Average Medicaid Emergency Room Visit Payments in Gilroy, CA: $74.08
Avg. Paid
$74.08
Range
$4.07 – $93.21
Total Claims
53,953
Providers
10
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 Gilroy, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Young Kim
7520 Arroyo Cir |
$59.75 | 13 | 13 |
|
Prince Shah
9460 N Name Uno |
$57.30 | 16 | 13 |
|
Emergency Physicians Associates Gilroy Pc
9400 N Name Uno |
$4.07 | 289 | 275 |
|
Andres Rojas
9400 N Name Uno |
$55.30 | 688 | 686 |
|
Melissa Jean Lynch
9400 N Name Uno |
$45.43 | 3,607 | 3,579 |
|
Peter A Binkley
9400 N Name Uno |
$42.70 | 4,187 | 4,164 |
|
Marisa Tingfeng Liang
9460 N Name Uno |
$89.47 | 5,769 | 5,239 |
|
Saint Louise Regional Hospital
9400 N Name Uno |
$8.20 | 6,002 | 5,594 |
|
Christopher Burke
9400 N Name Uno |
$93.21 | 15,000 | 14,913 |
|
Valerie Angelita Vigil
9400 N Name Uno |
$89.75 | 18,382 | 18,140 |
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 Gilroy, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Gilroy, CA is $74.08 per claim, based on 53,953 claims from 10 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 Gilroy, CA?
There are 10 Medicaid providers offering Emergency Room Visit related services in Gilroy, CA according to public payment data.
What is the price range for Emergency Room Visit in Gilroy, CA?
Medicaid reimbursement for Emergency Room Visit in Gilroy, CA ranges from $4.07 to $93.21 per claim, with an average of $74.08. 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 Gilroy, CA
Office Visit
Avg $14.27
106,295 claims
Case Management Services
Avg $187.31
103,719 claims
Dental Cleaning & Exam
Avg $55.09
66,325 claims
Behavioral & Mental Health Therapy
Avg $279.49
42,165 claims
Eye Exam
Avg $5.09
33,495 claims
Blood Work & Lab Tests
Avg $14.84
27,297 claims
Vaccines & Immunizations
Avg $1.89
16,225 claims
Psychiatric Evaluation
Avg $308.63
14,725 claims