Average Medicaid Emergency Room Visit Payments in San Luis Obispo, CA: $66.44
Avg. Paid
$66.44
Range
$3.42 – $114.76
Total Claims
74,927
Providers
32
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 Luis Obispo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gregory Scott Canfield
1428 Phillips Ln Ste 203 |
$76.84 | 51 | 28 |
|
Mark K Eckert
1010 Murray Avenue |
$51.73 | 63 | 63 |
|
Thomas R Vendegna
1304 Ella St Ste A |
$93.82 | 102 | 65 |
|
Danny Leroy Lickness
35 Casa Street |
$68.22 | 140 | 131 |
|
Laura A Lubarsky
1304 Ella St Ste A |
$114.76 | 153 | 65 |
|
Mark I Soll
1304 Ella St Ste A |
$101.60 | 167 | 67 |
|
Heather Sue Kirschner
1911 Johnson Avenue |
$52.72 | 174 | 174 |
|
Michael J Ryan
1428 Phillips Ln Ste 203 |
$110.59 | 212 | 92 |
|
Ross G Michel
1428 Phillips Ln Ste 203 |
$104.98 | 227 | 97 |
|
Eric Colton
35 Casa St |
$41.46 | 245 | 230 |
|
Justin N Grammy
1428 Phillips Ln Ste 203 |
$92.20 | 253 | 106 |
|
Heidi M. Freeman
1411 Marsh St Ste 201 |
$103.94 | 326 | 313 |
|
Central Coast Chest Consultants A Medical Corporation
1428 Phillips Ln |
$3.42 | 379 | 98 |
|
Dignity Community Care
1911 Johnson Ave |
$3.57 | 647 | 603 |
|
Patrick J. Haran
1010 Murray St |
$70.59 | 699 | 695 |
|
Kyle C Weber
283 Madonna Rd Ste B |
$95.59 | 811 | 785 |
|
Sierra Vista Hospital, Inc.
1010 Murray St |
$22.00 | 998 | 935 |
|
Jessi Crystina Hill
1911 Johnson Ave |
$77.33 | 1,338 | 1,328 |
|
Rushdi Zareen Abdul Cader
1010 Murray St |
$74.13 | 1,476 | 1,461 |
|
Lucas Douglas Karaelias
1911 Johnson Ave |
$71.76 | 1,698 | 1,687 |
|
Cep America - California
1911 Johnson Avenue |
$4.46 | 2,259 | 2,039 |
|
Samuel Slishman
387 Lincoln St |
$65.55 | 2,443 | 2,434 |
|
Lisa Miriam Benepe
1911 Johnson Ave |
$71.60 | 2,566 | 2,540 |
|
Kristopher Lyon
283 Madonna Rd Ste B |
$75.34 | 3,739 | 3,718 |
|
Kyle Richard Kelson
1010 Murray Ave |
$67.28 | 4,955 | 4,932 |
|
Amy Elizabeth Olin
1911 Johnson Ave |
$73.39 | 5,191 | 5,167 |
|
Joseph A. Robinson
1010 Murray St |
$71.65 | 5,535 | 5,498 |
|
Eric J. Jacobsen
1911 Johnson Ave |
$65.57 | 6,018 | 5,981 |
|
Peter L Dornhofer
1911 Johnson Ave |
$23.03 | 6,094 | 6,041 |
|
Kenyon Tsao
1911 Johnson Ave |
$58.67 | 7,375 | 7,325 |
|
Clinton Andrew Slaughter
1911 Johnson Avenue |
$72.90 | 9,143 | 9,090 |
|
Sean Andrews
1010 Murray Ave |
$97.94 | 9,450 | 9,365 |
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 Luis Obispo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in San Luis Obispo, CA is $66.44 per claim, based on 74,927 claims from 32 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 Luis Obispo, CA?
There are 32 Medicaid providers offering Emergency Room Visit related services in San Luis Obispo, CA according to public payment data.
What is the price range for Emergency Room Visit in San Luis Obispo, CA?
Medicaid reimbursement for Emergency Room Visit in San Luis Obispo, CA ranges from $3.42 to $114.76 per claim, with an average of $66.44. 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 Luis Obispo, CA
Blood Work & Lab Tests
Avg $6.74
1,542,494 claims
Office Visit
Avg $62.92
514,146 claims
Urinalysis & Urine Tests
Avg $2.49
200,234 claims
Behavioral & Mental Health Therapy
Avg $182.89
130,665 claims
Psychiatric Evaluation
Avg $111.99
121,406 claims
Substance Abuse Treatment
Avg $90.65
112,808 claims
Case Management Services
Avg $203.23
98,142 claims
Culture & Microbiology Tests
Avg $4.65
87,338 claims