Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Modesto, CA: $82.65

Avg. Paid

$82.65

Range

$0.00 – $173.27

Total Claims

624,564

Providers

123

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 Modesto, CA

Provider	Avg. Paid	Claims	Patients
Doctors Medical Center Of Modesto, Inc. 1441 Florida Ave	$154.16	109,760	100,577
Cep America - California 1441 Florida Avenue	$61.04	66,525	61,926
Cep America - California 1700 Coffee Rd	$72.04	39,981	37,302
Erik Rittenhouse Lacy 1441 Florida Avenue	$66.73	32,730	32,234
Robert Barandica 1441 Florida Avenue	$62.81	26,297	25,955
Pankaj Malhotra 1441 Florida Ave	$32.17	23,005	22,100
Robert Adrian Donovan 1441 Florida Avenue	$65.94	17,517	17,369
Sutter Valley Hospitals 1700 Coffee Rd	$153.73	17,403	15,952
Keith A. Hughes 1700 Coffee Road	$76.31	16,954	16,722
Alfredo L Montelongo 1700 Coffee Rd	$23.65	14,328	14,208
Chun Joey Chang 401 Paradise Rd	$72.74	14,195	14,049
Benjamin David Schifrin 1441 Florida Avenue	$58.40	13,976	13,856
Justin Wang 2929 Floyd Ave	$37.87	13,834	13,760
Robert Wanklin 1700 Coffee Rd	$75.43	11,878	11,745
William Cooper Eidenmuller 1700 Coffee Rd	$69.37	11,289	11,174
Terence J. Sweeney 1700 Coffee Road	$69.29	10,462	10,389
Phillip Michael Chan 1441 Florida Ave	$64.49	10,440	10,314
Joseph Charles Dagostino 700 Coffee Rd	$73.23	9,056	8,934
David R. Paradis 1700 Coffee Road	$66.61	8,904	8,853
Joanna Maureen Dumont 1441 Florida Ave	$76.98	8,784	8,706
Dana L Buchanan 1441 Florida Ave	$61.49	7,241	7,190
Valley Children'S Medical Group 1524 Mchenry Ave	$1.67	6,866	6,501
Rachelle Suzanne Soper 1441 Florida Ave	$56.62	6,498	6,429
Donald Zweig 1700 Coffee Road	$72.16	6,409	6,360
Ranti Sherifat Bolaji 1441 Florida Ave	$67.46	6,175	6,131
Kanthi N. Kiran 1700 Coffee Rd	$62.64	5,314	5,280
Manjit Singh Dhillon 700 17Th St Ste 102	$104.98	4,936	2,084
Ramanjeet Singh 1441 Florida Ave	$147.70	4,916	2,207
Natalie Slowik 1441 Florida Ave	$111.40	4,761	1,872
Sarah Marie Dunn 1441 Florida Ave	$63.00	4,510	4,479
Glen Charles Hookey 1700 Coffee Rd	$79.10	4,509	4,468
Carolyn Robin Lanam 1601 Cummins Dr Ste D	$51.46	4,459	4,423
Patrick Wong 1441 Florida Ave	$106.98	3,984	1,515
Mohammad Abdelaziz Mahmoud 1441 Florida Ave	$93.62	3,729	3,679
Frank Fower 1700 Coffee Rd	$58.71	3,645	3,591
Steven Deford 4601 Dale Rd	$66.57	3,288	3,235
Mohammed Abo Khamis 1441 Florida Ave	$111.10	3,037	1,242
Glenn Hickman 4601 Dale Rd	$19.07	2,878	2,833
Elbio Rafael Sabao 4601 Dale Rd	$96.17	2,778	2,750
Josaiah Pun 1441 Florida Ave	$64.02	2,661	2,651
Krystal S Mccain 1114 6Th St	$24.60	2,600	1,874
Lisa Ippolito 1441 Florida Ave	$45.32	2,436	2,409
Sushma V Shah 4301 N Star Way	$39.50	2,316	2,288
American Specialty Physicians Group Inc 700 17Th St Ste 205	$0.52	2,228	2,145
Dennis Lee Gardner 1700 Coffee Rd	$67.24	2,196	2,188
Aliasgar Chinwala 4601 Dale Rd	$30.87	2,183	2,171
Richard Garcia 4601 Dale Rd	$56.31	2,144	2,121
Douglas H Joe 1441 Florida Avenue	$62.35	2,124	2,116
Addison Chan 1700 Coffee Rd	$116.74	2,038	1,833
Susan C Ways 200 W Coolidge Ave	$72.20	1,991	1,879

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 Modesto, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Modesto, CA is $82.65 per claim, based on 624,564 claims from 123 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 Modesto, CA?

There are 123 Medicaid providers offering Emergency Room Visit related services in Modesto, CA according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Modesto, CA ranges from $0.00 to $173.27 per claim, with an average of $82.65. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Modesto, CA: $82.65

Providers Offering Emergency Room Visit in Modesto, CA

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Modesto, CA

Office Visit

Blood Work & Lab Tests

Substance Abuse Treatment

Physical Therapy

Dental Cleaning & Exam

Urinalysis & Urine Tests

Vaccines & Immunizations

X-Ray