Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in San Jose, CA: $55.85

Avg. Paid

$55.85

Range

$0.00 – $577.83

Total Claims

533,312

Providers

191

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 Jose, CA

Provider	Avg. Paid	Claims	Patients
Kaiser Foundation Hospitals 250 Hospital Pkwy	$108.24	45,024	42,869
County Of Santa Clara 751 S. Bascom Avenue	$59.02	20,351	18,173
Vladimir G. Skorokhod 1375 Blossom Hill Rd	$71.52	18,035	17,774
Lin Htut Naing 2105 Forest Ave	$39.96	16,229	16,143
William Albert Stone 225 N Jackson Ave	$102.19	15,437	14,757
Khoi Anh Lam 225 N. Jackson Avenue	$54.54	13,893	13,719
Gregory A Groetsema 2105 Forest Ave	$36.88	13,754	13,688
Mark S Penner 2105 Forest Ave	$34.06	12,697	12,625
Marco R Randazzo 2105 Forest Ave	$36.49	12,450	12,389
Cep America - California 225 North Jackson Avenue	$1.86	12,135	11,401
Laura Elizabeth Tribuzi 2105 Forest Ave	$36.24	11,905	11,831
Victor Hsiang Wu 225 North Jackson Avenue	$72.19	11,687	11,602
Jacob Benford 225 North Jackson Avenue	$94.16	11,364	10,840
Thomas Gildea 2105 Forest Ave	$37.13	10,750	10,676
Jasmine A Mahesri 751 S Bascom Ave	$98.08	10,626	10,523
Deborah Lynn Schwartz 751 S Bascom Ave	$35.34	8,765	8,639
James Yaroslav Yarovoy 225 N Jackson Ave	$82.16	8,681	8,595
O'Connor Hospital 2105 Forest Ave	$8.78	8,624	7,954
Kieu Loan Nguyen 225 N Jackson Ave	$40.47	8,299	8,208
Bryan Beall 2105 Forest Ave	$59.23	8,043	7,934
James Alva 751 S Bascom Ave	$36.61	8,000	7,922
Daniel Andrew Nelson 751 S Bascom Ave	$36.44	7,930	7,900
Brian Saavedra 2105 Forest Ave	$35.19	7,779	7,734
Hospitalist Medicine Physicians Of California, Inc 225 N Jackson Ave	$71.07	6,866	5,997
Christopher Steven Campbell 1442 S Winchester Blvd # 117	$39.81	6,857	6,834
Philip K Hurst 751 S Bascom Ave	$33.62	6,274	6,196
Andrew Napier 225 N Jackson Ave	$56.09	6,043	5,983
Gary Adam Gechlik 2425 Samaritan Drive	$42.08	5,988	5,925
Peter Michael Intemann 751 South Bascom Avenue	$40.76	5,937	5,893
Bryce Austin Volk 225 N Jackson Ave	$91.03	5,887	5,683
Ifrah Abdi Ali 225 N Jackson Ave	$35.91	5,654	5,607
Pranjal Patel 751 S Bascom Ave	$59.47	5,597	5,529
Sharon Cu 751 S Bascom Ave	$44.76	5,561	5,470
Meenesh A Bhimani 2105 Forest Ave	$46.45	5,484	5,265
Anna Nguyen 2105 Forest Ave	$37.17	5,438	5,421
Shalin Hira Patel 225 N Jackson Ave	$40.50	5,214	5,163
Patricia Anne Wilson 225 North Jackson Avenue	$52.92	5,186	4,714
Steve Ming-Cheng Sun 352 La Strada Dr	$75.61	4,165	4,141
Tony Hue-Dan Yuan 225 North Jackson Avenue	$39.02	4,107	4,081
James Saunders 124 Boston Ave	$56.74	3,992	3,684
Alexander Michael Lam 751 S Bascom Ave	$75.44	3,978	3,928
Erica Timiraos Mcenery 225 N Jackson Ave	$41.83	3,828	3,783
Todd Michael Saldinger 2425 Samaritan Drive	$49.51	3,506	3,355
Roger Yang 751 S Bascom Ave	$85.15	3,326	3,293
Christopher Nelson 2105 Forest Ave	$38.73	3,210	3,195
My Phuong Nguyen Mitarai 751 S Bascom Ave	$39.35	3,177	3,157
Dennis Liu 250 Hospital Pkwy	$52.92	3,138	3,117
Elaine Elinor Nelson 225 N Jackson Ave	$45.47	3,118	3,098
Richard Ian Ross 455 Oconnor Dr	$76.39	2,861	2,839
Marika C Ennis 751 South Bascom Ave	$62.04	2,812	2,785

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 Jose, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in San Jose, CA is $55.85 per claim, based on 533,312 claims from 191 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 Jose, CA?

There are 191 Medicaid providers offering Emergency Room Visit related services in San Jose, CA according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in San Jose, CA ranges from $0.00 to $577.83 per claim, with an average of $55.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in San Jose, CA: $55.85

Providers Offering Emergency Room Visit in San Jose, CA

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

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Other Procedures in San Jose, CA

Office Visit

Blood Work & Lab Tests

Dental Cleaning & Exam

Case Management Services

Behavioral & Mental Health Therapy

Vaccines & Immunizations

X-Ray

Substance Abuse Treatment