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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Clearlake, CA: $105.82

Avg. Paid

$105.82

Range

$0.00 – $710.71

Total Claims

128,311

Providers

21

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 Clearlake, CA

Provider Avg. Paid Claims Patients
Megan L Smith

15230 Lakeshore Dr

 $2.62 24 24
Delmer Fjarli

15230 Lakeshore Dr

 $0.00 46 46
Marc Randall Shapiro

3400 Emerson St

 $285.86 105 105
Kundai Kelvin Tanganyika

15322 Lakeshore Dr Ste 201

 $0.07 114 111
Julie Payette

15230 Lakeshore Dr

 $0.30 128 125
Christopher P Lombardo

15230 Lakeshore Dr

 $0.72 160 145
Mark J Freeman

15322 Lakeshore Dr

 $0.00 187 168
Whie Oh

15250 Lakeshore Dr Ste C

 $0.00 201 191
Adventist Health Clearlake Hospital Inc

15322 Lakeshore Drive

 $2.88 209 207
Jeong Sik Park

15250 Lakeshore Dr Ste C

 $21.39 248 241
Eric E. Kim

4456 Manzanita Ave

 $0.10 252 229
John Alden Weeks

15230 Lakeshore Dr

 $0.32 360 344
Pari Azari

15230 Lakeshore Dr

 $0.40 944 814
Raymond Dean Jennings

15230 Lakeshore Dr

 $0.42 1,000 923
John A Muraski

15630 18Th Ave

 $79.10 1,406 1,395
Christopher Voss

15630 18Th Ave

 $147.35 1,415 562
Renal Treatment Centers California Inc

14400 Olympic Dr

 $710.71 1,453 1,430
Adventist Health Clearlake Hospital Inc.

15230 Lakeshore Drive

 $2.30 2,975 2,777
Linnea Lantz

15630 18Th Ave

 $83.20 4,702 4,576
Jerry Edward Douglas

15322 Lakeshore Dr

 $0.41 7,393 6,615
Adventist Health Clearlake Hospital Inc.

15630 18Th Ave

 $112.27 104,989 90,804

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 Clearlake, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Clearlake, CA is $105.82 per claim, based on 128,311 claims from 21 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 Clearlake, CA?

There are 21 Medicaid providers offering Emergency Room Visit related services in Clearlake, CA according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Clearlake, CA ranges from $0.00 to $710.71 per claim, with an average of $105.82. 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 Clearlake, CA

Office Visit

Avg $18.30

275,577 claims

Blood Work & Lab Tests

Avg $8.45

240,888 claims

Urinalysis & Urine Tests

Avg $3.28

61,645 claims

Vaccines & Immunizations

Avg $7.37

49,335 claims

X-Ray

Avg $37.11

40,884 claims

Physical Therapy

Avg $45.81

32,653 claims

Psychiatric Evaluation

Avg $77.93

26,088 claims

EKG / ECG (Electrocardiogram)

Avg $29.12

25,007 claims