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
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 Albuquerque, NM
Home Health Visit
Avg $77.97
7,316,567 claims
Blood Work & Lab Tests
Avg $15.20
6,028,360 claims
Substance Abuse Treatment
Avg $34.24
5,929,577 claims
Office Visit
Avg $72.81
3,965,435 claims
Psychiatric Evaluation
Avg $90.10
2,021,597 claims
Dental Cleaning & Exam
Avg $30.77
1,525,323 claims
Physical Therapy
Avg $47.20
1,452,324 claims
X-Ray
Avg $26.76
1,424,299 claims