Average Medicaid Emergency Room Visit Payments in Napa, CA: $90.93
Avg. Paid
$90.93
Range
$0.00 – $933.97
Total Claims
169,696
Providers
40
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 Napa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eugene Butler
1621 W Imola Ave |
$84.39 | 13 | 13 |
|
Aliya Khan Kohler
1141 Pear Tree Ln Ste 100 |
$0.00 | 23 | 23 |
|
Emily J Gray
1000 Trancas St |
$122.45 | 31 | 31 |
|
Christina S Sitenga-Kako
1000 Trancas St |
$1.05 | 36 | 29 |
|
Gian Louie Pinot
1141 Pear Tree Ln Ste 100 |
$1.44 | 54 | 52 |
|
Denisse Maldonado
1141 Pear Tree Ln |
$0.00 | 54 | 50 |
|
Tamara Marie Brady
300 Hartle Ct |
$0.00 | 62 | 57 |
|
Lulu Garcia
1141 Pear Tree Ln Ste 100 |
$0.00 | 64 | 53 |
|
Jennifer Tsang
1141 Pear Tree Ln |
$0.00 | 64 | 56 |
|
Kate L Donnelly
1141 Pear Tree Ln |
$0.47 | 81 | 74 |
|
Napa Ambulatory Surgery Center Inc
935 Trancas St Ste 3A |
$35.53 | 81 | 67 |
|
Jorge Efrain Roman
1141 Pear Tree Ln |
$0.40 | 95 | 86 |
|
Mayra Perez Avina
1141 Pear Tree Ln |
$0.75 | 101 | 85 |
|
Gina Doreen Holmes
3419 Valle Verde Dr |
$58.42 | 103 | 102 |
|
Ronald Tamarisk
1141 Pear Tree Ln |
$0.00 | 117 | 104 |
|
Ninad Athale
1141 Pear Tree Ln |
$0.00 | 244 | 221 |
|
Lynette Elizabeth Leighton
300 Hartle Ct |
$0.00 | 248 | 211 |
|
Nitesh S Mody
623 Montecito Blvd |
$93.62 | 458 | 77 |
|
Beth Ann Hartung
1141 Pear Tree Ln |
$0.10 | 515 | 454 |
|
Robert Arnold White
3434 Villa Ln Ste 260 |
$141.54 | 539 | 391 |
|
Juancarlos Buller
300 Hartle Ct |
$0.25 | 610 | 515 |
|
Robert Forester Brown
1000 Trancas St |
$55.71 | 708 | 704 |
|
Total Renal Care Inc
1100 Trancas St |
$798.96 | 959 | 922 |
|
Jennifer Ann Wilson
300 Hartle Ct |
$0.12 | 1,244 | 1,057 |
|
Erik M Mendoza
1141 Pear Tree Ln |
$0.19 | 1,370 | 1,208 |
|
Usrc Napa, Llc
3219 Jefferson St |
$933.97 | 1,396 | 1,279 |
|
Ole Health
1141 Pear Tree Ln |
$0.22 | 1,794 | 1,445 |
|
Renal Treatment Centers California Inc
3900 Bel Aire Plz |
$797.61 | 1,819 | 1,788 |
|
Kaylin Christine Flowers
1000 Trancas St |
$99.93 | 3,364 | 3,226 |
|
Napa Valley Emergency Medical Group
1000 Trancas Street |
$13.84 | 4,338 | 3,938 |
|
Steven M Cardey
1000 Trancas St |
$76.54 | 4,527 | 4,464 |
|
David Gorchoff
1141 Pear Tree Ln Ste 100 |
$0.14 | 4,721 | 4,188 |
|
Nicholas Raul Lopez
1000 Trancas St |
$81.65 | 6,324 | 6,173 |
|
Timothy S Smith
1000 Trancas Street |
$80.52 | 8,142 | 7,914 |
|
Faramarz Mottalei
1000 Trancas Street |
$81.90 | 8,563 | 8,371 |
|
Andrew N. Fenton
1000 Trancas St |
$81.65 | 9,195 | 8,952 |
|
Mohammad R Mohebbi
1000 Trancas St |
$83.85 | 9,263 | 9,107 |
|
Joseph Dane
1000 Trancas Street |
$84.57 | 13,276 | 12,952 |
|
St. Joseph Health Northern California, Llc
1000 Trancas St |
$78.54 | 14,980 | 12,690 |
|
St. Joseph Health Northern California, Llc
1000 Trancas St |
$75.48 | 70,120 | 58,776 |
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 Napa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Napa, CA is $90.93 per claim, based on 169,696 claims from 40 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 Napa, CA?
There are 40 Medicaid providers offering Emergency Room Visit related services in Napa, CA according to public payment data.
What is the price range for Emergency Room Visit in Napa, CA?
Medicaid reimbursement for Emergency Room Visit in Napa, CA ranges from $0.00 to $933.97 per claim, with an average of $90.93. 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 Napa, CA
Office Visit
Avg $27.44
409,277 claims
Blood Work & Lab Tests
Avg $6.52
166,854 claims
Ambulance Transport
Avg $110.34
155,727 claims
Dental Cleaning & Exam
Avg $48.12
142,562 claims
Behavioral & Mental Health Therapy
Avg $249.25
92,451 claims
Vaccines & Immunizations
Avg $8.32
84,474 claims
Psychiatric Evaluation
Avg $48.40
75,967 claims
Physical Therapy
Avg $39.25
57,958 claims