Average Medicaid Emergency Room Visit Payments in San Pedro, CA: $61.11
Avg. Paid
$61.11
Range
$0.00 – $117.34
Total Claims
152,642
Providers
21
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 Pedro, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southern California Emergency Medical Group
1300 W 7Th St |
$56.56 | 17,527 | 16,467 |
|
Jeffrey Paul Dayton
1300 W 7Th St |
$55.56 | 15,121 | 15,012 |
|
Mark H. Joyner
1300 W 7Th St |
$53.09 | 13,475 | 13,348 |
|
Sameer Dhiru Mistry
1300 W 7Th St |
$50.00 | 12,284 | 12,127 |
|
John Susumu Mccall
1300 W 7Th St |
$117.34 | 12,188 | 11,198 |
|
Providence Health System - Southern California
1300 W 7Th St |
$92.97 | 12,020 | 10,799 |
|
Stephen R Shea, M.D., Inc
1300 W 7Th St |
$51.91 | 11,625 | 11,014 |
|
Marco Antonio Diaz
1300 W 7Th St |
$53.11 | 10,998 | 10,943 |
|
Shaghayegh Haghighat
1300 W 7Th St |
$54.12 | 10,396 | 10,303 |
|
Brian D. Fong
1300 W 7Th St |
$48.06 | 8,437 | 8,337 |
|
Douglas Walter Mcfarland
1300 W 7Th St |
$48.08 | 8,263 | 8,161 |
|
Arlene Marie Vernon
1300 W 7Th St |
$55.12 | 7,581 | 7,528 |
|
Miles R Shaw
1300 W 7Th St |
$50.88 | 6,774 | 6,675 |
|
Thomas Lee Bostwick
1001 S Seaside Ave |
$90.08 | 1,713 | 1,633 |
|
Usha Rani K. Reddy
1300 W 7Th St |
$35.63 | 1,333 | 1,325 |
|
Keith Douglas Stamler
1300 W 7Th St |
$36.71 | 1,018 | 1,013 |
|
Valerie Grant
1600 S Gaffey St |
$38.86 | 800 | 793 |
|
Alessandra Conforto
1300 W 7Th St |
$31.34 | 403 | 393 |
|
Alex Tuan Dang
1300 W 7Th St |
$40.79 | 399 | 396 |
|
Providence Health System - Southern California
1300 W 7Th St |
$0.00 | 223 | 212 |
|
Uduak Regina Iluore
593 W 6Th St |
$59.73 | 64 | 64 |
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 Pedro, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in San Pedro, CA is $61.11 per claim, based on 152,642 claims from 21 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 Pedro, CA?
There are 21 Medicaid providers offering Emergency Room Visit related services in San Pedro, CA according to public payment data.
What is the price range for Emergency Room Visit in San Pedro, CA?
Medicaid reimbursement for Emergency Room Visit in San Pedro, CA ranges from $0.00 to $117.34 per claim, with an average of $61.11. 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 Pedro, CA
Office Visit
Avg $24.54
259,871 claims
Substance Abuse Treatment
Avg $154.82
188,203 claims
Blood Work & Lab Tests
Avg $15.89
138,406 claims
Psychiatric Evaluation
Avg $118.87
63,721 claims
Urinalysis & Urine Tests
Avg $7.13
63,638 claims
Vaccines & Immunizations
Avg $5.00
59,512 claims
EKG / ECG (Electrocardiogram)
Avg $19.15
46,755 claims
Podiatry (Foot Care)
Avg $7.64
45,590 claims