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 |
|---|---|---|---|
|
Karen Renee Lint-Nguyen
1870 Amherst St Ste 2E |
$39.04 | 15 | 14 |
|
John Price
1840 Amherst St |
$106.27 | 16 | 12 |
|
Sunil Sharma
1840 Amherst St |
$69.87 | 17 | 15 |
|
Leonard R Yang
1840 Amherst St |
$44.39 | 27 | 25 |
|
Simone Mitchell
1840 Amherst St |
$12.89 | 35 | 16 |
|
Leilani Burch
1775 N Sector Ct |
$101.55 | 36 | 36 |
|
Karlye Rae Smith
1840 Amherst St |
$72.64 | 38 | 37 |
|
Douglas W Benkelman
1840 Amherst St |
$82.19 | 44 | 39 |
|
Christian Anthony Lafalce
209 Taggart Dr |
$61.54 | 48 | 27 |
|
Andrew Valentine Stern
1840 Amherst St |
$116.69 | 49 | 49 |
|
Frederic Albert Rawlins
1840 Amherst St |
$75.07 | 62 | 28 |
|
Robin Fisher
1880 Amherst St Ste 300 |
$34.84 | 72 | 69 |
|
T. Glen Bouder
1840 Amherst St |
$137.80 | 72 | 34 |
|
David John Williams
1818 Amherst St Ste 101 |
$42.28 | 80 | 80 |
|
Benjamin Franklin Lewis
761 Seldon Drie |
$72.00 | 84 | 33 |
|
Shea Adam Dempsey
1840 Amherst St |
$31.99 | 86 | 83 |
|
Zoe Fraley
1840 Amherst St |
$39.97 | 100 | 83 |
|
Elizabeth Anne Milton
1840 Amherst St |
$84.64 | 107 | 105 |
|
Timothy Bouck
1840 Amherst St |
$94.00 | 128 | 67 |
|
Cassidy Peregoy
104 Selma Dr |
$81.42 | 154 | 146 |
|
Deborah R Natale
1840 Amherst St |
$77.30 | 212 | 198 |
|
Elias S Ashame
1840 Amherst St |
$73.79 | 228 | 111 |
|
Brandon L Miller
1880 Amherst Street |
$53.93 | 255 | 226 |
|
Diana Ruiz
1460 University Dr |
$68.17 | 262 | 256 |
|
Richard Emerson Miles
1840 Amherst St |
$90.72 | 296 | 294 |
|
Bethany A Cummings
1840 Amherst St |
$175.67 | 312 | 286 |
|
Lisa A Bukovac
1840 Amherst St |
$63.95 | 389 | 323 |
|
Brian Terzian
1840 Amherst St |
$66.19 | 396 | 369 |
|
Khanh M Nguyen
104 Selma Dr |
$304.15 | 530 | 454 |
|
Winchester Medical Center
1840 Amherst St |
$130.17 | 544 | 188 |
|
Joshua David Long
1840 Amherst St |
$60.16 | 566 | 544 |
|
Scott K King
1840 Amherst St |
$68.45 | 647 | 596 |
|
Nicholas Jorge Cordova
1840 Amherst St |
$81.15 | 668 | 648 |
|
Rachael Smith
1840 Amherst St |
$69.49 | 691 | 637 |
|
Drew E. D. Hamer
128 Medical Cir |
$20.34 | 697 | 560 |
|
Melissa A Natale
1840 Amherst St |
$100.80 | 701 | 663 |
|
Lindsay Smith
160 Merchant St Ste 200 |
$71.68 | 701 | 671 |
|
John C Potter
1840 Amherst St |
$144.46 | 732 | 683 |
|
Michael E Watts
1840 Amherst St |
$111.37 | 833 | 772 |
|
Amanda Kimberly Ross
1880 Amherst Street |
$43.70 | 836 | 785 |
|
Elizabeth Huycke
1840 Amherst St |
$76.55 | 886 | 822 |
|
David Bernard Pianalto
1840 Amherst St |
$80.85 | 926 | 867 |
|
Lisa A. Lyons
Winchester Medical Center |
$76.44 | 1,165 | 1,061 |
|
Michael J Mcauliffe
1840 Amherst St |
$76.94 | 1,239 | 1,153 |
|
Holly Katherine Parkins
1840 Amherst St |
$71.22 | 1,393 | 1,265 |
|
Nicholas Seward
1840 Amherst St |
$74.42 | 1,583 | 1,479 |
|
Nathan S Mcmurray
128 Medical Cir |
$78.39 | 1,710 | 1,582 |
|
William Raboff
1840 Amherst St |
$74.30 | 1,900 | 1,772 |
|
Jillian H Call
1840 Amherst St |
$67.25 | 2,512 | 2,314 |
|
David Felheimer Goldberg
1840 Amherst St |
$68.66 | 2,523 | 2,400 |
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
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 Winchester, VA
Blood Work & Lab Tests
Avg $7.04
747,108 claims
Substance Abuse Treatment
Avg $15.29
704,284 claims
Office Visit
Avg $50.11
648,385 claims
Home Health Visit
Avg $95.73
307,004 claims
X-Ray
Avg $8.04
266,540 claims
Physical Therapy
Avg $76.55
220,531 claims
Non-Emergency Medical Transportation
Avg $68.54
193,619 claims
Psychiatric Evaluation
Avg $67.60
185,967 claims