Average Medicaid Emergency Room Visit Payments in Fresno, CA: $38.60
Avg. Paid
$38.60
Range
$0.00 – $689.65
Total Claims
1,035,563
Providers
315
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 Fresno, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Faculty Associates, Inc.
2823 Fresno St |
$1.90 | 86,418 | 79,697 |
|
Cep America - California
1303 E Herndon Ave |
$1.30 | 51,541 | 48,172 |
|
David Claypool
1303 E Herndon Ave |
$95.94 | 17,507 | 17,258 |
|
Janak Kirit Acharya
2823 Fresno St |
$14.62 | 16,517 | 16,227 |
|
Saint Agnes Medical Center
1303 E Herndon Ave |
$25.74 | 15,712 | 14,563 |
|
David Kyle Hakkarinen
155 N Fresno St |
$111.15 | 14,182 | 13,156 |
|
Jimmy A Donkor
155 N Fresno St |
$18.00 | 14,171 | 13,951 |
|
Rene Ramirez
2823 Fresno St |
$15.52 | 14,156 | 13,942 |
|
Fernando Macias
2823 Fresno St |
$14.32 | 14,024 | 13,765 |
|
Thomas Schilling
155 N Fresno St |
$15.46 | 13,982 | 13,830 |
|
Nicholas John Hamilton
2823 Fresno St |
$16.51 | 13,800 | 13,640 |
|
Sameir Ali Alhadi
2823 Fresno St |
$18.14 | 13,005 | 12,754 |
|
Diane Kang Rosonke
155 N Fresno St |
$173.39 | 12,193 | 11,300 |
|
Brian Emery Horan
2823 Fresno St |
$17.08 | 12,048 | 11,927 |
|
Eric A Leveque
1303 E Herndon Ave |
$18.62 | 12,034 | 11,896 |
|
Omar Alfonso Guzman
2823 Fresno St |
$42.07 | 11,423 | 11,318 |
|
Michael David Cawdery
155 N Fresno St |
$17.43 | 11,243 | 11,138 |
|
Leann Mainis
155 N Fresno St |
$67.30 | 10,668 | 10,554 |
|
Eric Jove Graham
155 N Fresno St |
$17.37 | 10,617 | 10,513 |
|
Andres Martin Anaya
155 N Fresno St |
$25.05 | 10,567 | 10,447 |
|
Leticia Escoto
290 N Wayte Ln |
$19.75 | 10,274 | 10,160 |
|
John Paul Orona
2823 Fresno St |
$13.92 | 10,230 | 10,063 |
|
Nicholas Steven Gastelum
2823 Fresno St |
$44.67 | 10,029 | 9,933 |
|
Gregory Richardson
2823 Fresno St |
$60.46 | 9,951 | 8,895 |
|
Seth Eidemiller
155 N Fresno St |
$76.04 | 9,716 | 9,595 |
|
Walid Hamud-Ahmed
2823 Fresno St |
$14.81 | 9,602 | 9,473 |
|
Anthony Rodigin
155 N Fresno St |
$66.52 | 9,516 | 9,409 |
|
University Faculty Associates, Inc.
2625 E Divisadero St |
$3.49 | 9,317 | 3,382 |
|
Matthew S Hendrickson
1303 E Herndon Ave |
$50.92 | 9,283 | 9,211 |
|
Eric R Schmitt
2823 Fresno St |
$15.03 | 9,253 | 9,147 |
|
Eileen Shu
2823 Fresno St |
$87.07 | 8,869 | 8,784 |
|
Gabriel Thomas Schroeder
2823 Fresno St |
$19.04 | 8,754 | 8,663 |
|
Fresno Community Hospital And Medical Center
2823 Fresno St |
$22.26 | 8,728 | 7,654 |
|
Michael A. Darracq
2823 Fresno St |
$16.11 | 8,713 | 8,613 |
|
James E Andrews
2823 Fresno St |
$14.63 | 8,699 | 8,607 |
|
Jordan L Beshore
2823 Fresno St |
$14.94 | 8,674 | 8,593 |
|
Jason Christopher Tsukamaki
6355 N Rafael Ave |
$99.50 | 8,633 | 8,562 |
|
Alan Givertz
1303 E Herndon Ave |
$17.65 | 8,498 | 8,428 |
|
Scott S Deshields
2823 Fresno St |
$15.69 | 8,167 | 8,101 |
|
Peter Anastopoulos
2823 Fresno St |
$69.38 | 7,858 | 7,826 |
|
Harold Edward Lowder
2823 Fresno St |
$16.16 | 7,806 | 7,740 |
|
Kurt Frederick Brueggemann
2823 Fresno St |
$72.62 | 7,651 | 7,304 |
|
Marie Lutz
155 N Fresno St |
$84.39 | 7,175 | 7,126 |
|
Dan Fraser Savage
2823 Fresno St |
$56.30 | 7,148 | 6,960 |
|
Gilbert Halon Ramirez
2823 Fresno St |
$15.65 | 7,017 | 6,941 |
|
Brian Farr Chinnock
2823 Fresno St |
$16.56 | 7,011 | 6,924 |
|
Geoffrey R Stroh
2823 Fresno St |
$19.59 | 6,929 | 6,813 |
|
Fernando Jose Teixeira
2823 Fresno St |
$13.40 | 6,900 | 6,849 |
|
John Benjamin Luck
2823 Fresno St |
$143.62 | 6,809 | 6,172 |
|
Thomas Hart Hull
155 N Fresno St |
$16.72 | 6,470 | 6,405 |
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 Fresno, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Fresno, CA is $38.60 per claim, based on 1,035,563 claims from 315 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 Fresno, CA?
There are 315 Medicaid providers offering Emergency Room Visit related services in Fresno, CA according to public payment data.
What is the price range for Emergency Room Visit in Fresno, CA?
Medicaid reimbursement for Emergency Room Visit in Fresno, CA ranges from $0.00 to $689.65 per claim, with an average of $38.60. 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 Fresno, CA
Office Visit
Avg $9.04
7,118,942 claims
Substance Abuse Treatment
Avg $27.33
4,413,563 claims
Blood Work & Lab Tests
Avg $2.74
2,444,948 claims
Dental Cleaning & Exam
Avg $51.51
1,690,843 claims
Urinalysis & Urine Tests
Avg $0.70
1,247,642 claims
Vaccines & Immunizations
Avg $0.97
1,207,674 claims
Behavioral & Mental Health Therapy
Avg $160.45
952,885 claims
Physical Therapy
Avg $1.08
934,702 claims