Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Albuquerque, NM: $154.16

Avg. Paid

$154.16

Range

$0.52 – $431.19

Total Claims

1,757,889

Providers

555

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 Albuquerque, NM

Provider	Avg. Paid	Claims	Patients
Presbyterian Healthcare Services 1100 Central Se	$208.56	316,516	292,844
Unm Hospital 2211 Lomas Blvd., N.E.	$165.87	209,628	193,623
Lovelace Health System Llc 601 Dr Martin Luther King Jr Ave Ne	$186.25	81,089	74,565
Lovelace Health System, Llc 4701 Montgomery Blvd Ne	$193.96	80,749	75,301
Lovelace Health System, Llc 10501 Golf Course Rd Nw	$188.29	54,502	51,411
Sandra Macias Mcbride 1 University Of New Mexico	$141.73	20,674	20,287
Kolan Wright 2132A Central Ave Se # 284	$62.67	17,089	15,588
Jason Ian Mcisaac 10501 Golf Course Rd Nw	$113.01	13,952	13,435
Raul Ortiz 100 Isleta Blvd Sw	$123.05	13,949	13,435
David Jolley Msc11 6025	$111.44	13,117	12,974
Darian L. Williams 1100 Central Ave Se	$149.32	12,464	12,199
Unm Hospital 2600 Marble Ave., N.E.	$379.16	12,438	11,183
Miles J Nelson 10501 Golf Course Rd Nw	$124.47	10,773	10,407
Anu George Neeliyara 13231 Emery Point Ave Ne	$113.60	10,671	10,369
Albert Lobato 601 Dr Martin Luther King Jr Ave Ne	$119.03	10,407	9,932
Natasha C James 1 University Of New Mexico	$107.27	10,015	9,921
Grant Penn Chanin 1100 Central Ave Se	$93.84	9,897	9,424
Michelle Angela Trujillo 8300 Casa Morena Ct Nw	$108.97	9,482	8,332
Matthew Donald Gunderson Msc 11 6025 1 University Of New Mexico	$121.06	9,462	9,373
Jill Rains 1100 Central Ave Se	$144.54	9,367	9,154
Jessa Lynn Lovato 1100 Central Ave Se	$149.18	8,880	8,679
Whitney Barrett 2211 Lomas Blvd Ne	$58.79	8,655	7,056
Laura Lee Pagan 601 Dr Martin Luther King Jr Ave Ne	$107.43	8,623	8,177
William Davis Mcintyre 1 University Of New Mexico	$134.79	8,499	7,657
Thomas Scott Pannke 601 Martin Luther King Ave Ne	$128.91	8,392	8,254
Tara Lynn Neubrand 2211 Lomas Blvd Ne	$141.18	8,343	8,015
Jessica Steiner 1100 Central Ave Se	$151.48	8,292	8,081
Elizabeth Lee 1100 Central Ave Se	$157.50	8,240	8,046
Patrick Elliott Harvey 1100 Central Ave Se	$140.35	7,882	7,607
Rachael Leah Horner 1 University Of New Mexico	$122.80	7,879	7,683
Jennifer Marie Holler 5400 Gibson Blvd Se	$119.36	7,711	7,497
Alicia C Pruitt 2901 Transport St Se	$94.15	7,139	6,977
Nicholas Villalon 1100 Central Ave Se	$166.69	7,112	6,536
Manish Dhar Bajracharya 2211 Lomas Blvd Ne	$169.14	7,058	6,333
Niraj Ganjawala Msc Family Medicine	$136.30	7,014	6,763
Matthew Tennison 1 University Of New Mexico	$123.75	6,785	6,685
Rachel Tuuri Unm Department Of Emergency Medicine	$113.35	6,743	6,677
Penny L. Spencer Pmg Emergency Medicine	$136.02	6,713	6,600
Daniel M. Gee 6400 Paseo Del Norte Blvd Ne	$106.30	6,600	6,316
Marisa S Garcia 1100 Central Ave Se	$140.50	6,507	6,390
Patrick A Craddock 1100 Central Ave Se	$122.01	6,352	6,137
William M Roethel 601 Martin Luther King Ave Ne	$116.92	6,219	5,980
Jennifer Mccain 1100 Central Ave Se	$140.45	6,187	5,917
Carl Joseph Smith 1 University Of New Mexico	$108.25	6,066	5,925
Chad Berryman 1 University Of New Mexico	$132.87	6,016	5,852
Catherine Garofali 1100 Central Ave Se	$159.96	5,978	5,866
Tony B Salazar 601 Dr Martin Luther King Jr Ave Ne	$128.99	5,953	5,803
Michael Salisbury 1100 Central Ave Se	$145.59	5,881	5,740
Sara Bush Msc 10 5560	$148.27	5,798	5,572
Patrick Andrew Leonard 1100 Central Ave Se	$152.96	5,736	5,614

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 Albuquerque, NM?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Albuquerque, NM is $154.16 per claim, based on 1,757,889 claims from 555 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 Albuquerque, NM?

There are 555 Medicaid providers offering Emergency Room Visit related services in Albuquerque, NM according to public payment data.

What is the price range for Emergency Room Visit in Albuquerque, NM?

Medicaid reimbursement for Emergency Room Visit in Albuquerque, NM ranges from $0.52 to $431.19 per claim, with an average of $154.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Albuquerque, NM: $154.16

Providers Offering Emergency Room Visit in Albuquerque, NM

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Albuquerque, NM

Home Health Visit

Blood Work & Lab Tests

Substance Abuse Treatment

Office Visit

Psychiatric Evaluation

Dental Cleaning & Exam

Physical Therapy

X-Ray