Average Medicaid Emergency Room Visit Payments in Sacramento, CA: $137.25
Avg. Paid
$137.25
Range
$0.00 – $1,045
Total Claims
1,743,927
Providers
571
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 Sacramento, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaiser Foundation Hospitals
6600 Bruceville Rd |
$460.99 | 156,398 | 147,626 |
|
Cep America - California
7500 Hospital Dr |
$2.59 | 128,831 | 120,066 |
|
Kaiser Foundation Hospitals
2025 Morse Ave |
$400.53 | 126,205 | 118,072 |
|
Dignity Community Care
7500 Hospital Dr |
$189.67 | 106,821 | 100,060 |
|
Dignity Health
4001 J St |
$200.56 | 64,287 | 60,022 |
|
River City Medical Group, Inc.
7311 Greenhaven Drive |
$0.13 | 58,312 | 53,766 |
|
Cep America - California
2825 Capitol Avenue |
$7.69 | 51,016 | 47,630 |
|
Sutter Valley Hospitals
2825 Capitol Avenue |
$123.50 | 44,690 | 38,748 |
|
Regents Of The University Of California
2315 Stockton Blvd |
$361.74 | 37,729 | 33,168 |
|
Jatinder Kajla
4905 Stockton Blvd Unit 108 |
$63.86 | 21,096 | 20,820 |
|
Brent Kobe Gordon
2315 Stockton Blvd |
$62.69 | 19,581 | 19,280 |
|
Paul F. Walsh
4150 V St |
$34.06 | 17,569 | 17,327 |
|
Daniel Quesada
510 Pine Garden Ln Apt A |
$66.02 | 17,197 | 16,956 |
|
Cep America - California
4001 J St |
$10.99 | 16,855 | 15,605 |
|
Jon Haynes
2315 Stockton Blvd |
$61.33 | 16,379 | 16,131 |
|
Evan Chisum
4001 J St |
$66.18 | 16,129 | 15,805 |
|
Ralph Koo
2801 L St |
$73.60 | 12,774 | 12,604 |
|
Duncan Johnston
4610 X St |
$74.37 | 12,761 | 12,498 |
|
Robert Kozel
7500 Hospital Dr |
$32.10 | 11,983 | 11,884 |
|
Carrieann Elizabeth Drenten
2801 L St |
$35.81 | 10,880 | 10,775 |
|
Omar R Washington
3424 52Nd St |
$167.51 | 10,774 | 9,780 |
|
Jennifer Eileen Morley
4610 X St |
$66.44 | 10,614 | 10,510 |
|
John Skratt
4001 J St |
$63.71 | 10,412 | 10,304 |
|
Matthew Joseph Lopez
4610 X St |
$32.38 | 10,201 | 10,142 |
|
Hamid Ehsani
2025 Morse Ave Dept Of |
$63.41 | 10,004 | 9,379 |
|
Kerilee Wenker
2801 L St |
$38.30 | 9,678 | 9,561 |
|
Tyler Andre
4610 X St |
$62.22 | 9,338 | 9,188 |
|
Samuel J Tate
2315 Stockton Blvd |
$97.48 | 9,190 | 8,563 |
|
Brian Joseph Tanner
2315 Stockton Blvd |
$32.51 | 9,174 | 9,106 |
|
Nicholas Scott Selden
2825 Capitol Ave |
$37.89 | 8,345 | 8,286 |
|
Adam P Dougherty
2315 Stockton Blvd |
$37.92 | 8,310 | 8,240 |
|
Alison Barrow
4100 Folsom Blvd |
$62.69 | 8,274 | 8,179 |
|
Anke Z Eder
2315 Stockton Blvd |
$65.77 | 7,656 | 7,591 |
|
Jessica Wiser
4150 V St |
$73.00 | 7,529 | 7,492 |
|
Dwight B. Stalker
4150 V St |
$46.29 | 7,448 | 7,350 |
|
Matthew C Carlisle
2315 Stockton Blvd |
$178.64 | 7,436 | 6,454 |
|
Kevin Ryan Carpenter
4610 X St |
$71.69 | 7,423 | 7,345 |
|
Ross Albright
2315 Stockton Blvd |
$75.54 | 7,408 | 6,627 |
|
Chase Samuel Nicholson
2315 Stockton Blvd |
$80.41 | 7,053 | 6,977 |
|
Regents Of The University Of Ca
2315 Stockton Blvd |
$16.79 | 6,936 | 6,554 |
|
Julie Ann Phan
2315 Stockton Blvd. |
$35.95 | 6,936 | 6,880 |
|
Nivano Physicians, Inc.
1420 River Park Dr Ste 200 |
$0.00 | 6,681 | 5,785 |
|
Bailey Michael Roche
2315 Stockton Blvd., Pssb 2100 |
$53.00 | 6,666 | 6,567 |
|
Jane Dyball
2315 Stockton Blvd |
$34.73 | 6,571 | 6,531 |
|
Marybelle Pe
2315 Stockton Blvd |
$30.62 | 6,442 | 6,409 |
|
Kelly Owen
4150 V St |
$49.84 | 6,373 | 6,274 |
|
Saman Hayatdavoudi
1508 Alhambra Blvd Ste 200 |
$92.84 | 6,297 | 2,669 |
|
Brian Neil Biagi
2315 Stockton Blvd |
$82.92 | 6,040 | 5,398 |
|
Dylan Fredrick Ely
2315 Stockton Blvd |
$63.47 | 5,927 | 5,837 |
|
Kevin Kuhn
2315 Stockton Blvd |
$44.50 | 5,804 | 5,749 |
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 Sacramento, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sacramento, CA is $137.25 per claim, based on 1,743,927 claims from 571 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 Sacramento, CA?
There are 571 Medicaid providers offering Emergency Room Visit related services in Sacramento, CA according to public payment data.
What is the price range for Emergency Room Visit in Sacramento, CA?
Medicaid reimbursement for Emergency Room Visit in Sacramento, CA ranges from $0.00 to $1,045 per claim, with an average of $137.25. 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 Sacramento, CA
Blood Work & Lab Tests
Avg $3.77
18,102,975 claims
Office Visit
Avg $22.28
5,640,528 claims
Substance Abuse Treatment
Avg $25.46
4,355,222 claims
Urinalysis & Urine Tests
Avg $1.87
3,071,398 claims
Dental Cleaning & Exam
Avg $32.44
1,847,779 claims
X-Ray
Avg $22.15
1,649,168 claims
Vaccines & Immunizations
Avg $1.91
1,382,181 claims
Case Management Services
Avg $101.96
1,337,952 claims