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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Monterey, CA: $81.64

Avg. Paid

$81.64

Range

$1.46 – $157.17

Total Claims

188,389

Providers

36

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 Monterey, CA

Provider Avg. Paid Claims Patients
Community Hospital Of The Monterey Peninsula

23625 Wr Holman Hwy

 $80.14 121,511 107,261
Leonard Popky

23625 Holman Hwy

 $38.55 15,097 14,929
Kelly Holz

23625 Holman Hwy

 $120.64 6,284 6,074
Eugene David Hill

23625 Holman Hwy

 $71.19 4,689 4,314
Andres Martin Aldrete

23625 Holman Hwy

 $38.91 4,521 4,475
Brannon Phillip Peralta

23625 Holman Hwy

 $60.14 3,561 3,512
Paul File

23625 Holman Hwy

 $104.72 3,064 3,042
John Masou Ellison

23625 Wr Holman Highway

 $118.06 3,040 3,021
Casey Andrew Grover

23625 Holman Hwy

 $127.76 2,811 2,799
John Hage

23625 Holman Hwy

 $130.67 2,779 2,752
Andrew Kaminski

501 Lighthouse Ave

 $86.31 2,644 2,632
Michelle Ann Krueger-Kalinski

23625 Holman Hwy

 $129.57 2,402 2,389
Jamie Dubois Dermon

23625 Holman Hwy

 $128.29 2,034 2,024
Sameer Rajnikant Bakhda

23625 Holman Hwy

 $136.88 1,976 1,961
Gennarina Leila Riso

23625 Holman Hwy

 $115.72 1,777 1,767
Ryan Chapelle

501 Lighthouse Ave

 $35.11 1,525 1,037
Catherine Seo

23625 Holman Hwy

 $122.97 1,230 1,225
David Dansky

23625 Holman Hwy

 $123.64 1,194 1,185
Alec Bloom

23625 Holman Hwy

 $114.90 963 957
Nupur Sinha

23625 Holman Hwy

 $87.31 744 332
Kenneth Thomas Juenger

2 Upper Ragsdale Dr Bldg A

 $72.52 718 343
Forest H Mealey

2 Upper Ragsdale Dr Bldg A

 $87.33 686 380
Marta Zulik

23625 Holman Hwy

 $107.41 627 246
Shinkai Hakimi

2 Upper Ragsdale Dr Bldg A

 $82.23 619 295
Michael Mcglue

2 Upper Ragsdale Dr Bldg A

 $63.21 458 408
Daniel I Mirski

473 Cabrillo St

 $80.44 411 411
Antonette Ajayi

2 Upper Ragsdale Dr Bldg A

 $78.28 377 134
Matthew Trokel

1900 Garden Rd Ste 110

 $61.92 279 276
Reb Julia Haas Close

23625 Holman Hwy

 $157.17 110 109
Yosuf Walid Subat

2 Upper Ragsdale Dr Bldg A

 $75.72 98 41
Iqbal Mahmood Mirza

23625 Holman Highway

 $49.60 51 32
Roshini Yapa

757 Pacific St Ste D2

 $80.78 36 17
John Louis Peterson

9781 Blue Larkspur Ln Ste 100

 $1.46 31 29
Katie Jean Cobb

2 Lower Ragsdale Dr Ste 160

 $54.56 14 14
David Ernst Whitlock

23625 Holman Hwy

 $109.59 14 14
Stephen C Walker

337 El Dorado St

 $62.50 14 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 Monterey, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Monterey, CA is $81.64 per claim, based on 188,389 claims from 36 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 Monterey, CA?

There are 36 Medicaid providers offering Emergency Room Visit related services in Monterey, CA according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Monterey, CA ranges from $1.46 to $157.17 per claim, with an average of $81.64. 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 Monterey, CA

Office Visit

Avg $64.35

364,712 claims

Blood Work & Lab Tests

Avg $7.31

206,868 claims

Physical Therapy

Avg $30.52

183,667 claims

Speech Therapy

Avg $78.52

103,318 claims

Psychiatric Evaluation

Avg $97.85

85,301 claims

X-Ray

Avg $21.81

71,739 claims

Behavioral & Mental Health Therapy

Avg $152.04

69,039 claims

Eye Exam

Avg $37.59

66,906 claims