Average Medicaid Emergency Room Visit Payments in Healdsburg, CA: $112.49
Avg. Paid
$112.49
Range
$0.00 – $174.61
Total Claims
53,202
Providers
11
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 Healdsburg, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
North Sonoma County Health Care District
1375 University Ave. |
$118.09 | 21,209 | 17,106 |
|
Norcal Healthconnect Llc
1375 University Ave |
$174.61 | 12,199 | 10,186 |
|
James Francis Dolan
764 Alexander Valley Rd |
$73.53 | 6,582 | 6,447 |
|
Timothy C Saunders
9335 Highway 128 |
$74.43 | 6,558 | 6,430 |
|
Isis A Laland
1083 Vine St |
$54.92 | 2,521 | 2,502 |
|
Judy Lock
1381 University St |
$52.46 | 1,874 | 1,863 |
|
Graeme Stuart Mchenry
1375 University St |
$62.99 | 1,370 | 1,311 |
|
Elizabeth Anne Faulk
1375 University St |
$68.86 | 790 | 776 |
|
Andre B Gerard
1381 University St |
$0.00 | 67 | 61 |
|
Carey Robert Terry
1381 University St |
$45.29 | 16 | 12 |
|
William James Elder
717 Center St |
$0.00 | 16 | 13 |
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 Healdsburg, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Healdsburg, CA is $112.49 per claim, based on 53,202 claims from 11 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 Healdsburg, CA?
There are 11 Medicaid providers offering Emergency Room Visit related services in Healdsburg, CA according to public payment data.
What is the price range for Emergency Room Visit in Healdsburg, CA?
Medicaid reimbursement for Emergency Room Visit in Healdsburg, CA ranges from $0.00 to $174.61 per claim, with an average of $112.49. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
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Other Procedures in Healdsburg, CA
Office Visit
Avg $9.74
137,291 claims
Psychiatric Evaluation
Avg $14.60
28,056 claims
Chiropractic Care
Avg $20.36
23,558 claims
Blood Work & Lab Tests
Avg $9.04
12,610 claims
Ambulance Transport
Avg $114.75
7,970 claims
Urinalysis & Urine Tests
Avg $2.95
7,756 claims
Speech Therapy
Avg $16.44
6,170 claims
Physical Therapy
Avg $116.81
5,714 claims