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Based on public Medicaid payment data.

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

Other Procedures in Fresno, CA