Skip to content
Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Santa Clara, CA: $90.22

Avg. Paid

$90.22

Range

$1.90 – $288.89

Total Claims

75,545

Providers

45

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 Santa Clara, CA

Provider Avg. Paid Claims Patients
Kaiser Foundation Hospitals

700 Lawrence Expy

$108.92 40,933 39,299
Mitali Parmar

710 Lawrence Expy

$72.69 14,991 14,828
Ricky J Thomas

700 Lawrence Expy

$61.58 4,975 4,881
Jason W. Bryant

900 Kiely Blvd

$69.12 4,280 4,253
Meghan Schmitz

700 Lawrence Expy

$45.38 1,491 1,479
Hazar H Khidir

700 Lawrence Expy

$62.58 992 974
Richard J. Oh

900 Kiely Blvd

$19.77 769 766
Christina M. Fong

900 Kiely Blvd

$58.12 467 466
Andrew Christopher Lai

700 Lawrence Expy Dept 100

$61.88 437 433
Haydn H. Leung

900 Kiely Blvd

$53.58 435 429
Aneri Sakhpara

710 Lawrence Expy

$38.32 387 177
Vanessa L. Hsieh-Park

700 Lawrence Expy

$115.98 374 373
Sherwin Ario Soltani

700 Lawrence Expy

$110.90 366 364
Elizabeth Doherty Turner

700 Lawrence Expy

$46.31 354 349
Bonnie Lau

700 Lawrence Expy

$25.05 334 329
Mark Thanassi

900 Kiely Blvd

$54.99 323 321
Ashley Jenna Tribull

700 Lawrence Expy

$103.28 315 305
Deborah Kimball

700 Lawrence Expy

$62.57 302 301
Hannah Victoria Gordon

700 Lawrence Expy Dept 498

$288.89 298 297
Joanna C. Law Courter

900 Kiely Blvd

$81.56 269 267
Pia Galindo

2441 Mission College Blvd

$82.39 265 263
Albert M. Kuo

900 Kiely Blvd

$24.10 231 229
Permanente Medical Group Inc

710 Lawrence Expressway

$1.90 203 201
David Andrew White

700 Lawrence Expy

$81.92 160 157
Susan S. Chow

700 Lawrence Expy

$28.88 159 155
Manish Ramakant Asaravala

700 Lawrence Expy

$43.45 159 156
Jorge Alberto Garcia

700 Lawrence Expy

$66.96 157 153
Robert Conner Dixon

710 Lawrence Expy

$96.69 130 123
Cheri Finalle Binkley

700 Lawrence Expy

$18.33 105 105
Alison Wong

700 Lawrence Expy Dept 100

$32.55 104 104
Thomas Daniel Bloom

700 Lawrence Expy

$66.04 103 99
Michael Ming-Hua Hsu

700 Lawrence Expy

$81.42 102 101
Sundip Kaur Jagpal

700 Lawrence Expy

$96.98 75 74
Joel T. Levis

900 Kiely Blvd

$4.35 74 73
Michelle Suzanne Holmes

900 Kiely Blvd

$30.50 60 60
Kunj Bhatt

700 Lawrence Expy Dept 100

$202.90 58 58
Daniel Joseph Orjuela

700 Lawrence Expy

$52.52 57 57
Anita Kulkarni

900 Kiely Blvd

$37.82 50 50
August Grace

700 Lawrence Expy

$212.47 42 42
Shahinoor T. Esmail

900 Kiely Blvd

$18.61 40 40
Lindsay Mandel Foley

700 Lawrence Expy

$71.40 35 29
David A Nix

700 Lawrence Expy

$46.02 29 29
Michelle Soyoun Lee

700 Lawrence Expy

$150.57 28 28
Charlene Melody Gaw

700 Lawrence Expressway

$178.56 15 15
Yi-Mei Chng

900 Kiely Blvd

$10.82 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 Santa Clara, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Santa Clara, CA is $90.22 per claim, based on 75,545 claims from 45 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 Santa Clara, CA?

There are 45 Medicaid providers offering Emergency Room Visit related services in Santa Clara, CA according to public payment data.

What is the price range for Emergency Room Visit in Santa Clara, CA?

Medicaid reimbursement for Emergency Room Visit in Santa Clara, CA ranges from $1.90 to $288.89 per claim, with an average of $90.22. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Santa Clara, CA