Average Medicaid Emergency Room Visit Payments in Santa Monica, CA: $63.11
Avg. Paid
$63.11
Range
$10.99 – $226.50
Total Claims
219,456
Providers
74
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 Monica, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Regents Of The Univ Of California
1250 16Th St |
$67.07 | 15,566 | 13,838 |
|
Christopher Lynn Martin
2910 Neilson Way Unit 409 |
$95.68 | 14,498 | 14,398 |
|
Larry T. Halem
1250 16Th St |
$64.28 | 14,454 | 14,347 |
|
Jeff D Sung
2021 Santa Monica Blvd Ste 245E |
$50.24 | 13,278 | 13,195 |
|
Oscar F. Casillas
1250 16Th St |
$59.19 | 12,405 | 12,332 |
|
Michael Warren Boone
1250 16Th St |
$51.61 | 10,853 | 10,631 |
|
Jasvinder Singh Bawa
1250 16Th St |
$49.33 | 10,074 | 9,928 |
|
Christopher Adam Belfour
1250 16Th St |
$60.67 | 9,707 | 9,610 |
|
Isaac Bash
2121 Santa Monica Blvd |
$41.22 | 9,190 | 9,152 |
|
Hares Najand
2121 Santa Monica Blvd |
$61.64 | 8,402 | 8,330 |
|
Providence Saint John'S Health Center
2121 Santa Monica Blvd |
$79.50 | 7,894 | 7,166 |
|
Edward S Cotner
1328 Twenty Second Street |
$21.39 | 7,023 | 6,974 |
|
Maryam Sadeghi
1250 16Th St |
$38.98 | 6,822 | 6,775 |
|
Lisa Farah Dabby
1250 16Th St |
$52.19 | 6,314 | 6,250 |
|
Zachary H. Lutsky
1250 16Th St |
$51.02 | 6,243 | 6,211 |
|
Palm Drive Emergency Physicians Medical Group Inc
1250 16Th St |
$43.85 | 6,196 | 5,820 |
|
Saint Johns Emergency Medicine Specialists Inc A Medical Group
2121 Santa Monica Blvd |
$54.33 | 4,993 | 4,651 |
|
Cep America - California
2121 Santa Monica Blvd |
$50.03 | 4,887 | 4,517 |
|
Robert Lee Hook
1250 16Th St |
$47.82 | 4,832 | 4,809 |
|
Susan D Urstein
1328 Twenty Second Street |
$39.66 | 4,705 | 4,690 |
|
Paul Nowak
901 Wilshire Blvd Fl 1 |
$226.50 | 3,473 | 3,108 |
|
William Shyy
1250 16Th St |
$89.93 | 3,245 | 3,229 |
|
Maria Kristin Laplant
2121 Santa Monica Blvd |
$80.78 | 2,845 | 2,831 |
|
Sharwin Tafazoli
1819 Washington Ave Apt A |
$98.90 | 2,823 | 502 |
|
Martin Louis Chenevert
1250 16Th St |
$49.24 | 2,522 | 2,499 |
|
Shamsher Singh Samra
1250 16Th St |
$77.67 | 2,422 | 2,412 |
|
Michelle A. Charfen
1250 16Th St |
$52.64 | 2,207 | 2,204 |
|
Isaac H Chu
2121 Santa Monica Blvd |
$64.28 | 2,005 | 1,994 |
|
Stephanie Victoria Brenman
2121 Santa Monica Blvd |
$70.75 | 1,979 | 1,967 |
|
Ami Kurzweil
2929 Pico Blvd |
$130.30 | 1,956 | 1,947 |
|
George P. Teitelbaum
2121 Santa Monica Blvd |
$140.39 | 1,355 | 848 |
|
Irawan Susanto
1223 16Th St |
$120.36 | 1,293 | 287 |
|
Jerome Zarraga
2121 Santa Monica Blvd Fl 1 |
$59.10 | 1,105 | 1,097 |
|
Jamie Soo Moi Eng
2211 Michigan Ave |
$43.04 | 1,048 | 1,044 |
|
Ryan F. Devivo
1250 16Th St |
$51.12 | 922 | 914 |
|
Sabrina Grassl Diaz
1328 Twenty Second St |
$53.91 | 803 | 792 |
|
Daniel K Grossman
1328 Twenty Second St |
$65.72 | 787 | 779 |
|
Amy Adams
1328 Twenty Second Street |
$10.99 | 593 | 592 |
|
Jessica Li-Yan Chow
1250 16Th St |
$54.17 | 582 | 581 |
|
Rosemarie Bustos Diaz
1250 16Th St |
$47.26 | 558 | 554 |
|
Christianna Chorong Sim
1250 16Th St |
$102.69 | 554 | 552 |
|
Dario Mcdonald
1250 16Th St |
$47.93 | 532 | 524 |
|
Terese Catherine Hammond
1223 16Th St Ste 3400 |
$60.67 | 530 | 195 |
|
Stacy Marie Suzuki
2121 Santa Monica Blvd |
$24.18 | 510 | 507 |
|
Victor Albert Candioty
2121 Santa Monica Blvd |
$46.64 | 481 | 480 |
|
Pinky R Thakkar
2121 Santa Monica Blvd. |
$31.81 | 454 | 451 |
|
Skeet Mccain
1250 16Th St |
$44.63 | 401 | 401 |
|
Tao He
1223 16Th St Ste 3400 |
$89.30 | 290 | 147 |
|
Jolie Pfahler
1328 Twenty Second Street |
$90.54 | 290 | 287 |
|
Walid H. Ghurabi
1250 16Th St |
$35.11 | 286 | 283 |
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 Monica, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Santa Monica, CA is $63.11 per claim, based on 219,456 claims from 74 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 Monica, CA?
There are 74 Medicaid providers offering Emergency Room Visit related services in Santa Monica, CA according to public payment data.
What is the price range for Emergency Room Visit in Santa Monica, CA?
Medicaid reimbursement for Emergency Room Visit in Santa Monica, CA ranges from $10.99 to $226.50 per claim, with an average of $63.11. 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 Santa Monica, CA
Office Visit
Avg $22.57
373,557 claims
Blood Work & Lab Tests
Avg $4.49
329,206 claims
X-Ray
Avg $8.96
258,632 claims
Dental Cleaning & Exam
Avg $54.55
178,189 claims
Ultrasound
Avg $30.17
163,467 claims
Nursing Facility Care
Avg $51.77
135,686 claims
CT Scan (Computed Tomography)
Avg $61.05
127,182 claims
Urinalysis & Urine Tests
Avg $3.24
89,293 claims