Average Medicaid Emergency Room Visit Payments in Aliso Viejo, CA: $115.44
Avg. Paid
$115.44
Range
$1.82 – $159.11
Total Claims
13,031
Providers
3
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 Aliso Viejo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Guneet Singh
22 Estero Pointe |
$159.11 | 6,640 | 6,570 |
|
Brett Hadley
35 Argonaut |
$70.20 | 6,378 | 6,318 |
|
Angela Rose Miller
26671 Aliso Creek Rd |
$1.82 | 13 | 12 |
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 Aliso Viejo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Aliso Viejo, CA is $115.44 per claim, based on 13,031 claims from 3 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 Aliso Viejo, CA?
There are 3 Medicaid providers offering Emergency Room Visit related services in Aliso Viejo, CA according to public payment data.
What is the price range for Emergency Room Visit in Aliso Viejo, CA?
Medicaid reimbursement for Emergency Room Visit in Aliso Viejo, CA ranges from $1.82 to $159.11 per claim, with an average of $115.44. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $203.26
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New York, NY
Avg $130.02
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Avg $130.10
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Avg $135.52
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Other Procedures in Aliso Viejo, CA
Pathology & Lab Services
Avg $64.40
232,199 claims
Non-Emergency Medical Transportation
Avg $36.75
91,156 claims
Molecular & Genetic Testing
Avg $392.15
62,183 claims
Office Visit
Avg $69.40
46,151 claims
Ambulance Transport
Avg $9.76
43,184 claims
Dental Cleaning & Exam
Avg $52.14
39,405 claims
X-Ray
Avg $5.47
26,764 claims
Eye Exam
Avg $19.24
15,471 claims