Average Medicaid Emergency Room Visit Payments in Laguna Hills, CA: $51.53
Avg. Paid
$51.53
Range
$9.85 – $114.42
Total Claims
58,477
Providers
19
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 Laguna Hills, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alexander Michael Zlidenny
24451 Health Center Dr |
$49.32 | 20,026 | 19,836 |
|
Jim Sorena Seraj
23422 Peralta Dr Ste C |
$55.46 | 10,519 | 10,452 |
|
Cep America - California
22451 Health Center Dr. |
$50.62 | 8,652 | 8,270 |
|
Mark Michael Reynolds
26522 Poinsettia Ct |
$53.07 | 8,575 | 8,376 |
|
Saddleback Memorial Medical Center
24451 Health Center Dr |
$9.85 | 5,082 | 4,418 |
|
Kia Ghiassi
24422 Avenida De La Carlota Ste 275 |
$114.42 | 1,499 | 610 |
|
Dwight Chosen Arakaki
24451 Health Center Dr |
$88.11 | 881 | 874 |
|
Randall Scott Chong
24451 Health Center Dr |
$92.26 | 757 | 750 |
|
Melissa Louise Zankich-Patalan
24012 Calle De La Plata Ste 230 |
$59.89 | 719 | 715 |
|
Michelle Lauren Tom
24451 Health Center Dr |
$84.88 | 569 | 560 |
|
Gregory Garabed Simsarian
24451 Health Center Dr |
$88.23 | 436 | 434 |
|
Joshua Peter Bobko
24451 Health Center Dr |
$84.02 | 161 | 155 |
|
Brian L Henry
24221 Calle De La Louisa |
$62.16 | 146 | 137 |
|
Frederick Lamarr Stafford
25431 Cabot Rd Ste 107 |
$87.90 | 95 | 68 |
|
Vidal Julio Espeleta
24411 Health Center Dr Ste 560 |
$48.90 | 93 | 37 |
|
Bryan David Vo
24411 Health Center Dr Ste 560 |
$32.62 | 85 | 27 |
|
Eric Siedenburg
24451 Health Center Dr |
$94.74 | 72 | 72 |
|
Angela Kim
24411 Health Center Dr Ste 200 |
$37.25 | 58 | 56 |
|
Thomas T Vovan
24411 Health Center Dr |
$63.37 | 52 | 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 Laguna Hills, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Laguna Hills, CA is $51.53 per claim, based on 58,477 claims from 19 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 Laguna Hills, CA?
There are 19 Medicaid providers offering Emergency Room Visit related services in Laguna Hills, CA according to public payment data.
What is the price range for Emergency Room Visit in Laguna Hills, CA?
Medicaid reimbursement for Emergency Room Visit in Laguna Hills, CA ranges from $9.85 to $114.42 per claim, with an average of $51.53. 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 Laguna Hills, CA
Office Visit
Avg $46.97
261,023 claims
Behavioral & Mental Health Therapy
Avg $112.80
128,538 claims
Blood Work & Lab Tests
Avg $3.27
108,539 claims
Physical Therapy
Avg $9.05
76,165 claims
X-Ray
Avg $4.85
63,422 claims
Psychiatric Evaluation
Avg $73.59
59,483 claims
EKG / ECG (Electrocardiogram)
Avg $9.37
55,963 claims
Substance Abuse Treatment
Avg $90.88
37,423 claims