Average Medicaid Emergency Room Visit Payments in Clovis, CA: $17.09
Avg. Paid
$17.09
Range
$1.02 – $333.88
Total Claims
107,857
Providers
23
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 Clovis, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cep America - California
2755 Herndon Ave |
$1.02 | 42,388 | 40,273 |
|
Trisha Beck
2497 Herndon Ave Ste 101 |
$29.34 | 18,960 | 18,818 |
|
Juan Manuel Hernandez
2755 Herndon Ave |
$38.06 | 6,955 | 6,907 |
|
James Gilbert Osborne
2755 Herndon Ave |
$17.41 | 6,497 | 6,444 |
|
Scott Christopher Ford
2577 Herndon St. |
$18.10 | 6,444 | 6,396 |
|
William M Wilson
2755 Herndon Ave |
$13.85 | 5,862 | 5,777 |
|
Jason Anthony Della Vecchia
2755 Herndon Ave |
$29.84 | 5,453 | 5,404 |
|
Manon Kwon
2755 Herndon Avenue |
$50.47 | 4,584 | 4,495 |
|
Fresno Community Hospital And Medical Center
2755 Herndon Ave |
$13.23 | 3,847 | 3,607 |
|
John D Mcnaughton
2755 Herndon Avenue |
$28.78 | 2,441 | 2,420 |
|
Pravachan V C Hegde
726 N Medical Center Dr E Ste 201 |
$33.79 | 1,376 | 739 |
|
David Dennis Nege
2740 Herndon Ave |
$35.43 | 679 | 634 |
|
Yee Lee
2755 Herndon Ave |
$10.50 | 620 | 620 |
|
Robert K Grazier
2755 Herndon Avenue |
$24.43 | 512 | 507 |
|
Melissa Kemp
2755 Herndon Ave |
$45.14 | 428 | 425 |
|
Chris P Thomson
1865 Herndon Ave |
$29.90 | 274 | 147 |
|
Monique Hall
2755 Herndon Ave |
$48.15 | 146 | 113 |
|
Kasey Swafford-Forrest
2021 Herndon Ave |
$85.56 | 107 | 103 |
|
Rebecca Marissa Mena
2021 Herndon Ave Ste 101 |
$32.54 | 99 | 60 |
|
Emmily Jane Poole
2755 Herndon Ave |
$12.81 | 91 | 51 |
|
Omobola Adeola Olaniyan
2497 Herndon Ave Ste 101 |
$106.88 | 52 | 48 |
|
Shannon Nicole Liang
726 N Medical Center Dr E Ste 209 |
$333.88 | 27 | 14 |
|
Jason Doel
2071 Herndon Ave |
$46.02 | 15 | 13 |
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 Clovis, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Clovis, CA is $17.09 per claim, based on 107,857 claims from 23 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 Clovis, CA?
There are 23 Medicaid providers offering Emergency Room Visit related services in Clovis, CA according to public payment data.
What is the price range for Emergency Room Visit in Clovis, CA?
Medicaid reimbursement for Emergency Room Visit in Clovis, CA ranges from $1.02 to $333.88 per claim, with an average of $17.09. 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 Clovis, CA
Blood Work & Lab Tests
Avg $0.57
3,495,861 claims
Urinalysis & Urine Tests
Avg $0.23
583,707 claims
Office Visit
Avg $8.65
520,066 claims
Culture & Microbiology Tests
Avg $0.30
277,013 claims
Pathology & Lab Services
Avg $4.68
251,622 claims
Dental Cleaning & Exam
Avg $53.79
164,720 claims
Physical Therapy
Avg $0.60
93,248 claims
X-Ray
Avg $2.95
91,121 claims