Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Mission Viejo, CA: $76.89

Avg. Paid

$76.89

Range

$0.09 – $146.15

Total Claims

68,153

Providers

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 Mission Viejo, CA

Provider	Avg. Paid	Claims	Patients
Mission Viejo Emergency Medical Associates 27700 Medical Center Rd	$80.57	27,936	26,857
Mission Hospital Regional Medical Center 27700 Medical Center Rd	$11.62	5,881	4,797
Robert Michael Milanes 26800 Crown Valley Pkwy Ste 475	$69.05	4,563	4,522
Stacy Ann Fikert 25262 Terreno Dr	$106.04	4,171	4,153
Joseph Lochinvar Dinglasan 27700 Medical Center Rd	$79.90	2,994	2,971
Christian Lee Rank 27529 Puerta Real	$75.31	2,724	2,696
Jon Frederick Cline 27700 Medical Center Rd	$88.17	2,264	2,251
Clark Stuart Paddock 23962 Alicia Pkwy	$60.15	2,225	2,110
James Blair Price 27700 Medical Center Rd	$87.11	2,116	2,099
Kenneth T Kwon 27700 Medical Center Rd	$82.64	1,763	1,757
Mission Hospital Regional Medical Center 27700 Medical Center Rd	$23.52	1,553	1,328
Oc Trauma Inc 26732 Crown Valley Pkwy Ste 351	$111.93	1,100	577
John Eric Mellott 27700 Medical Center Rd	$146.15	1,068	1,060
Matthew Sinclair Kaplan 27700 Medical Center Rd	$78.68	1,056	1,052
Daniel R Ponticiello 26800 Crown Valley Pkwy Ste 205	$126.13	847	227
Basit Rahim 26800 Crown Valley Pkwy Ste 385	$119.07	808	230
Peter Sungjin Pak 27799 Medical Center Rd Ste 440	$103.96	800	639
Robert Y. Goldberg 26800 Crown Valley Pkwy	$112.12	700	202
Gregory William Lampe 27700 Medical Center Rd	$81.83	629	623
Andrew James Lawson 27700 Medical Center Rd	$88.79	554	553
Mohammad Faisal Al-Sayyad 23962 Alicia Pkwy	$64.23	480	480
Michael Steven Ritter 27700 Medical Center Rd	$91.42	403	397
Jeffrey Alan Rey 27700 Medical Center Rd	$79.99	377	372
Ramon Waddell Johnson 27700 Medical Center Rd	$97.12	228	227
Raul Marquez 26800 Crown Valley Pkwy	$111.67	220	87
Stephanie Dawn Blodgett 23962 Alicia Pkwy Ste I-1	$55.96	159	156
Richard Joseph Kozak 27700 Medical Center Rd	$92.19	135	135
Providence Medical Foundation 26522 La Alameda	$0.09	76	26
Children'S Hospital At Mission 27700 Medical Center Rd Fl 5	$64.09	68	64
James Edward Keany 27700 Medical Center Rd	$60.45	44	44
Jesse Borke 26800 Crown Valley Pkwy Ste 340	$96.91	41	41
Richard A. Timmerman 27700 Medical Center Rd	$95.00	41	41
Jose A. Suazo 26800 Crown Valley Pkwy Ste 385	$96.50	40	40
Lauren Elizabeth Vento 27700 Medical Center Rd	$78.58	28	28
Michelle Halenda Palmer 27700 Medical Center Rd	$95.00	25	25
Cassandra L. Karn 27700 Medical Center Rd	$97.50	24	24
Alyssa Castle 27700 Medical Center Rd	$29.58	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 Mission Viejo, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mission Viejo, CA is $76.89 per claim, based on 68,153 claims from 37 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 Mission Viejo, CA?

There are 37 Medicaid providers offering Emergency Room Visit related services in Mission Viejo, CA according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Mission Viejo, CA ranges from $0.09 to $146.15 per claim, with an average of $76.89. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Mission Viejo, CA: $76.89

Providers Offering Emergency Room Visit in Mission Viejo, CA

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Mission Viejo, CA

Office Visit

Blood Work & Lab Tests

X-Ray

Urinalysis & Urine Tests

Psychiatric Evaluation

Eye Exam

CT Scan (Computed Tomography)

Ultrasound