Emergency Department Visit With Moderate Level Of Medical Decision Making in U.S. Virgin Islands
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
U.S. Virgin Islands Pricing in Context
In U.S. Virgin Islands, CPT code 99284 (Emergency Department Visit With Moderate Level Of Medical Decision Making) carries an average Medicare payment of $75.81 — 14% below the national benchmark of $88.62. 12 providers across the state submitted claims for this procedure in 2023, performing 447 total services. Individual payments in VI ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in U.S. Virgin Islands is $684.72, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because U.S. Virgin Islands sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Emergency procedures, the estimated commercial insurance price in U.S. Virgin Islands lands near $239.64, with self-pay cash prices typically around $268.54. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Emergency Department Visit With Moderate Level Of Medical Decision Making cost in U.S. Virgin Islands?
The average Medicare payment for Emergency Department Visit With Moderate Level Of Medical Decision Making in U.S. Virgin Islands is $75.81, which is 14% below the national average of $88.62. Providers in VI typically bill $684.72 for this procedure.
What does Emergency Department Visit With Moderate Level Of Medical Decision Making cost with insurance in U.S. Virgin Islands?
With commercial insurance in U.S. Virgin Islands, Emergency Department Visit With Moderate Level Of Medical Decision Making costs an estimated $239.64. Without insurance, the estimated cash price is $268.54. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Emergency Department Visit With Moderate Level Of Medical Decision Making in U.S. Virgin Islands?
12 providers in U.S. Virgin Islands billed Medicare for Emergency Department Visit With Moderate Level Of Medical Decision Making in 2023, performing 447 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Emergency Department Visit With Moderate Level Of Medical Decision Making cheaper in U.S. Virgin Islands than the national average?
Yes — Emergency Department Visit With Moderate Level Of Medical Decision Making costs 14% below the national average in U.S. Virgin Islands. The state average Medicare payment is $75.81 compared to $88.62 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.