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 |
|---|---|---|---|
|
Amanda L Peoples
3708 Poinsettia Dr |
$57.48 | 12 | 12 |
|
Peter Le Vuong
4601 Dale Rd |
$67.60 | 12 | 12 |
|
David Zarate Rojas
405 Mid Pines Way |
$56.98 | 12 | 12 |
|
Oanh Hoang Nguyen Phan
4601 Dale Rd |
$4.67 | 13 | 13 |
|
Bharati Meesala
600 Coffee Rd |
$173.27 | 13 | 13 |
|
Gerald Leroy Mckinsey
1409 E Briggsmore Ave |
$0.00 | 17 | 17 |
|
Arun Manoharan
1441 Florida Ave |
$125.53 | 18 | 18 |
|
Anthony Rex Victorio
4301 Northstar Way |
$58.79 | 18 | 18 |
|
Suzanne Louise Meyer
1209 Woodrow Ave |
$0.00 | 30 | 29 |
|
Gurdeep Mann
1700 Coffee Rd |
$56.56 | 32 | 32 |
|
Paul Tugulumize Kiruuta
1114 6Th St |
$0.00 | 36 | 28 |
|
Jacob John Verhoeven
1700 Coffee Rd |
$83.58 | 42 | 42 |
|
Alvin Ting-Fung Li
1700 Coffee Rd |
$47.03 | 45 | 45 |
|
Noran Barry
600 Coffee Rd |
$117.56 | 46 | 16 |
|
Lisa Wynette Murphy
200 W Coolidge Ave |
$90.32 | 47 | 45 |
|
Dilpreet Kaur
600 Coffee Rd |
$0.00 | 50 | 44 |
|
Joseph Sammy Mansour
1401 Spanos Ct Ste 230 |
$59.91 | 53 | 52 |
|
Kyle Thomas Herout
4601 Dale Rd |
$75.01 | 54 | 54 |
|
Ramin Lail
1908 Coffee Rd Ste 3 |
$50.46 | 58 | 58 |
|
Prachi P Vishwasrao
600 Coffee Rd |
$143.96 | 59 | 42 |
|
Mohammad Mousa
4601 Dale Rd |
$171.85 | 60 | 60 |
|
Leena Chaudhury
2222 E Orangeburg Ave Ste A2 |
$0.00 | 64 | 57 |
|
Edward W Verde
1441 Florida Avenue |
$92.59 | 67 | 25 |
|
Tanisha Mcneal
1510 Florida Ave Ste A |
$72.88 | 80 | 80 |
|
Shailinder Singh
1601 Cummins Dr Ste D |
$41.95 | 87 | 82 |
|
Thomas M Wallace
1441 Florida Ave |
$94.28 | 90 | 88 |
|
Elizabeth Erin Conn
1541 Florida Ave Ste 200 |
$37.31 | 93 | 85 |
|
Pamir Mateen
600 Coffee Rd |
$85.21 | 96 | 43 |
|
Gary Colin Murphey
4601 Dale Rd |
$86.07 | 108 | 107 |
|
Simrandeep Singh Khanuja
600 Coffee Rd |
$132.20 | 108 | 63 |
|
Jane Rosie Joseph
1441 Florida Ave |
$81.24 | 110 | 110 |
|
Noel M Machado
1700 Coffee Rd |
$68.91 | 113 | 113 |
|
Sutter Valley Medical Foundation
600 Coffee Rd |
$109.97 | 128 | 50 |
|
Miriam Frances Lindgren Lassiter
4601 Dale Rd |
$63.51 | 129 | 129 |
|
Roger E Elias
600 Coffee Rd |
$122.45 | 150 | 88 |
|
Rim Atoui
600 Coffee Rd |
$132.71 | 165 | 96 |
|
Chia-Yuan Lee
4601 Dale Rd |
$138.41 | 188 | 187 |
|
Zev Minow
4601 Dale Rd |
$133.46 | 201 | 199 |
|
James Chiang
4601 Dale Rd |
$75.63 | 221 | 221 |
|
Jaimie C Juarez
1441 Florida Ave |
$10.30 | 295 | 293 |
|
Forrest Greg Hill
4601 Dale Rd |
$48.28 | 302 | 298 |
|
Aashir Shah
600 Coffee Rd |
$136.52 | 341 | 173 |
|
Tuong Van Pham
4601 Dale Rd |
$55.19 | 354 | 351 |
|
Beatrice Kelling Loui Yau
4601 Dale Rd |
$78.87 | 392 | 389 |
|
Brandi Johnson
1441 Florida Ave |
$30.32 | 401 | 341 |
|
Wei Loong Glenn Koh
4601 Dale Rd |
$111.89 | 404 | 315 |
|
Sara Khaghani
4601 Dale Rd |
$68.86 | 416 | 410 |
|
Oscar Perez Verduzco
1700 Coffee Rd |
$64.56 | 450 | 448 |
|
Ravi Papu Manglani
600 Coffee Rd |
$113.98 | 453 | 263 |
|
Laurel Anne Goldstein
4601 Dale Rd |
$51.32 | 524 | 520 |
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.
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 Modesto, CA
Office Visit
Avg $28.79
2,335,494 claims
Blood Work & Lab Tests
Avg $7.39
1,231,704 claims
Substance Abuse Treatment
Avg $58.76
737,923 claims
Physical Therapy
Avg $26.45
700,100 claims
Dental Cleaning & Exam
Avg $51.91
543,449 claims
Urinalysis & Urine Tests
Avg $2.49
526,756 claims
Vaccines & Immunizations
Avg $8.27
517,898 claims
X-Ray
Avg $25.33
516,185 claims