Average Medicaid Emergency Room Visit Payments in Petaluma, CA: $66.28
Avg. Paid
$66.28
Range
$0.00 – $899.44
Total Claims
95,833
Providers
49
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 Petaluma, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Norcal Healthconnect Llc
400 N. Mcdowell Blvd |
$67.78 | 48,361 | 42,288 |
|
Kristin C Kuzma
400 N Mcdowell Blvd |
$75.57 | 6,352 | 6,187 |
|
James Jerome Wu
1179 N Mcdowell Blvd |
$0.06 | 5,265 | 4,395 |
|
Henry Loren Fong
400 N Mcdowell Blvd |
$76.93 | 4,410 | 4,271 |
|
Jodi Lynn Adams
335 S Mcdowell Blvd |
$72.65 | 4,296 | 4,126 |
|
Rodney B Look
400 N Mcdowell Blvd |
$77.98 | 3,030 | 2,970 |
|
Petaluma Health Center Inc
1179 N Mcdowell Blvd |
$0.46 | 2,902 | 2,112 |
|
Petaluma Emergency Physicians Medical Corporation
400 N Mcdowell Blvd |
$16.48 | 2,099 | 1,960 |
|
John Pendleton
1179 N Mcdowell Blvd |
$0.70 | 1,927 | 1,695 |
|
Bio-Medical Applications Of California, Inc.
715 Southpoint Blvd Ste A |
$899.44 | 1,561 | 1,479 |
|
Michaela Shepphard
400 N Mcdowell Blvd |
$78.42 | 1,464 | 1,435 |
|
Andrew Burns Ashcroft
1179 N Mcdowell Blvd |
$0.41 | 1,394 | 1,251 |
|
Fasih Abdul Hameed
1179 N Mcdowell Blvd |
$0.46 | 1,264 | 1,047 |
|
Philippe Edouard
1179 N Mcdowell Blvd |
$0.53 | 1,202 | 1,091 |
|
Michelle Davey
1179 N Mcdowell Blvd |
$0.22 | 1,126 | 869 |
|
Jonathan Y Choe
1179 N Mcdowell Blvd |
$0.69 | 948 | 862 |
|
Susan Buren
400 N Mcdowell Blvd |
$85.97 | 786 | 775 |
|
Carmen G Butts
1179 N Mcdowell Blvd |
$1.03 | 671 | 538 |
|
Carlin Li-An Chi
1179 N Mcdowell Blvd |
$0.45 | 656 | 561 |
|
Leesa Benenhaley
1179 N Mcdowell Blvd |
$0.20 | 626 | 382 |
|
Iun-Iu A. Chen
1179 N Mcdowell Blvd |
$0.14 | 537 | 483 |
|
Judith Komatsu
1179 N Mcdowell Blvd |
$0.23 | 525 | 390 |
|
Victoria Lorraine Williams
1179 N Mcdowell Blvd |
$1.99 | 508 | 404 |
|
Leah Beth Rorvig
1179 N Mcdowell Blvd |
$0.13 | 489 | 452 |
|
Margaret Peacock
400 N Mcdowell Blvd |
$89.39 | 434 | 433 |
|
Rebecca Katz Finnemore
1179 N Mcdowell Blvd |
$0.43 | 416 | 306 |
|
Sapoora Manshaii
400 N Mcdowell Blvd |
$81.12 | 353 | 173 |
|
Danielle Oryn
1179 N Mcdowell Blvd |
$0.41 | 352 | 289 |
|
Melissa Wong
1179 N Mcdowell Blvd |
$0.31 | 314 | 252 |
|
Scott Holmes
1179 N Mcdowell Blvd |
$0.09 | 184 | 167 |
|
Roger Dana Weeks
47 Maria Dr |
$0.21 | 183 | 182 |
|
Sean Upton
1179 N Mcdowell Blvd |
$0.34 | 177 | 139 |
|
Jena N Hoeft
1179 N Mcdowell Blvd |
$0.41 | 176 | 152 |
|
Anne Nelson Sebastian
1179 N Mcdowell Blvd |
$0.28 | 165 | 139 |
|
Lauren Williams
1179 N Mcdowell Blvd |
$0.55 | 135 | 103 |
|
Erin Joy Helgerson
1179 N Mcdowell Blvd |
$0.58 | 131 | 119 |
|
Tania A Sadoun
335 S Mcdowell Blvd |
$18.72 | 70 | 69 |
|
Dalbir Kaur Khalsa
1179 N Mcdowell Blvd |
$0.00 | 47 | 40 |
|
Shannon Mentock
1179 N Mcdowell Blvd |
$1.90 | 44 | 41 |
|
Susan Michelle Taylor Peters
3900 Lakeville Highway |
$42.54 | 41 | 39 |
|
Roxana Infante
1179 N Mcdowell Blvd |
$0.00 | 37 | 35 |
|
Lynne Dee Palma
1179 N Mcdowell Blvd |
$0.00 | 32 | 28 |
|
Heidi Dittrich
1179 N Mcdowell Blvd |
$0.00 | 32 | 27 |
|
Donald Scott Schmidt
400 N Mcdowell Blvd |
$9.84 | 29 | 28 |
|
Total Renal Care Inc
417 N Mcdowell Blvd |
$270.42 | 20 | 20 |
|
Ann Marie Nicol
1179 N Mcdowell Blvd |
$6.44 | 19 | 15 |
|
Rachel Mary Joseph
1179 N Mcdowell Blvd |
$2.17 | 17 | 14 |
|
Albert Sae
400 N Mcdowell Blvd |
$2.17 | 14 | 14 |
|
Joanna Diel-Martin
1179 N Mcdowell Blvd |
$0.00 | 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 Petaluma, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Petaluma, CA is $66.28 per claim, based on 95,833 claims from 49 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 Petaluma, CA?
There are 49 Medicaid providers offering Emergency Room Visit related services in Petaluma, CA according to public payment data.
What is the price range for Emergency Room Visit in Petaluma, CA?
Medicaid reimbursement for Emergency Room Visit in Petaluma, CA ranges from $0.00 to $899.44 per claim, with an average of $66.28. 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 Petaluma, CA
Office Visit
Avg $6.85
524,176 claims
Psychiatric Evaluation
Avg $28.73
76,721 claims
Speech Therapy
Avg $15.58
52,336 claims
Blood Work & Lab Tests
Avg $9.26
48,849 claims
Nursing Facility Care
Avg $23.40
45,638 claims
Vaccines & Immunizations
Avg $8.75
34,645 claims
Urinalysis & Urine Tests
Avg $2.24
25,658 claims
Chiropractic Care
Avg $20.27
25,504 claims