Based on public Medicaid payment data.

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

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
Ariana Wilkinson 1245 16Th St Ste 309	$89.74	15	15
Gregory Bion Bierer 1223 16Th St	$66.84	28	12
Jill T Caratan 1328 22Nd Street	$24.48	29	29
Burt Charuworn 1245 16Th St	$53.77	34	17
David Benjamin Kagan 2121 Santa Monica Blvd	$60.21	38	12
Samantha Thomas 1250 16Th St	$67.04	45	44
Joanne Maki Bando 1223 16Th St Ste 3400	$118.91	49	12
Forster Chhean 1250 16Th St	$209.04	58	29
Sean Dooley 2121 Santa Monica Blvd	$93.97	59	27
Benjamin Paulo Leme Meza 1245 16Th St Ste 125	$97.44	60	54
Eniola Christine Gros 1250 16Th St	$106.08	63	63
Providence Saint Johns Medical Foundation 2121 Santa Monica Blvd	$100.58	65	36
Shailesh Balasubramanian 1223 16Th St Ste 3400	$121.39	65	26
Oscar Alexander Estrada Paz 1260 15Th St Ste 600	$103.26	82	28
Kevin Rogan Landefeld 1223 16Th St Ste 3400	$57.07	89	88
Darius Alexander Filsoof 1223 16Th St Ste 3400	$139.48	97	48
Michael Jonathan Lieber 2001 Santa Monica Blvd	$113.40	107	66
Colette H Wiseman 1330 Stanford St Apt D	$39.84	110	109
Erich Lewen Wieshofer 1250 16Th St	$114.80	114	114
Parshawn Lahiji 2121 Santa Monica Blvd	$67.93	189	127
James E. Burrows 1301 20Th St	$47.02	207	78
Abigail Elizabeth Beggs 2121 Santa Monica Blvd	$82.38	209	88
Czarina J. Roxas 901 Wilshire Blvd Fl 1	$41.11	213	212
Michael Jarvis Boyle 1250 16Th St	$147.34	244	243
Walid H. Ghurabi 1250 16Th St	$35.11	286	283
Tao He 1223 16Th St Ste 3400	$89.30	290	147
Jolie Pfahler 1328 Twenty Second Street	$90.54	290	287
Skeet Mccain 1250 16Th St	$44.63	401	401
Pinky R Thakkar 2121 Santa Monica Blvd.	$31.81	454	451
Victor Albert Candioty 2121 Santa Monica Blvd	$46.64	481	480
Stacy Marie Suzuki 2121 Santa Monica Blvd	$24.18	510	507
Terese Catherine Hammond 1223 16Th St Ste 3400	$60.67	530	195
Dario Mcdonald 1250 16Th St	$47.93	532	524
Christianna Chorong Sim 1250 16Th St	$102.69	554	552
Rosemarie Bustos Diaz 1250 16Th St	$47.26	558	554
Jessica Li-Yan Chow 1250 16Th St	$54.17	582	581
Amy Adams 1328 Twenty Second Street	$10.99	593	592
Daniel K Grossman 1328 Twenty Second St	$65.72	787	779
Sabrina Grassl Diaz 1328 Twenty Second St	$53.91	803	792
Ryan F. Devivo 1250 16Th St	$51.12	922	914
Jamie Soo Moi Eng 2211 Michigan Ave	$43.04	1,048	1,044
Jerome Zarraga 2121 Santa Monica Blvd Fl 1	$59.10	1,105	1,097
Irawan Susanto 1223 16Th St	$120.36	1,293	287
George P. Teitelbaum 2121 Santa Monica Blvd	$140.39	1,355	848
Ami Kurzweil 2929 Pico Blvd	$130.30	1,956	1,947
Stephanie Victoria Brenman 2121 Santa Monica Blvd	$70.75	1,979	1,967
Isaac H Chu 2121 Santa Monica Blvd	$64.28	2,005	1,994
Michelle A. Charfen 1250 16Th St	$52.64	2,207	2,204
Shamsher Singh Samra 1250 16Th St	$77.67	2,422	2,412
Martin Louis Chenevert 1250 16Th St	$49.24	2,522	2,499

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.

Average Medicaid Emergency Room Visit Payments in Santa Monica, CA: $63.11

Providers Offering Emergency Room Visit in Santa Monica, CA

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

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Indianapolis, IN

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Columbus, OH

Brooklyn, NY

Philadelphia, PA

Other Procedures in Santa Monica, CA

Office Visit

Blood Work & Lab Tests

X-Ray

Dental Cleaning & Exam

Ultrasound

Nursing Facility Care

CT Scan (Computed Tomography)

Urinalysis & Urine Tests