Average Medicaid Emergency Room Visit Payments in Santa Cruz, CA: $85.44
Avg. Paid
$85.44
Range
$0.14 – $172.38
Total Claims
235,236
Providers
34
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 Cruz, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dignity Health
1555 Soquel Dr |
$77.78 | 106,168 | 91,884 |
|
John D Walther
2025 Soquel Ave |
$92.16 | 18,521 | 18,262 |
|
Matthew Leslie Tripp
1555 Soquel Dr |
$78.21 | 17,147 | 16,996 |
|
David D Wagner
1555 Soquel Dr |
$97.20 | 9,672 | 9,596 |
|
John Grady
1555 Soquel Dr |
$100.64 | 9,125 | 9,035 |
|
Ranvir Singh
1555 Soquel Dr |
$99.44 | 8,752 | 8,684 |
|
Sarah Cheney Feldmann
1555 Soquel Dr |
$97.81 | 8,641 | 8,573 |
|
Christopher John Wesselman
1555 Soquel Dr |
$94.75 | 7,518 | 7,462 |
|
Bradley Dale Whaley
1555 Soquel Dr |
$95.03 | 6,734 | 6,683 |
|
Marc B. Yellin
1555 Soquel Dr |
$95.59 | 6,494 | 6,444 |
|
Brook Goddard
1555 Soquel Dr |
$93.74 | 6,340 | 6,295 |
|
David Christopher Danish
1555 Soquel Dr |
$101.91 | 5,944 | 5,900 |
|
Heidi May Goddard
1555 Soquel Dr |
$99.35 | 4,961 | 4,938 |
|
Laura Michelle Destro
1555 Soquel Dr |
$92.16 | 3,957 | 3,942 |
|
Rebecca Wurster
1555 Soquel Dr |
$79.63 | 3,074 | 3,041 |
|
Gregory Allen Whitley
1555 Soquel Dr |
$86.95 | 2,020 | 2,006 |
|
Dana James
2025 Soquel Ave |
$42.21 | 1,971 | 1,887 |
|
Terry Bruce Lapid
1555 Soquel Dr |
$88.67 | 1,239 | 1,229 |
|
Lori-Ann Tracy
216 Laguna St |
$112.91 | 1,212 | 1,092 |
|
Jose Luis Barrios
21507 E Cliff Dr # D |
$145.00 | 1,148 | 1,123 |
|
Prentice David Steffen
1925 Harper St |
$71.72 | 1,129 | 1,119 |
|
Robert Pollard
615 Ocean St |
$56.78 | 1,074 | 1,049 |
|
Cep America - California
1555 Soquel Dr |
$9.24 | 799 | 718 |
|
John B. Christensen
1555 Soquel Dr |
$97.24 | 529 | 527 |
|
Gabriel Harrison Elias Klapman
260 Meadow Rd |
$0.14 | 271 | 243 |
|
Benjamin Luis Silva
2025 Soquel Ave |
$19.97 | 217 | 217 |
|
James Anthony Louisell
1595 Soquel Dr Ste 230 |
$137.33 | 172 | 75 |
|
Tuong Nguyen Vu
1595 Soquel Dr Ste 230 |
$134.53 | 119 | 51 |
|
Martha Fuchs
2911 Chanticleer Ave |
$50.30 | 88 | 88 |
|
Paul Jeffrey Godin
1595 Soquel Dr Ste 230 |
$154.54 | 76 | 37 |
|
Stefanie Delvecchio
2018 Mission St |
$42.00 | 52 | 30 |
|
Andrea Ling
1595 Soquel Dr Ste 230 |
$130.86 | 36 | 13 |
|
Laura Louise Likar
1595 Soquel Dr Ste 230 |
$172.38 | 22 | 12 |
|
Richard Duncan Minkner
540 Soquel Ave |
$12.73 | 14 | 14 |
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 Cruz, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Santa Cruz, CA is $85.44 per claim, based on 235,236 claims from 34 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 Cruz, CA?
There are 34 Medicaid providers offering Emergency Room Visit related services in Santa Cruz, CA according to public payment data.
What is the price range for Emergency Room Visit in Santa Cruz, CA?
Medicaid reimbursement for Emergency Room Visit in Santa Cruz, CA ranges from $0.14 to $172.38 per claim, with an average of $85.44. 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 Santa Cruz, CA
Office Visit
Avg $33.23
980,453 claims
Substance Abuse Treatment
Avg $32.01
703,736 claims
Psychiatric Evaluation
Avg $65.40
298,214 claims
Behavioral & Mental Health Therapy
Avg $272.72
195,735 claims
Blood Work & Lab Tests
Avg $11.46
185,254 claims
Non-Emergency Medical Transportation
Avg $31.30
175,051 claims
X-Ray
Avg $12.48
166,316 claims
Eye Exam
Avg $26.81
99,991 claims