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
Karandeep Singh Johal 225 N Jackson Ave	$51.26	12	12
Angela C. Loh 260 International Cir	$6.20	12	12
Janhavi R. Gudal 751 S Bascom Ave	$27.87	13	13
Briana Gonzalez 225 N Jackson Ave	$197.92	13	13
Lucas Suazo Gladwin 751 S Bascom Ave	$100.43	13	13
William Yang 751 S Bascom Ave	$99.60	13	13
Assees S Khan 225 N Jackson Ave	$0.00	14	13
Chandu A. Karadi 260 International Cir	$6.02	14	14
Ana Wong Pacis 200 Jose Figueres Ave	$51.26	16	16
Minhtruong Tong Lai 2425 Samaritan Dr	$503.51	23	15
Michael J Putnam 225 N Jackson Ave	$5.78	24	24
David Ruqiang Li 2105 Forest Ave	$101.59	24	24
Adela Marta Garland 751 S Bascom Ave	$74.59	28	12
Jessica Lee 5836 Moraga Ave	$39.83	30	29
Kathryn Joy 751 S Bascom Ave	$52.82	34	14
Sawsawn Hayatdavoudi 225 North Jackson Avenue	$46.48	36	36
Julie Jung 751 S Bascom Ave	$54.43	37	36
Ali Ghane Bassiri 2425 Samaritan Dr	$77.58	44	28
Britta Grayman 751 S Bascom Ave	$63.47	45	45
Patricia W Lee 2450 Samaritan Dr	$113.55	49	25
Gloria Wu 225 N Jackson Ave	$36.97	50	26
Matthew Brandon Bloom 2505 Samaritan Dr	$108.47	52	14
Megan E Stevens 2105 Forest Ave	$74.24	57	57
Jennifer Eun Lee 2425 Samaritan Dr	$51.47	58	46
Schirin Rogers 250 Hospital Pkwy	$199.90	58	15
Angelica Andrade-Silverman 5504 Monterey Hwy	$0.00	60	48
Alexander E Ayala 751 S Bascom Ave	$81.82	64	64
Aderonke Ojo 5504 Monterey Hwy	$0.00	69	63
Carl Martin Kirsch 751 S Bascom Ave	$52.02	71	43
Arathi Kumar 751 S Bascom Ave Rm 4Q151	$78.75	74	27
Charles J. Kutner 260 International Cir	$3.42	78	77
Cep America - California 2425 Samaritan Drive	$7.23	86	85
Marcelina Behnam-Curry 751 S Bascom Ave	$36.94	89	89
Curt Patrick Comstock 225 N Jackson Ave	$34.33	93	92
Santa Clara Valley Medical Center 751 S Bascom Ave	$10.15	103	94
Mariusz Niedzwiecki 2514 Berryessa Rd	$577.83	104	104
Karen Lisa Pike 2425 Samaritan Drive	$34.68	113	113
Jonathan Toker 225 N Jackson Ave	$29.47	121	118
Suarna Mehulic 20242 Almaden Rd	$35.52	133	62
Lindsay Fuchs Reilly 751 S Bascom Ave	$81.81	133	42
Sharad Dass 105 N Bascom Ave Ste 202	$40.84	138	79
Bikram Sharma 2425 Samaritan Dr	$57.70	141	78
Arun Sharma 2585 Samaritan Dr	$35.73	152	84
County Of Santa Clara 828 S Bascom Ave Ste 200	$0.00	153	147
Wilson Wong Lem 225 North Jackson Avenue	$47.94	154	154
Miles Robert Congress 2425 Samaritan Drive	$43.33	183	179
Margaret Stuckey 225 N Jackson Ave	$27.33	183	183
Paul Namkoong 1246 Quail Creek Cir	$78.25	191	176
Christina Le Truong 260 International Cir	$81.79	192	189
Robert Filuk 625 Lincoln Ave	$37.77	202	110

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