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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Irvine, CA: $77.90

Avg. Paid

$77.90

Range

$49.28 – $186.61

Total Claims

36,332

Providers

40

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 Irvine, CA

Provider Avg. Paid Claims Patients
Amanda Darlene Moy

32 Gardenpath

$80.97 3,775 3,728
James M. Shen

16200 Sand Canyon Ave

$73.99 3,338 3,308
Brian Edward Laakaniemi

56 Rossmore

$73.01 3,184 3,139
Behrang Hosseini Dehkordi

12 Mauchly Ste P

$70.40 3,090 3,063
Ahmed Aly Elrefaie

16200 Sand Canyon Ave

$74.49 2,573 2,554
Peter Thanhtung Nguyen

1000 Fivepoint

$84.55 1,658 1,649
Fatimah Zaghari

16205 Sand Canyon Ave Ste 100

$75.19 1,637 1,427
Ethan Kunstadt

16200 Sand Canyon Ave

$74.22 1,486 1,468
Vinh Tonthat

16200 Sand Canyon Ave

$74.52 1,463 1,454
Tara O'Connell

4870 Barranca Pkwy

$78.35 1,423 1,404
Keith Joseph Rosing

25 Shade Tree

$54.95 1,407 1,361
Nicholas Bove

16200 Sand Canyon Ave

$75.62 1,388 1,383
Joshua Timothy Romanu

16200 Sand Canyon Ave

$74.37 1,214 1,203
Karin Elizabeth Reed

16200 Sand Canyon Ave

$76.10 1,204 1,198
Jessica Ikeda

14330 Culver Dr

$49.28 1,203 1,182
Christopher E Salem

18021 Sky Park Cir Ste G

$77.96 875 191
Thomas Aaron Grotsky

3 Schubert Ct

$85.54 750 747
Vitality Integrative Physicians

4000 Barranca Pkwy Ste 250

$53.40 541 114
Joon Han Kim

6640 Alton Pkwy

$142.02 528 219
Saba Hamiduzzaman

1000 Fivepoint

$158.31 489 202
Caroline M. Han

16100 Sand Canyon Ave

$113.71 438 433
Johnny Kim

6650 Alton Pkwy

$56.48 345 102
Nazita Adili-Khams

2500 Alton Parkway

$186.61 276 225
Stephen Tekchee Gau

1000 Fivepoint

$71.72 268 268
Cong T Ly

6640 Alton Parkway

$78.49 254 253
Ann Ullrich

16200 Sand Canyon Ave

$105.99 246 245
Niroshan Kirupananthan

11 Technology Dr

$80.50 233 174
Ravindra R Chand

22 Odyssey Suite 240

$98.75 230 228
Ryan Christopher Hurd

6640 Alton Pkwy

$87.42 143 141
Kelsey Chan

14443 Culver Dr Ste A

$63.24 130 130
Patrick Ming Chen

1 Medical Plaza Drive

$180.79 111 43
Steven Lin

16200 Sand Canyon Ave

$84.78 111 111
Albert S Jin

16200 Sand Canyon Ave

$64.30 88 88
Norbert Juergen Doll Sales

6670 Alton Pkwy

$81.74 59 59
Sean S Shahamiri

11 Technology Dr

$69.67 46 28
Jane Kim

1000 Fivepoint Ste A

$142.68 42 42
Christine Kim

58 Capricorn

$57.02 36 35
Lei Lei

1000 Fivepoint

$124.23 26 26
Joan Suzanne Newby Yildirimer

16205 Sand Canyon Ave Ste 100

$97.36 12 12
Joseph E Gilboy

16200 Sand Canyon Ave

$74.66 12 12

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 Irvine, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Irvine, CA is $77.90 per claim, based on 36,332 claims from 40 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 Irvine, CA?

There are 40 Medicaid providers offering Emergency Room Visit related services in Irvine, CA according to public payment data.

What is the price range for Emergency Room Visit in Irvine, CA?

Medicaid reimbursement for Emergency Room Visit in Irvine, CA ranges from $49.28 to $186.61 per claim, with an average of $77.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Irvine, CA