Average Medicaid Emergency Room Visit Payments in Delano, CA: $198.08
Avg. Paid
$198.08
Range
$0.00 – $383.25
Total Claims
116,815
Providers
11
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 Delano, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adventist Health Delano
1401 Garces Hwy |
$262.63 | 73,981 | 64,603 |
|
Team Physicians Of California Medical Group Inc
1401 Garces Hwy |
$68.80 | 30,407 | 29,098 |
|
Verenice Pat
425 Del Sol Pkwy |
$83.73 | 4,191 | 4,157 |
|
Courtney Nicole Grayson
1401 Garces Hwy |
$84.80 | 3,013 | 2,996 |
|
Milton Kamansky
1401 Garces Hwy |
$77.22 | 2,050 | 2,043 |
|
Daniel W Jordan
325 S Lexington St |
$383.25 | 2,007 | 1,923 |
|
Jesus Pulido Baldonado
1201 Jefferson St |
$131.54 | 434 | 431 |
|
Sam J. Shields
1401 Garces Highway |
$51.44 | 386 | 382 |
|
Cep America-California
1401 Garces Hwy |
$0.00 | 213 | 208 |
|
Evelyn Patricia Wade
1500 6Th Ave |
$49.05 | 84 | 79 |
|
Debbie Ann Marie Dennis
1201 Jefferson St |
$43.04 | 49 | 48 |
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 Delano, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Delano, CA is $198.08 per claim, based on 116,815 claims from 11 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 Delano, CA?
There are 11 Medicaid providers offering Emergency Room Visit related services in Delano, CA according to public payment data.
What is the price range for Emergency Room Visit in Delano, CA?
Medicaid reimbursement for Emergency Room Visit in Delano, CA ranges from $0.00 to $383.25 per claim, with an average of $198.08. 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 Delano, CA
Office Visit
Avg $33.93
538,856 claims
Blood Work & Lab Tests
Avg $6.18
326,213 claims
Dental Cleaning & Exam
Avg $49.79
220,635 claims
Urinalysis & Urine Tests
Avg $1.48
135,626 claims
Vaccines & Immunizations
Avg $6.99
122,692 claims
Physical Therapy
Avg $30.28
114,529 claims
Substance Abuse Treatment
Avg $32.21
111,333 claims
Psychiatric Evaluation
Avg $71.17
59,753 claims