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
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 Santa Clara, CA
Office Visit
Avg $17.48
205,653 claims
Blood Work & Lab Tests
Avg $1.57
156,552 claims
Dental Cleaning & Exam
Avg $54.19
94,692 claims
Vaccines & Immunizations
Avg $2.56
65,185 claims
X-Ray
Avg $15.11
51,420 claims
EKG / ECG (Electrocardiogram)
Avg $5.33
51,111 claims
Urinalysis & Urine Tests
Avg $0.62
40,664 claims
Behavioral & Mental Health Therapy
Avg $80.20
33,259 claims