Average Medicaid Emergency Room Visit Payments in Santa Maria, CA: $58.29
Avg. Paid
$58.29
Range
$0.00 – $199.09
Total Claims
188,411
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 Maria, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samuel Dean Miller
1400 E Church St |
$54.23 | 20,617 | 20,459 |
|
Richard A. Insco
235 S Palisade Dr |
$23.68 | 16,289 | 16,128 |
|
Brian Thomas Jensen
1400 E Church St |
$53.13 | 15,961 | 15,874 |
|
Paul Marshal Webber
1400 E Church St |
$71.05 | 13,775 | 13,647 |
|
Stacy Fielding Harmon
1400 E Church St |
$51.75 | 13,279 | 13,225 |
|
Albert Linwood Schultz
1400 E Church St |
$53.06 | 10,913 | 10,829 |
|
David Radler
1400 E Church St |
$53.30 | 10,752 | 10,636 |
|
Matthew Thomas Cote
1400 E Church St |
$52.90 | 10,598 | 10,531 |
|
Guy Richard Bennallack
1400 E Church St Bldg 8 |
$108.08 | 10,511 | 8,245 |
|
Alicia Mikolaycik Gonzalez
1400 E Church St |
$56.68 | 9,226 | 9,138 |
|
Cheryl Joan Reeder
1102 E Clark Ave Ste 120A |
$91.38 | 7,933 | 7,739 |
|
Mmc Emergency Physicians Medical Group, Inc
1400 E Church St |
$5.45 | 7,398 | 6,816 |
|
Gregory H Whitcher
1400 E Church St |
$63.00 | 5,917 | 5,887 |
|
Shannon Cooper
1400 E Church St |
$68.71 | 5,449 | 5,411 |
|
Dignity Health
1400 E Church St |
$17.40 | 4,751 | 4,418 |
|
Gregory Scott Simmons
1400 E Church St |
$71.30 | 4,612 | 4,582 |
|
Carsten Zieger
2271 S Depot St |
$60.80 | 4,203 | 4,036 |
|
Theodore N Armstrong
1102 E Clark Ave Ste 120A |
$73.87 | 3,508 | 3,487 |
|
Mellissa Sydney
1400 E Church St |
$74.66 | 3,254 | 3,234 |
|
Cheryl Durstein-Decker
1325 E Church St |
$133.26 | 2,904 | 2,833 |
|
Felipe Ragazzi Firmo
1400 E Church St |
$75.02 | 1,907 | 1,888 |
|
Robert L Hinds
1400 E Church St |
$106.34 | 939 | 318 |
|
G. Zacharia Reagle
1400 E Church St |
$90.88 | 852 | 304 |
|
Baljinder Singh Sidhu
1400 E Church St |
$99.90 | 737 | 246 |
|
Daniel Black
1851 Melanie Ct |
$33.25 | 443 | 443 |
|
Rory A Smith
1400 E Church St |
$108.16 | 323 | 146 |
|
Barry Steven Feldman
1400 E Church St |
$67.25 | 286 | 95 |
|
Erin Kathleen Murphy
504 Plaza Dr Ste 204 |
$57.64 | 157 | 156 |
|
Khushboo Bhella
1075 E Betteravia Rd Ste 201 |
$27.15 | 156 | 155 |
|
Allison Lynn Ramsey
300 S Stratford Ave |
$119.42 | 101 | 27 |
|
Ahmed Abdelaziz Abdelaziz
1418 E Main St |
$47.60 | 77 | 65 |
|
Robert L Mcghie
1418 E Main St Ste 210 |
$48.11 | 72 | 66 |
|
Taimur L Chaudhry
220 S Palisade Dr Ste 203 |
$35.09 | 68 | 62 |
|
Pacific Central Coast Health Centers
1745 N Broadway Ste 101 |
$5.70 | 63 | 62 |
|
Estrella Nathalie Chavez Benzaquen
2801 Santa Maria Way |
$133.10 | 60 | 55 |
|
David Aloysius Ketelaar
1400 E Church St |
$32.55 | 58 | 58 |
|
Eric Morris Suess
1400 E Church St |
$91.78 | 44 | 14 |
|
Kevin Michael Henry
235 S Palisade Dr |
$3.46 | 44 | 43 |
|
Central Coast In-Patient Consultants, Inc.
1400 East Chruch Street |
$2.55 | 40 | 25 |
|
Lars Ola I Sjoholm
316 S Stratford Ave Ste B |
$199.09 | 39 | 18 |
|
Karen Susan Lapesarde
1418 E Main St Ste 210 |
$52.78 | 30 | 29 |
|
Ahmad K Nooristani
830 E Chapel St |
$44.08 | 24 | 12 |
|
Vellore G Kasturi
1418 E Main St Ste 210 |
$48.41 | 17 | 16 |
|
Rachel Ourieff
340 E Betteravia Rd |
$63.06 | 12 | 12 |
|
Paul Christopher Parker
116 S Palisade Dr |
$0.00 | 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 Maria, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Santa Maria, CA is $58.29 per claim, based on 188,411 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 Maria, CA?
There are 45 Medicaid providers offering Emergency Room Visit related services in Santa Maria, CA according to public payment data.
What is the price range for Emergency Room Visit in Santa Maria, CA?
Medicaid reimbursement for Emergency Room Visit in Santa Maria, CA ranges from $0.00 to $199.09 per claim, with an average of $58.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Avg $203.26
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Avg $116.65
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Avg $130.02
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Avg $98.63
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Brooklyn, NY
Avg $130.10
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Avg $135.52
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Other Procedures in Santa Maria, CA
Office Visit
Avg $37.09
1,228,678 claims
Substance Abuse Treatment
Avg $33.75
838,009 claims
Vaccines & Immunizations
Avg $8.33
429,641 claims
Dental Cleaning & Exam
Avg $49.04
294,594 claims
Behavioral & Mental Health Therapy
Avg $207.91
257,630 claims
Eye Exam
Avg $20.86
238,954 claims
Psychiatric Evaluation
Avg $74.82
184,750 claims
Physical Therapy
Avg $20.58
170,111 claims