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 |
|---|---|---|---|
|
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 |
|
Lei Lei
1000 Fivepoint |
$124.23 | 26 | 26 |
|
Christine Kim
58 Capricorn |
$57.02 | 36 | 35 |
|
Jane Kim
1000 Fivepoint Ste A |
$142.68 | 42 | 42 |
|
Sean S Shahamiri
11 Technology Dr |
$69.67 | 46 | 28 |
|
Norbert Juergen Doll Sales
6670 Alton Pkwy |
$81.74 | 59 | 59 |
|
Albert S Jin
16200 Sand Canyon Ave |
$64.30 | 88 | 88 |
|
Patrick Ming Chen
1 Medical Plaza Drive |
$180.79 | 111 | 43 |
|
Steven Lin
16200 Sand Canyon Ave |
$84.78 | 111 | 111 |
|
Kelsey Chan
14443 Culver Dr Ste A |
$63.24 | 130 | 130 |
|
Ryan Christopher Hurd
6640 Alton Pkwy |
$87.42 | 143 | 141 |
|
Ravindra R Chand
22 Odyssey Suite 240 |
$98.75 | 230 | 228 |
|
Niroshan Kirupananthan
11 Technology Dr |
$80.50 | 233 | 174 |
|
Ann Ullrich
16200 Sand Canyon Ave |
$105.99 | 246 | 245 |
|
Cong T Ly
6640 Alton Parkway |
$78.49 | 254 | 253 |
|
Stephen Tekchee Gau
1000 Fivepoint |
$71.72 | 268 | 268 |
|
Nazita Adili-Khams
2500 Alton Parkway |
$186.61 | 276 | 225 |
|
Johnny Kim
6650 Alton Pkwy |
$56.48 | 345 | 102 |
|
Caroline M. Han
16100 Sand Canyon Ave |
$113.71 | 438 | 433 |
|
Saba Hamiduzzaman
1000 Fivepoint |
$158.31 | 489 | 202 |
|
Joon Han Kim
6640 Alton Pkwy |
$142.02 | 528 | 219 |
|
Vitality Integrative Physicians
4000 Barranca Pkwy Ste 250 |
$53.40 | 541 | 114 |
|
Thomas Aaron Grotsky
3 Schubert Ct |
$85.54 | 750 | 747 |
|
Christopher E Salem
18021 Sky Park Cir Ste G |
$77.96 | 875 | 191 |
|
Jessica Ikeda
14330 Culver Dr |
$49.28 | 1,203 | 1,182 |
|
Karin Elizabeth Reed
16200 Sand Canyon Ave |
$76.10 | 1,204 | 1,198 |
|
Joshua Timothy Romanu
16200 Sand Canyon Ave |
$74.37 | 1,214 | 1,203 |
|
Nicholas Bove
16200 Sand Canyon Ave |
$75.62 | 1,388 | 1,383 |
|
Keith Joseph Rosing
25 Shade Tree |
$54.95 | 1,407 | 1,361 |
|
Tara O'Connell
4870 Barranca Pkwy |
$78.35 | 1,423 | 1,404 |
|
Vinh Tonthat
16200 Sand Canyon Ave |
$74.52 | 1,463 | 1,454 |
|
Ethan Kunstadt
16200 Sand Canyon Ave |
$74.22 | 1,486 | 1,468 |
|
Fatimah Zaghari
16205 Sand Canyon Ave Ste 100 |
$75.19 | 1,637 | 1,427 |
|
Peter Thanhtung Nguyen
1000 Fivepoint |
$84.55 | 1,658 | 1,649 |
|
Ahmed Aly Elrefaie
16200 Sand Canyon Ave |
$74.49 | 2,573 | 2,554 |
|
Behrang Hosseini Dehkordi
12 Mauchly Ste P |
$70.40 | 3,090 | 3,063 |
|
Brian Edward Laakaniemi
56 Rossmore |
$73.01 | 3,184 | 3,139 |
|
James M. Shen
16200 Sand Canyon Ave |
$73.99 | 3,338 | 3,308 |
|
Amanda Darlene Moy
32 Gardenpath |
$80.97 | 3,775 | 3,728 |
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
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 Irvine, CA
Office Visit
Avg $41.92
985,384 claims
Physical Therapy
Avg $21.50
489,307 claims
Dental Cleaning & Exam
Avg $51.65
486,390 claims
Durable Medical Equipment (DME)
Avg $52.50
310,608 claims
Psychiatric Evaluation
Avg $58.51
235,043 claims
Behavioral & Mental Health Therapy
Avg $140.19
206,705 claims
Nursing Facility Care
Avg $15.60
200,937 claims
Non-Emergency Medical Transportation
Avg $75.89
151,944 claims