Average Medicaid Emergency Room Visit Payments in Encino, CA: $49.51
Avg. Paid
$49.51
Range
$39.46 – $109.61
Total Claims
50,136
Providers
16
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 Encino, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Romik Zadorian
16661 Ventura Blvd Ste 108 |
$48.85 | 13,033 | 12,935 |
|
Ikechukwu Arene
5400 Balboa Blvd Ste 120 |
$53.09 | 9,877 | 9,727 |
|
Pacifica Emergency Medical Associates
16237 Ventura Blvd |
$39.46 | 8,486 | 7,945 |
|
Eric S Carlisle
16237 Ventura Blvd |
$39.57 | 6,506 | 6,468 |
|
Bay Area Accountable Care Network, Inc
15821 Ventura Blvd |
$68.94 | 3,170 | 2,979 |
|
Prime Healthcare Services Encino Llc
16237 Ventura Blvd |
$49.53 | 2,765 | 2,000 |
|
Exceptional Care Medical Group, Inc
16030 Ventura Blvd Ste 200 |
$70.67 | 2,340 | 2,196 |
|
Tamar Sauer
16237 Ventura Blvd |
$39.76 | 1,442 | 1,415 |
|
David Michael Hong
5100 Louise Ave |
$49.70 | 1,319 | 1,310 |
|
Family Health Alliance
16030 Ventura Blvd Ste 200 |
$71.45 | 598 | 554 |
|
Mid-Cities Physicians Ipa
16030 Ventura Blvd Ste 200 |
$53.22 | 204 | 192 |
|
Veronica Renov
5353 Balboa Blvd Ste 104 |
$70.02 | 172 | 172 |
|
David Ari Friedberg
17525 Ventura Blvd |
$109.61 | 105 | 71 |
|
Monika Mladenovic
16260 Ventura Blvd Ste 630 |
$68.52 | 55 | 55 |
|
Mark Laty
16260 Ventura Blvd Ste 630 |
$55.86 | 35 | 30 |
|
Danielle Bridget Ramage
16260 Ventura Blvd Ste 630 |
$77.83 | 29 | 29 |
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 Encino, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Encino, CA is $49.51 per claim, based on 50,136 claims from 16 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 Encino, CA?
There are 16 Medicaid providers offering Emergency Room Visit related services in Encino, CA according to public payment data.
What is the price range for Emergency Room Visit in Encino, CA?
Medicaid reimbursement for Emergency Room Visit in Encino, CA ranges from $39.46 to $109.61 per claim, with an average of $49.51. 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 Encino, CA
Office Visit
Avg $36.70
416,535 claims
Blood Work & Lab Tests
Avg $1.65
226,462 claims
Speech Therapy
Avg $43.27
225,951 claims
Behavioral & Mental Health Therapy
Avg $140.93
199,555 claims
Dental Cleaning & Exam
Avg $52.48
186,249 claims
Eye Exam
Avg $23.26
176,172 claims
Nursing Facility Care
Avg $13.94
134,655 claims
Vaccines & Immunizations
Avg $3.63
102,781 claims