | 334 |
|
Bruce Kevin Greenberg
350 Fairview Heights Rd |
$139.64 | 224 | 205 |
|
John Timothy Lewis
400 Fairview Heights Rd |
$76.97 | 15 | 14 |
|
Allison Brooke Wriston
400 Fairview Heights Rd |
$438.13 | 12 | 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 Summersville, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Summersville, WV is $120.02 per claim, based on 80,749 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 Summersville, WV?
There are 15 Medicaid providers offering Emergency Room Visit related services in Summersville, WV according to public payment data.
What is the price range for Emergency Room Visit in Summersville, WV?
Medicaid reimbursement for Emergency Room Visit in Summersville, WV ranges from $44.65 to $438.13 per claim, with an average of $120.02. 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 Summersville, WV
Office Visit
Avg $19.99
170,499 claims
Blood Work & Lab Tests
Avg $21.02
169,476 claims
Vaccines & Immunizations
Avg $9.71
37,239 claims
X-Ray
Avg $25.75
33,562 claims
Urinalysis & Urine Tests
Avg $16.63
27,111 claims
EKG / ECG (Electrocardiogram)
Avg $30.31
20,618 claims
Durable Medical Equipment (DME)
Avg $42.20
18,353 claims
Physical Therapy
Avg $29.91
17,959 claims