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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
Kimberlee Ann Dutton

3715 Las Estancias Ct Sw

$36.62 12 12
Jeramiah Bustos

933 Bradbury Dr Se

$346.73 12 12
Unm Medical Group Inc

2211 Lomas Ne

$81.73 12 12
Lucas Dunklee

Msc09 5030

$100.52 12 12
Angeline G Fitzgerald

5400 Gibson Blvd Se

$118.62 12 12
Chelsea Katelyn Fong

2211 Lomas Blvd Ne

$43.49 12 12
Caroline Alberta Bonham

2600 Marble Ne

$104.25 13 12
Harry Edward Sherman

2909 Campus Blvd Ne

$67.91 13 12
David Williams

504 Elm St Ne

$116.31 13 12
Nina E Higgins

Msc 09 5030 1 University Of New Mexico

$104.55 13 13
Lorenzo Nava

2211 Lomas Blvd Ne

$163.07 13 12
Nicolas Ray Schoenfeld

2211 Lomas Blvd Ne

$128.23 13 13
Sarah Elizabeth Kabalka

101 Hospital Loop Ne

$35.10 14 14
Irfan Khan

1100 Central Ave Se

$189.50 14 12
Megan M Shedd

2600 Marble Ave Ne

$80.99 14 14
Min Xiong

601 Dr Martin Luther King Jr Ave Ne

$121.10 14 13
Carmelda Labaze

5550 Wyoming Blvd Ne

$155.55 14 12
Amy Ernst

Unm Department Of Emergency Medicine

$73.42 14 14
Alice Claire Chavez

5150 Journal Center Blvd Ne

$50.31 15 12
Craig K Gilcrease

502 Elm St Ne

$77.40 15 15
Isidora P Gallagher

1100 Central Ave Se

$55.43 16 16
Nathan J Romero

1100 Central Ave Se

$127.37 16 16
Alissa Renee Hurtado

3436 Isleta Blvd Sw

$174.91 16 16
Antonio Tavitas

1100 Central Ave Se

$97.50 17 12
John Russell Durkin

1021 Medical Arts Ave Ne

$36.87 18 18
Kendall Muston Rogers

2211 Lomas Blvd Ne

$167.84 19 19
Sheila Noreen Acheson

2211 Lomas Blvd Ne

$64.92 19 18
Christopher Scott Bartlett

1 University Of New Mexico

$170.07 19 18
Derek Sandoval

1100 Central Ave Se

$142.51 20 14
Ross Davidson

Msc 10 5550 1 University Of New Mexico

$72.61 23 13
Amanda Jeanne Sanchez

601 Dr Martin Luther King Jr Ave Ne

$101.44 23 13
Rachel Landavazo

2Nd Ambulatory Care Ctr

$30.84 24 23
John R Martin

Pmg Emergency Medicine

$104.64 25 25
William T Mansfield

504 Elm St Ne

$99.45 25 14
Rahul Shekhar

933 Bradbury Dr Se Ste 2222

$145.10 26 25
Julia Beth Toler

4701 Montgomery Blvd Ne Ste 301

$34.72 26 26
Joseph N Onyia

201 Cedar St Se Ste 4600

$90.63 28 27
Erin Bell

Msc 10 5580 1

$45.20 28 25
Steve Vaughan

201 Cedar St Se Ste 800

$89.79 29 29
Catherine Elizabeth Jones

1100 Central Ave Se

$414.50 29 28
Adrienne Jay Jones

2211 Lomas Blvd Ne

$130.21 30 29
Sylvia Price

2211 Lomas Blvd Ne

$45.42 31 31
Antoinette R Benton

Unm Family Medicine Ctr

$108.42 32 31
Hannah Elise Rodriguez

2211 Lomas Blvd Ne

$69.72 32 32
Lucille Nichele Martinez

201 Cedar St Se

$54.49 33 33
Mark Lamb

2211 Lomas Blvd Ne

$126.15 33 33
Sandra P Gutierrez

1100 Central Ave Se

$112.79 33 28
Brandon Behrens

Msc 10-6000 1 University Of New Mexico

$183.46 33 13
Thaisa Araujo Swanson

2211 Lomas Blvd Ne

$48.31 35 35
Christopher A Mcgrew

1209 University Blvd Ne

$34.49 35 34

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.

Emergency Room Visit in Other Cities

Other Procedures in Albuquerque, NM