Average Medicaid Emergency Room Visit Payments in Newport Beach, CA: $59.27
Avg. Paid
$59.27
Range
$0.36 – $156.84
Total Claims
135,511
Providers
48
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 Newport Beach, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Newport Emergency Medical Group Inc
1 Hoag Dr |
$66.51 | 77,935 | 72,458 |
|
Hoag Memorial Hospital Presbyterian
One Hoag Drive |
$12.78 | 22,241 | 20,253 |
|
Newport Critical Care Physicians Medical Group Inc
One Hoag Drive |
$51.37 | 5,213 | 1,990 |
|
Peter Song
1 Hoag Dr |
$66.35 | 3,751 | 3,716 |
|
Larry D Pham
1 Hoag Dr |
$76.39 | 2,538 | 2,515 |
|
Jonathan Houpt
1 Hoag Dr |
$79.70 | 2,055 | 2,036 |
|
Howard Ken Nakashioya
One Hoag Dr |
$80.41 | 1,752 | 1,736 |
|
David Gregg Meyers
One Hoag Dr |
$76.76 | 1,635 | 1,620 |
|
Darrin Miles Fryer
One Hoag Dr |
$77.34 | 1,612 | 1,603 |
|
Brian Jeffrey Grade
One Hoag Dr |
$79.51 | 1,543 | 1,531 |
|
Heather Ann Marino
400 Newport Center Dr |
$83.63 | 1,334 | 1,321 |
|
Benjamin Kim-Wakamatsu
1 Hoag Drive |
$85.27 | 1,220 | 1,215 |
|
Steven Robert Callahan
1 Hoag Dr |
$74.10 | 1,193 | 1,190 |
|
Brian Jeffry Jackson
2075 San Joaquin Hills Rd |
$131.60 | 1,096 | 1,055 |
|
William James Green
One Hoag Dr |
$78.49 | 1,057 | 1,049 |
|
Pascal S.C. Juang
One Hoag Dr |
$71.97 | 1,057 | 1,049 |
|
David Eugene Christy
One Hoag Dr |
$76.48 | 1,024 | 1,015 |
|
John Scott Riel
One Hoag Dr |
$80.42 | 959 | 949 |
|
Daniel Choi
1 Hoag Dr |
$0.85 | 791 | 785 |
|
Rosel Bella Nesbitt
211 42Nd St Apt 2 |
$54.09 | 734 | 731 |
|
William Park
One Hoag Dr |
$75.87 | 665 | 659 |
|
Joseph Moza, Md, Inc
28 Ebb Tide Cir |
$54.44 | 559 | 556 |
|
John Michael Guthrie
1 Hoag Dr |
$69.48 | 525 | 314 |
|
Emergency Physicians Of Orange County
1 Hoag Dr |
$83.97 | 367 | 345 |
|
Eric Mark Alcouloumre
1 Hoag Dr |
$74.77 | 318 | 317 |
|
Andre Vovan
1 Hoag Dr |
$75.61 | 300 | 111 |
|
Jin-Jou Lu
2924 Alta Vista Dr |
$57.07 | 266 | 105 |
|
Matthew Joseph Reed
1 Hoag Dr |
$110.80 | 223 | 198 |
|
Samantha Fong-Ting Lau
1 Hoag Drive Building 41 |
$120.64 | 219 | 218 |
|
Stephanie Nguyen
3501 Jamboree Rd Ste 1250 |
$41.70 | 197 | 195 |
|
Charles Francis Goldsworthy
One Hoag Dr |
$79.01 | 196 | 195 |
|
Paul Philip Schoerner
20341 Sw Birch St Ste 100 |
$156.84 | 156 | 154 |
|
Kashif Yaqub
4440 Von Karman Ave Ste 350 |
$115.38 | 148 | 73 |
|
Robert Graham Mccormick
1 Hoag Dr |
$130.09 | 110 | 110 |
|
Anjali Gupta
351 Hospital Rd Ste 316 |
$68.08 | 94 | 89 |
|
Newport Neurohospitalist Medical Group, Inc
1 Hoag Dr |
$60.37 | 88 | 39 |
|
Deborah J Grouse
361 Hospital Road |
$55.58 | 87 | 84 |
|
Ana Jimenez
520 Superior Ave Ste 225 |
$0.36 | 54 | 52 |
|
William Moore Thompson
1501 Superior Ave #205 |
$75.71 | 50 | 12 |
|
Raymond Louis Ricci
One Hoag Dr |
$69.28 | 26 | 26 |
|
Bhavini Jashvant Jaiswal
1 Hoag Dr |
$118.27 | 19 | 12 |
|
James E Barber
400 Newport Center Dr |
$22.15 | 18 | 14 |
|
Bahram Alavynejad
1 Hoag Dr |
$106.15 | 17 | 13 |
|
Usman S Shah
1 Hoag Dr |
$110.66 | 16 | 12 |
|
Lisa Marie Diaz
361 Hospital Rd |
$39.84 | 15 | 14 |
|
Michael Nash
1 Hoag Dr |
$52.11 | 13 | 13 |
|
Dina Seif
4030 Birch St |
$95.00 | 13 | 13 |
|
Katelyn Urban
180 Newport Center Dr Ste 158 |
$124.11 | 12 | 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 Newport Beach, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Newport Beach, CA is $59.27 per claim, based on 135,511 claims from 48 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 Newport Beach, CA?
There are 48 Medicaid providers offering Emergency Room Visit related services in Newport Beach, CA according to public payment data.
What is the price range for Emergency Room Visit in Newport Beach, CA?
Medicaid reimbursement for Emergency Room Visit in Newport Beach, CA ranges from $0.36 to $156.84 per claim, with an average of $59.27. 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 Newport Beach, CA
Blood Work & Lab Tests
Avg $5.13
597,957 claims
Office Visit
Avg $40.13
588,212 claims
Psychiatric Evaluation
Avg $66.36
203,664 claims
X-Ray
Avg $7.34
200,548 claims
Urinalysis & Urine Tests
Avg $1.42
156,495 claims
EKG / ECG (Electrocardiogram)
Avg $12.53
84,997 claims
CT Scan (Computed Tomography)
Avg $58.52
75,781 claims
Physical Therapy
Avg $11.27
64,592 claims