Average Medicaid Emergency Room Visit Payments in National City, CA: $67.41
Avg. Paid
$67.41
Range
$0.28 – $438.27
Total Claims
109,792
Providers
24
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 National City, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prime Healthcare Paradise Valley Llc
2400 E 4Th St |
$62.97 | 29,089 | 26,558 |
|
Douglas A Ballesteros
2400 E 4Th St |
$64.65 | 12,995 | 12,879 |
|
Gary Polsfuss
2400 E 4Th St |
$63.98 | 10,585 | 10,439 |
|
Jorge Martinez
2400 E 4Th St |
$68.72 | 9,827 | 9,729 |
|
Nima Jalali
2400 E 4Th St |
$70.35 | 8,482 | 8,380 |
|
Pacific Paradise Emergency Physicians Medical Group Inc
2400 E 4Th St |
$66.45 | 6,585 | 6,187 |
|
Allyson A Wolfe
2400 E 4Th St |
$70.32 | 5,047 | 5,022 |
|
Miguel Angel Martinez
502 Euclid Ave Ste 304 |
$83.60 | 4,999 | 3,290 |
|
Anthony R. Ferkich
2400 E 4Th St |
$68.12 | 4,557 | 4,514 |
|
Paul J. Manos
2400 E 4Th St |
$63.32 | 4,335 | 4,286 |
|
Jason Louis Roby
Paradise Valley Hospital |
$69.52 | 2,821 | 2,784 |
|
Allison Kornblatt
2400 E 4Th St |
$66.93 | 2,640 | 2,611 |
|
Dennis Rocher O'Connor
2400 E 4Th St |
$65.61 | 2,593 | 2,563 |
|
Rosemarie Lim
655 Euclid Ave Ste 301 |
$94.70 | 1,257 | 445 |
|
Brian T Tabila
655 Euclid Ave Ste 301 |
$91.84 | 1,205 | 393 |
|
Scott Lindsay Mataoa
2400 E 4Th St |
$77.11 | 882 | 814 |
|
Jeannie G Kim
2400 E 4Th St |
$23.31 | 807 | 237 |
|
Benjamin Ross
2400 East Fourth Street |
$71.03 | 549 | 544 |
|
Ruth Nohemi Aguilar-Wong
22 W 35Th St Ste 101 |
$438.27 | 165 | 165 |
|
Kaitlyn Kieu Nguyen
2400 E 4Th St |
$48.98 | 160 | 160 |
|
Jayne Kwon-Clavadetscher
911 E Plaza Blvd |
$0.28 | 84 | 67 |
|
Mianda Cheree Carr
2400 E 8Th St |
$42.26 | 64 | 57 |
|
Rslchest Clinic A Medical Corporation
655 Euclid Ave Ste 301 |
$38.78 | 37 | 13 |
|
Nirali P. Patel
2400 E 4Th St |
$90.04 | 27 | 14 |
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 National City, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in National City, CA is $67.41 per claim, based on 109,792 claims from 24 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 National City, CA?
There are 24 Medicaid providers offering Emergency Room Visit related services in National City, CA according to public payment data.
What is the price range for Emergency Room Visit in National City, CA?
Medicaid reimbursement for Emergency Room Visit in National City, CA ranges from $0.28 to $438.27 per claim, with an average of $67.41. 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 National City, CA
Office Visit
Avg $22.17
747,320 claims
Blood Work & Lab Tests
Avg $4.70
259,347 claims
Vaccines & Immunizations
Avg $3.24
167,391 claims
EKG / ECG (Electrocardiogram)
Avg $22.80
133,805 claims
Dental Cleaning & Exam
Avg $60.10
89,468 claims
Eye Exam
Avg $13.27
86,994 claims
Ambulance Transport
Avg $98.47
74,873 claims
Pathology & Lab Services
Avg $58.38
50,715 claims