Average Medicaid Emergency Room Visit Payments in Mckinleyville, CA: $630.07
Avg. Paid
$630.07
Range
$0.00 – $801.30
Total Claims
1,590
Providers
6
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 Mckinleyville, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bio-Medical Applications Of California, Inc.
1550 Heartwood Dr |
$801.30 | 1,250 | 1,231 |
|
William Peter Carlson
1644 Central Ave |
$0.00 | 160 | 148 |
|
Open Door Community Health Centers
1644 Central Avenue |
$0.00 | 94 | 91 |
|
Jonathan H Bloch
1733 Central Ave |
$3.46 | 44 | 43 |
|
Eileen Margaret Patterson Stampe
1644 Central Ave |
$1.39 | 27 | 26 |
|
Nathan Ransom Copple
1644 Central Avenue |
$0.00 | 15 | 15 |
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 Mckinleyville, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mckinleyville, CA is $630.07 per claim, based on 1,590 claims from 6 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 Mckinleyville, CA?
There are 6 Medicaid providers offering Emergency Room Visit related services in Mckinleyville, CA according to public payment data.
What is the price range for Emergency Room Visit in Mckinleyville, CA?
Medicaid reimbursement for Emergency Room Visit in Mckinleyville, CA ranges from $0.00 to $801.30 per claim, with an average of $630.07. 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
3,661,931 claims · 1481 providers
Other Procedures in Mckinleyville, CA
Office Visit
Avg $12.42
87,078 claims
Non-Emergency Medical Transportation
Avg $38.34
14,929 claims
Psychiatric Evaluation
Avg $106.39
7,763 claims
Vaccines & Immunizations
Avg $7.34
5,127 claims
Hearing Test (Audiometry)
Avg $0.71
4,127 claims
Behavioral & Mental Health Therapy
Avg $140.56
2,378 claims
Substance Abuse Treatment
Avg $3.10
2,377 claims
Blood Work & Lab Tests
Avg $4.53
1,980 claims