Average Medicaid Emergency Room Visit Payments in San Rafael, CA: $109.11
Avg. Paid
$109.11
Range
$0.00 – $950.27
Total Claims
30,050
Providers
27
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 Rafael, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaiser Foundation Hospitals
99 Montecillo Rd |
$199.00 | 9,860 | 8,829 |
|
Jennifer Grayzar
4000 Civic Center Dr Ste 206 |
$66.48 | 8,083 | 8,038 |
|
Marin Community Clinic
3110 Kerner Blvd |
$0.23 | 2,307 | 1,893 |
|
Marin Community Clinic
3260 Kerner Blvd |
$0.19 | 2,222 | 1,871 |
|
Aparajita Sohoni
99 Montecillo Rd |
$80.02 | 1,658 | 1,648 |
|
Torsten Hall Durkan
50 Acacia Ave |
$66.93 | 1,380 | 1,322 |
|
Cynthia Billmeyer Clark
4000 Civic Center Dr |
$69.23 | 816 | 812 |
|
Jason Smith Day
99 Montecillo Rd |
$55.39 | 468 | 456 |
|
Kimberly A. Schrage
99 Montecillo Rd |
$25.70 | 401 | 397 |
|
Alec Bradbury
16 Ritter St |
$0.43 | 394 | 325 |
|
John R. Spurzem
3260 Kerner Blvd |
$116.76 | 387 | 145 |
|
Vicki S. Martinez
99 Montecillo Rd |
$66.20 | 334 | 325 |
|
Total Renal Care Inc
650 Las Gallinas Ave |
$856.35 | 285 | 281 |
|
Barbara Shreibman
16 Ritter St |
$0.56 | 240 | 207 |
|
Patricia M. Purcell
1618 2Nd St |
$0.09 | 195 | 148 |
|
Anna Michelle Denham
99 Montecillo Rd |
$18.73 | 167 | 159 |
|
Ritter Center
16 Ritter St |
$0.17 | 141 | 107 |
|
Brian Shuhei Nishinaga
99 Montecillo Rd |
$126.68 | 134 | 133 |
|
Total Renal Care Inc
1415 3Rd St |
$950.27 | 130 | 126 |
|
Edwin Seth Munich
1004 Northgate Dr |
$0.00 | 128 | 104 |
|
Suzanna Kay Sherer
411 3Rd St # 409 |
$0.00 | 96 | 94 |
|
Francesca Flynn
4000 Civic Center Dr Ste 209 |
$44.00 | 95 | 94 |
|
Brian D. Hertz
99 Montecillo Rd |
$0.94 | 41 | 40 |
|
Darlena M. Monet
99 Montecillo Rd |
$15.40 | 39 | 39 |
|
Francisco Siguenza
16 Ritter St |
$0.00 | 24 | 14 |
|
Douglas C. Harris
99 Montecillo Rd |
$2.53 | 13 | 12 |
|
Frederick Thomas Meyer
99 Montecillo Rd |
$18.77 | 12 | 12 |
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 Rafael, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in San Rafael, CA is $109.11 per claim, based on 30,050 claims from 27 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 Rafael, CA?
There are 27 Medicaid providers offering Emergency Room Visit related services in San Rafael, CA according to public payment data.
What is the price range for Emergency Room Visit in San Rafael, CA?
Medicaid reimbursement for Emergency Room Visit in San Rafael, CA ranges from $0.00 to $950.27 per claim, with an average of $109.11. 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 Rafael, CA
Office Visit
Avg $11.51
386,259 claims
Substance Abuse Treatment
Avg $140.74
123,484 claims
Vaccines & Immunizations
Avg $11.27
104,785 claims
Case Management Services
Avg $262.87
63,854 claims
Psychiatric Evaluation
Avg $51.60
35,151 claims
Behavioral & Mental Health Therapy
Avg $412.00
31,527 claims
Blood Work & Lab Tests
Avg $5.56
19,838 claims
Dental Cleaning & Exam
Avg $49.03
19,297 claims