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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Pleasanton, CA: $59.54

Avg. Paid

$59.54

Range

$0.00 – $251.12

Total Claims

111,107

Providers

27

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 Pleasanton, CA

Provider Avg. Paid Claims Patients
Stanford Health Care Tri-Valley

5555 W Las Positas Blvd

 $53.28 33,071 29,419
Team Physicians Of Northern California Medical Group Inc

5000 Hopyard Rd

 $56.26 31,002 29,163
Dennis Keith Alfaro

5555 W Las Positas Blvd

 $66.81 9,401 9,231
Candice P. Mcneil

5000 Hopyard Rd

 $195.42 5,517 5,084
Edward Y Kan

5555 W Las Positas Blvd

 $37.59 4,541 4,503
Andreas Tjoe

5555 W Las Positas Blvd

 $35.58 3,527 3,497
Howard Daniel Yoshioka

5555 W Las Positas Blvd

 $31.30 3,089 3,070
Douglas Kei Yoshida

5555 W Las Positas Blvd

 $35.51 2,944 2,922
Yen-Hua Yu

5555 W Las Positas Blvd

 $38.10 2,890 2,867
Alan Albert Ly

5555 W Las Positas Blvd

 $52.60 2,757 2,740
Jeremy Estrada

5555 W Las Positas Blvd

 $36.96 2,658 2,638
Michael John Costello

5555 W Las Positas Blvd

 $38.01 2,288 2,273
Colleen Ann Johnson

5555 W Las Positas Blvd

 $39.15 1,985 1,970
Michael Thomas Prentice

5000 Hopyard Rd Ste 100

 $63.64 1,615 1,592
Cynthia Sue Penn-Duecker

5555 W Las Positas Blvd

 $35.80 985 976
Leandro L Valdez

5000 Hopyard Rd

 $251.12 655 624
Charisma Kaushik

5555 W Las Positas Blvd

 $32.35 420 419
Emergency Services Of Kansas, P.A.

5000 Hopyard Road

 $48.72 400 380
Geoffrey R. Kotin

7601 Stoneridge Dr

 $22.82 348 346
Chirag Maheshbhai Pandya

5575 W Las Positas Blvd Ste 130

 $66.38 302 145
Robert T. Kwak

Po Box 702

 $28.71 257 254
Christopher Clark Severson

5555 W Las Positas Blvd

 $34.35 197 196
Stephanie Nguyen

5555 W Las Positas Blvd

 $28.11 129 128
John Wai-Ying Yee

5575 W Las Positas Blvd

 $57.38 68 27
Ramford Kin Ng

5565 W Las Positas Blvd Ste 150

 $48.90 26 12
Charles D. Short

5000 Hopyard Rd

 $0.00 21 21
Hanh-Nguyen Do

5725 W Las Positas Blvd

 $68.35 14 13

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 Pleasanton, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Pleasanton, CA is $59.54 per claim, based on 111,107 claims from 27 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 Pleasanton, CA?

There are 27 Medicaid providers offering Emergency Room Visit related services in Pleasanton, CA according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Pleasanton, CA ranges from $0.00 to $251.12 per claim, with an average of $59.54. 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 Pleasanton, CA

Office Visit

Avg $33.17

388,049 claims

Blood Work & Lab Tests

Avg $11.30

88,625 claims

Physical Therapy

Avg $34.23

73,530 claims

Dental Cleaning & Exam

Avg $55.53

70,875 claims

Behavioral & Mental Health Therapy

Avg $163.21

59,315 claims

Home Health Visit

Avg $170.03

56,001 claims

EKG / ECG (Electrocardiogram)

Avg $12.58

47,696 claims

Vaccines & Immunizations

Avg $7.71

42,202 claims