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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Berkeley, CA: $72.88

Avg. Paid

$72.88

Range

$0.34 – $240.22

Total Claims

161,073

Providers

51

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 Berkeley, CA

Provider Avg. Paid Claims Patients
Sutter Bay Hospitals

2450 Ashby Avenue

$85.16 41,232 35,825
Michael Y Liu

2450 Ashby Ave

$56.31 13,207 13,105
Melissa Tom

3010 Colby St Ste 212

$160.13 10,173 9,281
Alex Charles Fox

2450 Ashby Ave

$58.10 9,902 9,759
James Edward Starr

2450 Ashby Ave

$45.33 7,539 7,467
Stacey Lynn Meredith

Er Dept

$39.24 5,714 5,676
Steve Pham

2433 Warring St

$77.68 5,658 5,535
John Skovran

2450 Ashby Ave

$42.11 4,562 4,533
Swathi Nadindla

2450 Ashby Ave

$63.16 4,133 4,115
Melissa Tang

2450 Ashby Ave

$94.53 3,680 3,599
Michael James Jugo

2450 Ashby Ave

$132.71 3,603 3,247
Ryan M. Romeiser

1648 Cedar St

$60.47 3,379 3,365
Andrew Masaaki Osugi

2450 Ashby Ave Ste 1160

$75.05 3,221 3,155
Kovid Trivedi

2850 Telegraph Ave Ste 120

$123.75 3,159 1,492
Jeff Tai Li Chen

2450 Ashby Ave

$41.89 3,141 3,118
Mordechai Pavlovsky

2450 Ashby Ave

$42.13 3,089 3,059
Grace Tarng

2450 Ashby Ave

$42.18 2,915 2,887
James Asher Hirshberg

2450 Ashby Ave

$45.52 2,608 2,591
Robert Michael Roth

2450 Ashby Ave

$48.50 2,476 2,461
Stephanie Yvonne Brown

2450 Ashby Ave

$51.42 2,378 2,355
Helen Maria Jackson

2500 Milvia St

$58.82 2,314 2,296
David A Chen

2450 Ashby Ave

$45.71 2,309 2,285
Jazim Ibrahim Rubaii

2450 Ashby Ave

$95.76 2,151 861
Lindsay Borden Walker

2500 Milvia St

$36.05 1,995 1,972
Ami Yamamoto

2450 Ashby Ave

$49.40 1,913 1,891
Jessica Li

2450 Ashby Ave

$59.16 1,694 1,683
Joseph Daniel Pinizzotto

2450 Ashby Ave

$50.00 1,676 1,660
Stephanie Lovell-Rose

1160 Amador Ave

$60.22 1,664 1,644
Brian Richard Potts

2450 Ashby Ave

$40.37 1,440 1,432
Sutter East Bay Hospitals

2450 Ashby Ave

$76.78 1,198 939
Dominic Pappas

2450 Ashby Ave

$51.58 1,154 1,148
Abanoub Paul Hanna

2450 Ashby Ave

$55.93 826 818
Chris Yuhsuen Feng

2450 Ashby Ave

$79.73 728 720
Sarah Marie Kelmenson-Chau

3010 Colby St

$39.06 691 683
Michael Sansait

2450 Ashby Ave

$81.45 588 255
Shaghayegh D Johnson

2450 Ashby Ave

$42.12 554 552
Yazen Beddawi

2450 Ashby Ave

$79.58 522 271
Nanaefua Afoh-Manin

2500 Milvia St Ste 120

$36.39 515 515
Rahitha Maria Thomas

2905 Telegraph Ave

$0.67 341 316
William L Carpenter

875 Arlington Ave

$43.89 294 291
George Y Pearson

3108 Acton St

$0.34 246 221
Karen Carothers

2450 Ashby Ave

$22.67 90 90
Rory Caygill-Walsh

2031 6Th St

$2.72 89 88
Joshua John Samuel

2850 Telegraph Ave Ste 120

$122.22 69 42
Xin Yang

2450 Ashby Ave

$87.88 64 14
Benjamin Ashby Goodrum

2450 Ashby Ave

$70.38 49 43
Berkeley Emergency Medical Group, Inc.

2450 Ashby Ave

$58.23 46 42
Kathleen Sora Chung

2500 Milvia St

$26.70 35 34
Ranjana Saxena

1510 4Th St

$82.20 25 12
Beth Curry

2145 University Ave

$40.44 12 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 Berkeley, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Berkeley, CA is $72.88 per claim, based on 161,073 claims from 51 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 Berkeley, CA?

There are 51 Medicaid providers offering Emergency Room Visit related services in Berkeley, CA according to public payment data.

What is the price range for Emergency Room Visit in Berkeley, CA?

Medicaid reimbursement for Emergency Room Visit in Berkeley, CA ranges from $0.34 to $240.22 per claim, with an average of $72.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Berkeley, CA