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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Winchester, VA: $131.99

Avg. Paid

$131.99

Range

$12.89 – $304.15

Total Claims

231,446

Providers

69

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 Winchester, VA

Provider Avg. Paid Claims Patients
Winchester Medical Center

1840 Amherst St

$188.11 114,136 101,455
Winchester Medical Center, Inc.

1840 Amherst St

$80.27 14,239 12,527
Micah Shawn Crouse

1940 Taylor Dr Apt 6

$92.59 10,518 10,018
Charles D Dees

1840 Amherst St

$68.88 6,700 6,034
Michael Mayer Romain Khafi

1840 Amherst St

$67.86 5,076 4,260
Geoffrey A Martin

1840 Amherst St

$61.59 4,969 4,593
William C Leskovec

1840 Amherst St

$72.02 4,587 4,264
Vanessa Alia Emdadi Banks

607 E Jubal Early Dr

$64.71 4,308 3,972
Navid Behrooz

1840 Amherst St

$97.34 4,296 4,194
Charles C Turnbull

1840 Amherst St

$76.64 4,163 3,902
Chad B Dunn

1840 Amherst St

$78.60 4,093 3,834
Christopher R Shaw

1840 Amherst St

$65.49 3,969 3,404
Steven James Bauer

1840 Amherst St

$71.84 3,957 3,671
Ronak Shah

1840 Amherst St

$72.66 3,812 3,540
Mauricio A Martinez

1840 Amherst St

$74.96 3,706 3,465
David John Watts

220 Campus Blvd

$70.84 2,973 2,722
Michael D Hendren

1840 Amherst St

$74.30 2,913 2,728
Kevin R Shanabrook

1840 Amherst St

$77.73 2,748 2,538
Alexis Mccabe

1840 Amherst St

$78.00 2,680 2,594
David Felheimer Goldberg

1840 Amherst St

$68.66 2,523 2,400
Jillian H Call

1840 Amherst St

$67.25 2,512 2,314
William Raboff

1840 Amherst St

$74.30 1,900 1,772
Nathan S Mcmurray

128 Medical Cir

$78.39 1,710 1,582
Nicholas Seward

1840 Amherst St

$74.42 1,583 1,479
Holly Katherine Parkins

1840 Amherst St

$71.22 1,393 1,265
Michael J Mcauliffe

1840 Amherst St

$76.94 1,239 1,153
Lisa A. Lyons

Winchester Medical Center

$76.44 1,165 1,061
David Bernard Pianalto

1840 Amherst St

$80.85 926 867
Elizabeth Huycke

1840 Amherst St

$76.55 886 822
Amanda Kimberly Ross

1880 Amherst Street

$43.70 836 785
Michael E Watts

1840 Amherst St

$111.37 833 772
John C Potter

1840 Amherst St

$144.46 732 683
Melissa A Natale

1840 Amherst St

$100.80 701 663
Lindsay Smith

160 Merchant St Ste 200

$71.68 701 671
Drew E. D. Hamer

128 Medical Cir

$20.34 697 560
Rachael Smith

1840 Amherst St

$69.49 691 637
Nicholas Jorge Cordova

1840 Amherst St

$81.15 668 648
Scott K King

1840 Amherst St

$68.45 647 596
Joshua David Long

1840 Amherst St

$60.16 566 544
Winchester Medical Center

1840 Amherst St

$130.17 544 188
Khanh M Nguyen

104 Selma Dr

$304.15 530 454
Brian Terzian

1840 Amherst St

$66.19 396 369
Lisa A Bukovac

1840 Amherst St

$63.95 389 323
Bethany A Cummings

1840 Amherst St

$175.67 312 286
Richard Emerson Miles

1840 Amherst St

$90.72 296 294
Diana Ruiz

1460 University Dr

$68.17 262 256
Brandon L Miller

1880 Amherst Street

$53.93 255 226
Elias S Ashame

1840 Amherst St

$73.79 228 111
Deborah R Natale

1840 Amherst St

$77.30 212 198
Cassidy Peregoy

104 Selma Dr

$81.42 154 146

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 Winchester, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Winchester, VA is $131.99 per claim, based on 231,446 claims from 69 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 Winchester, VA?

There are 69 Medicaid providers offering Emergency Room Visit related services in Winchester, VA according to public payment data.

What is the price range for Emergency Room Visit in Winchester, VA?

Medicaid reimbursement for Emergency Room Visit in Winchester, VA ranges from $12.89 to $304.15 per claim, with an average of $131.99. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Winchester, VA