Average Medicaid Emergency Room Visit Payments in San Diego, CA: $104.48
Avg. Paid
$104.48
Range
$0.00 – $528.82
Total Claims
1,987,395
Providers
726
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 San Diego, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaiser Foundation Hospitals
9455 Clairemont Mesa Blvd |
$413.57 | 116,312 | 106,088 |
|
Sharp Memorial Hospital
7901 Frost St |
$431.55 | 59,331 | 53,641 |
|
Cole Jackson Houston
4033 3Rd Ave Ste 400 |
$69.89 | 33,587 | 32,886 |
|
Scripps Health
4077 5Th Ave |
$106.87 | 32,087 | 28,105 |
|
Mark Andrew Snider
3020 Childrens Way |
$151.14 | 23,657 | 22,772 |
|
David Ingram Bruner
4077 Fifth Ave |
$70.94 | 21,319 | 20,759 |
|
Alvarado Hospital, Llc
6655 Alvarado Rd |
$61.46 | 21,173 | 19,324 |
|
Regents Of The University Of California
200 West Arbor Drive |
$133.15 | 20,768 | 18,691 |
|
Rady Children'S Hospital San Diego
3020 Childrens Way # 5002 |
$186.88 | 19,714 | 18,080 |
|
Samuel R Obiekwe
113 W G St # 315 |
$58.76 | 19,500 | 19,284 |
|
Pacific Emergency Providers, A Prof. Corp.
4077 Fifth Ave |
$70.26 | 19,170 | 17,412 |
|
Emergency Services Medical Corporation
7901 Frost St |
$68.32 | 17,074 | 15,949 |
|
Heather Boynton
200 W Arbor Dr |
$50.73 | 16,851 | 16,571 |
|
Marc Aaron Davis
4077 Fifth Ave |
$69.02 | 16,843 | 16,607 |
|
Jon Keith Ludwig
4077 Fifth Ave |
$64.61 | 16,713 | 16,464 |
|
Vu Quang Huynh
200 W Arbor Dr |
$98.23 | 14,781 | 14,371 |
|
Mark C Cannis
4077 Fifth Ave # Mer17 |
$67.03 | 14,396 | 14,210 |
|
Clayton Boyd Whiting
4077 Fifth Ave |
$70.57 | 13,761 | 13,591 |
|
Scott Alan Herskovitz
3020 Childrens Way |
$25.44 | 13,691 | 13,597 |
|
Jerry Lee Cunningham
4077 Fifth Ave |
$70.06 | 13,678 | 13,461 |
|
Aaron David Stavinoha
34800 Bob Wilson Dr |
$69.91 | 12,832 | 12,739 |
|
Jackson Vane
3020 Childrens Way |
$32.02 | 12,719 | 12,642 |
|
Scott Arthur Freiwald
4077 Fifth Ave |
$66.92 | 12,716 | 12,581 |
|
Salil Chitnis
3020 Childrens Way |
$65.67 | 12,683 | 11,784 |
|
Clare Marie Haas
3020 Childrens Way |
$59.49 | 12,595 | 12,504 |
|
Elise Zimmerman
3020 Childrens Way |
$31.01 | 12,298 | 12,232 |
|
Julian George Lis
4077 5Th Ave |
$75.47 | 12,023 | 11,885 |
|
Joshua Noah Doros
6655 Alvarado Rd |
$62.57 | 11,757 | 11,622 |
|
Marc Leonard Etkin
3020 Childrens Way |
$28.58 | 11,611 | 11,547 |
|
Vishnu Parthasarathy
200 W Arbor Dr |
$74.67 | 11,314 | 11,145 |
|
Jonathan Young Lee
4077 Fifth Ave |
$68.92 | 11,175 | 11,066 |
|
Karen Kim Jo Yaphockun
3020 Childrens Way |
$28.45 | 11,091 | 11,038 |
|
Lukas Robert Austin-Page
3020 Childrens Way |
$29.26 | 11,046 | 10,952 |
|
Alvarado Emergency Medical Associates, Inc.
6655 Alvarado Rd |
$72.88 | 10,824 | 10,297 |
|
David Jonathan Gutglass
3020 Childrens Way |
$29.69 | 10,659 | 10,597 |
|
Todd Baumbacher
200 W Arbor Dr |
$79.37 | 10,247 | 10,190 |
|
Patricia J Eck
3020 Childrens Way |
$91.66 | 10,118 | 9,883 |
|
Miguel Angel Mendoza Navarro
6655 Alvarado Rd |
$74.80 | 10,012 | 9,894 |
|
Marcus Jung Cheng Wang
4077 Fifth Ave |
$70.22 | 9,975 | 9,886 |
|
Susan Jaana Lewis
4077 Fifth Ave |
$71.11 | 9,940 | 9,839 |
|
Ramandeep Singh Dhillon
5454 El Cajon Blvd |
$76.11 | 9,908 | 9,820 |
|
Dunisha Ranasuriya
3020 Childrens Way |
$62.92 | 9,720 | 9,676 |
|
Alexis Lenz
Ucsd 200 W Arbor Dr |
$60.74 | 9,579 | 9,484 |
|
Brian S Drummond
34800 Bob Wilson Dr |
$95.07 | 9,548 | 9,219 |
|
Stephanie Yen
300 Fir St Fl 1 |
$63.53 | 9,543 | 9,418 |
|
Kathryn Hildreth Pade
3020 Childrens Way |
$35.43 | 9,488 | 9,443 |
|
Vu Phan
16899 W Bernardo Dr |
$84.85 | 9,480 | 9,158 |
|
Jay Douglas Fisher
3020 Childrens Way |
$60.76 | 9,422 | 8,932 |
|
Olga Yashira Diaz
2004 Burroughs St |
$61.11 | 9,375 | 9,278 |
|
Tatyana Vayngortin
3020 Childrens Way |
$31.08 | 9,340 | 9,296 |
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 San Diego, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in San Diego, CA is $104.48 per claim, based on 1,987,395 claims from 726 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 San Diego, CA?
There are 726 Medicaid providers offering Emergency Room Visit related services in San Diego, CA according to public payment data.
What is the price range for Emergency Room Visit in San Diego, CA?
Medicaid reimbursement for Emergency Room Visit in San Diego, CA ranges from $0.00 to $528.82 per claim, with an average of $104.48. 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 San Diego, CA
Blood Work & Lab Tests
Avg $4.97
35,607,223 claims
Office Visit
Avg $33.35
6,429,225 claims
Urinalysis & Urine Tests
Avg $1.06
5,271,070 claims
Speech Therapy
Avg $16.23
4,362,220 claims
X-Ray
Avg $14.53
2,038,180 claims
Culture & Microbiology Tests
Avg $1.81
1,568,174 claims
Substance Abuse Treatment
Avg $88.82
1,360,427 claims
Dental Cleaning & Exam
Avg $51.23
1,288,126 claims