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 |
|---|---|---|---|
|
Beth Curry
2145 University Ave |
$40.44 | 12 | 12 |
|
Daniel K Mccormack
2450 Ashby Ave |
$240.22 | 12 | 12 |
|
Ranjana Saxena
1510 4Th St |
$82.20 | 25 | 12 |
|
Kathleen Sora Chung
2500 Milvia St |
$26.70 | 35 | 34 |
|
Berkeley Emergency Medical Group, Inc.
2450 Ashby Ave |
$58.23 | 46 | 42 |
|
Benjamin Ashby Goodrum
2450 Ashby Ave |
$70.38 | 49 | 43 |
|
Xin Yang
2450 Ashby Ave |
$87.88 | 64 | 14 |
|
Joshua John Samuel
2850 Telegraph Ave Ste 120 |
$122.22 | 69 | 42 |
|
Rory Caygill-Walsh
2031 6Th St |
$2.72 | 89 | 88 |
|
Karen Carothers
2450 Ashby Ave |
$22.67 | 90 | 90 |
|
George Y Pearson
3108 Acton St |
$0.34 | 246 | 221 |
|
William L Carpenter
875 Arlington Ave |
$43.89 | 294 | 291 |
|
Rahitha Maria Thomas
2905 Telegraph Ave |
$0.67 | 341 | 316 |
|
Nanaefua Afoh-Manin
2500 Milvia St Ste 120 |
$36.39 | 515 | 515 |
|
Yazen Beddawi
2450 Ashby Ave |
$79.58 | 522 | 271 |
|
Shaghayegh D Johnson
2450 Ashby Ave |
$42.12 | 554 | 552 |
|
Michael Sansait
2450 Ashby Ave |
$81.45 | 588 | 255 |
|
Sarah Marie Kelmenson-Chau
3010 Colby St |
$39.06 | 691 | 683 |
|
Chris Yuhsuen Feng
2450 Ashby Ave |
$79.73 | 728 | 720 |
|
Abanoub Paul Hanna
2450 Ashby Ave |
$55.93 | 826 | 818 |
|
Dominic Pappas
2450 Ashby Ave |
$51.58 | 1,154 | 1,148 |
|
Sutter East Bay Hospitals
2450 Ashby Ave |
$76.78 | 1,198 | 939 |
|
Brian Richard Potts
2450 Ashby Ave |
$40.37 | 1,440 | 1,432 |
|
Stephanie Lovell-Rose
1160 Amador Ave |
$60.22 | 1,664 | 1,644 |
|
Joseph Daniel Pinizzotto
2450 Ashby Ave |
$50.00 | 1,676 | 1,660 |
|
Jessica Li
2450 Ashby Ave |
$59.16 | 1,694 | 1,683 |
|
Ami Yamamoto
2450 Ashby Ave |
$49.40 | 1,913 | 1,891 |
|
Lindsay Borden Walker
2500 Milvia St |
$36.05 | 1,995 | 1,972 |
|
Jazim Ibrahim Rubaii
2450 Ashby Ave |
$95.76 | 2,151 | 861 |
|
David A Chen
2450 Ashby Ave |
$45.71 | 2,309 | 2,285 |
|
Helen Maria Jackson
2500 Milvia St |
$58.82 | 2,314 | 2,296 |
|
Stephanie Yvonne Brown
2450 Ashby Ave |
$51.42 | 2,378 | 2,355 |
|
Robert Michael Roth
2450 Ashby Ave |
$48.50 | 2,476 | 2,461 |
|
James Asher Hirshberg
2450 Ashby Ave |
$45.52 | 2,608 | 2,591 |
|
Grace Tarng
2450 Ashby Ave |
$42.18 | 2,915 | 2,887 |
|
Mordechai Pavlovsky
2450 Ashby Ave |
$42.13 | 3,089 | 3,059 |
|
Jeff Tai Li Chen
2450 Ashby Ave |
$41.89 | 3,141 | 3,118 |
|
Kovid Trivedi
2850 Telegraph Ave Ste 120 |
$123.75 | 3,159 | 1,492 |
|
Andrew Masaaki Osugi
2450 Ashby Ave Ste 1160 |
$75.05 | 3,221 | 3,155 |
|
Ryan M. Romeiser
1648 Cedar St |
$60.47 | 3,379 | 3,365 |
|
Michael James Jugo
2450 Ashby Ave |
$132.71 | 3,603 | 3,247 |
|
Melissa Tang
2450 Ashby Ave |
$94.53 | 3,680 | 3,599 |
|
Swathi Nadindla
2450 Ashby Ave |
$63.16 | 4,133 | 4,115 |
|
John Skovran
2450 Ashby Ave |
$42.11 | 4,562 | 4,533 |
|
Steve Pham
2433 Warring St |
$77.68 | 5,658 | 5,535 |
|
Stacey Lynn Meredith
Er Dept |
$39.24 | 5,714 | 5,676 |
|
James Edward Starr
2450 Ashby Ave |
$45.33 | 7,539 | 7,467 |
|
Alex Charles Fox
2450 Ashby Ave |
$58.10 | 9,902 | 9,759 |
|
Melissa Tom
3010 Colby St Ste 212 |
$160.13 | 10,173 | 9,281 |
|
Michael Y Liu
2450 Ashby Ave |
$56.31 | 13,207 | 13,105 |
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
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 Berkeley, CA
Blood Work & Lab Tests
Avg $7.21
1,019,482 claims
Office Visit
Avg $20.12
524,956 claims
Urinalysis & Urine Tests
Avg $3.28
377,997 claims
Substance Abuse Treatment
Avg $34.05
269,177 claims
Culture & Microbiology Tests
Avg $3.59
144,863 claims
EKG / ECG (Electrocardiogram)
Avg $11.90
127,855 claims
Pathology & Lab Services
Avg $47.12
108,103 claims
Behavioral & Mental Health Therapy
Avg $294.78
99,251 claims