Average Medicaid Emergency Room Visit Payments in Merced, CA: $84.49
Avg. Paid
$84.49
Range
$16.75 – $131.71
Total Claims
249,697
Providers
31
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 Merced, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dignity Health
333 Mercy Ave |
$85.51 | 148,714 | 131,807 |
|
Ajinder Singh
333 Mercy Ave |
$100.38 | 18,909 | 18,719 |
|
Mohammed Kayali
1254 Esplanade Dr |
$86.59 | 10,559 | 10,333 |
|
Fatoumata Lelenta
333 Mercy Ave |
$66.67 | 8,233 | 8,156 |
|
Steven Hernandez
333 Mercy Ave |
$83.71 | 7,500 | 7,369 |
|
Alissa K Smouse
333 Mercy Ave |
$81.20 | 6,772 | 6,654 |
|
David Nicholas Barabe
301 E 13Th St |
$102.70 | 6,587 | 6,530 |
|
Gagan Deep Singh
836 Round Hill Dr |
$88.27 | 6,269 | 6,231 |
|
Ma Lovely Batasin
333 Mercy Ave |
$104.68 | 5,156 | 5,107 |
|
Ivan L Ventura
301 E 13Th St |
$73.34 | 3,881 | 3,833 |
|
Chanphen Saeng-Inh
3389 G St Ste B |
$51.63 | 3,515 | 3,486 |
|
Tony M. Ohn
2352 Tuscany Ave |
$63.87 | 3,109 | 3,048 |
|
Craig Robinson Devinney
301 E 13Th St |
$68.66 | 2,733 | 2,715 |
|
Opal Iyatunde Sophie Taylor
301 E 13Th St |
$16.75 | 2,606 | 2,583 |
|
John William Mcneil
333 Mercy Ave |
$121.23 | 2,567 | 2,551 |
|
Kevin Yu
333 Mercy Ave |
$78.94 | 2,311 | 2,288 |
|
John Scott Appel
737 W Childs Ave |
$57.95 | 2,186 | 2,096 |
|
Kristen Fortin
3393 G St Ste C |
$52.41 | 2,042 | 2,036 |
|
San Joaquin Emergency Medical Associates
333 Mercy Ave |
$26.14 | 1,772 | 1,672 |
|
James C. Hardy
301 E 13Th St |
$123.14 | 1,344 | 1,334 |
|
Jason Antunez
333 Mercy Ave |
$91.12 | 1,222 | 1,211 |
|
Steven Peter Maron
301 E 13Th St |
$64.02 | 625 | 602 |
|
Heather Margaret Whalen
3166 Collins Dr |
$78.11 | 427 | 424 |
|
George M Savage
797 W Childs Ave |
$53.41 | 152 | 144 |
|
Brooke Abigail Geyer
333 Mercy Ave |
$88.31 | 117 | 116 |
|
Arian Nachat
301 E 13Th St |
$93.43 | 103 | 89 |
|
Stephen John Backman
301 E 13Th St |
$35.51 | 85 | 85 |
|
Sunit Ratilal Patel
3389 G St Ste B |
$131.71 | 74 | 38 |
|
Sung Ernest Lee
315 Mercy Ave Ste 400 |
$93.41 | 74 | 25 |
|
James Richard Rabago
3393 G St Ste C |
$103.11 | 40 | 15 |
|
Cecilia Jeanny Jang
333 Mercy Ave |
$77.64 | 13 | 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 Merced, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Merced, CA is $84.49 per claim, based on 249,697 claims from 31 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 Merced, CA?
There are 31 Medicaid providers offering Emergency Room Visit related services in Merced, CA according to public payment data.
What is the price range for Emergency Room Visit in Merced, CA?
Medicaid reimbursement for Emergency Room Visit in Merced, CA ranges from $16.75 to $131.71 per claim, with an average of $84.49. 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 Merced, CA
Office Visit
Avg $28.40
2,195,639 claims
Blood Work & Lab Tests
Avg $11.11
448,682 claims
Physical Therapy
Avg $31.09
426,908 claims
Urinalysis & Urine Tests
Avg $3.09
310,116 claims
Vaccines & Immunizations
Avg $15.31
300,011 claims
Dental Cleaning & Exam
Avg $51.73
249,023 claims
Substance Abuse Treatment
Avg $85.66
223,627 claims
Ambulance Transport
Avg $70.90
206,700 claims