Average Medicaid Emergency Room Visit Payments in Saint Helena, CA: $79.45
Avg. Paid
$79.45
Range
$0.00 – $176.79
Total Claims
31,101
Providers
16
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 Saint Helena, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St. Helena Hospital
10 Woodland Rd |
$97.16 | 21,096 | 18,818 |
|
Acute Medical Providers, Inc.
10 Woodland Rd |
$16.36 | 5,715 | 5,296 |
|
Chuan-Jay J Chen
10 Woodland Rd |
$77.81 | 2,072 | 2,035 |
|
Gary Mishkin
10 Woodland Rd |
$59.91 | 931 | 913 |
|
Timothy C Lyons
10 Woodland Rd |
$42.04 | 295 | 282 |
|
Jose Rene Miranda
10 Woodland Rd |
$107.09 | 210 | 209 |
|
Geoffrey William Horn
10 Woodland Rd |
$176.79 | 174 | 172 |
|
William Duge
10 Woodland Rd |
$129.15 | 167 | 164 |
|
David R Racker
10 Woodland Rd |
$96.85 | 156 | 155 |
|
Teresa Lynn Shinder
1222 Pine St Ste A |
$0.01 | 95 | 94 |
|
Daniel G Huber
10 Woodland Road |
$39.73 | 83 | 81 |
|
Seaneen Whaley
10 Woodland Rd |
$68.80 | 31 | 31 |
|
Ramiro Zarate
1222 Pine St Ste A |
$0.00 | 25 | 21 |
|
Nazir J. Habib
10 Woodland Rd |
$86.13 | 24 | 16 |
|
Carl Boyer Ermshar
6 Woodland Rd |
$0.00 | 15 | 14 |
|
Jaime Jose Gonzalez Cardona
10 Woodland Rd |
$67.89 | 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 Saint Helena, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Saint Helena, CA is $79.45 per claim, based on 31,101 claims from 16 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 Saint Helena, CA?
There are 16 Medicaid providers offering Emergency Room Visit related services in Saint Helena, CA according to public payment data.
What is the price range for Emergency Room Visit in Saint Helena, CA?
Medicaid reimbursement for Emergency Room Visit in Saint Helena, CA ranges from $0.00 to $176.79 per claim, with an average of $79.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
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Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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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 Saint Helena, CA
Office Visit
Avg $24.49
145,797 claims
Blood Work & Lab Tests
Avg $2.41
132,482 claims
X-Ray
Avg $9.43
34,154 claims
Urinalysis & Urine Tests
Avg $1.48
32,195 claims
Culture & Microbiology Tests
Avg $1.38
16,870 claims
Vaccines & Immunizations
Avg $12.67
13,805 claims
Pathology & Lab Services
Avg $24.27
11,266 claims
Physical Therapy
Avg $48.94
6,831 claims