Average Medicaid Emergency Room Visit Payments in Espanola, NM: $151.28
Avg. Paid
$151.28
Range
$63.63 – $177.49
Total Claims
129,106
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 Espanola, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Presbyterian Healthcare Services
1010 Spruce St |
$177.49 | 67,239 | 62,707 |
|
Valerie Merl
1010 Spruce St |
$128.45 | 10,732 | 10,427 |
|
Lea Pazos Creekmur O'Dell
1010 Spruce St |
$129.89 | 8,886 | 8,607 |
|
Emily Drummond
1010 Spruce St |
$125.89 | 8,049 | 7,813 |
|
Karen G Connaughton
1010 Spruce St |
$135.82 | 7,596 | 7,383 |
|
Keith Bryan Haynie
206 S Coronado Ave |
$84.05 | 6,404 | 5,806 |
|
Jessica Lynn Alcon-Romero
1010 Spruce St |
$113.48 | 5,204 | 5,066 |
|
Gary Kanner
1010 Spruce St |
$141.22 | 4,360 | 4,250 |
|
Brandon Allen Quinn
1010 Spruce St |
$136.92 | 2,131 | 2,070 |
|
Fernando Bayardo
1010 Spruce St |
$130.66 | 1,892 | 1,845 |
|
Jonathan C Peachey
1010 Spruce St |
$92.95 | 1,860 | 1,788 |
|
Erika Jean Lucero
620 N Coronado Ave |
$110.11 | 1,830 | 1,785 |
|
Kimberly Allen
1010 Spruce St |
$128.41 | 1,532 | 1,497 |
|
Alexander Thomas Vining
1010 Spruce St |
$146.87 | 906 | 892 |
|
Davita Adanuvor
807 Calle Chamisal |
$66.18 | 454 | 439 |
|
Kathy Lynn Wirz
1010 Spruce St |
$63.63 | 31 | 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 Espanola, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Espanola, NM is $151.28 per claim, based on 129,106 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 Espanola, NM?
There are 16 Medicaid providers offering Emergency Room Visit related services in Espanola, NM according to public payment data.
What is the price range for Emergency Room Visit in Espanola, NM?
Medicaid reimbursement for Emergency Room Visit in Espanola, NM ranges from $63.63 to $177.49 per claim, with an average of $151.28. 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 Espanola, NM
Office Visit
Avg $107.80
190,628 claims
Blood Work & Lab Tests
Avg $14.14
142,368 claims
Substance Abuse Treatment
Avg $170.43
124,888 claims
Home Health Visit
Avg $74.52
85,291 claims
Psychiatric Evaluation
Avg $94.68
51,096 claims
Physical Therapy
Avg $43.42
47,381 claims
Urinalysis & Urine Tests
Avg $6.55
37,849 claims
X-Ray
Avg $66.85
27,014 claims