Average Medicaid Emergency Room Visit Payments in Santa Rosa, CA: $93.87
Avg. Paid
$93.87
Range
$0.00 – $910.70
Total Claims
505,118
Providers
161
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 Rosa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St. Joseph Health Northern California, Llc
1165 Montgomery Dr |
$78.26 | 144,958 | 121,324 |
|
Sutter Bay Hospitals
30 Mark West Springs Road |
$117.64 | 95,238 | 80,962 |
|
Kaiser Foundation Hospitals
401 Bicentennial Way |
$89.91 | 72,208 | 66,295 |
|
Chase Dennis Emergency Medical Group Inc
1165 Montgomery Dr |
$62.83 | 20,263 | 18,299 |
|
Dawn H. Magdalin-Betts
3250 Oak Farm Ln |
$60.87 | 8,596 | 8,433 |
|
Omar Ferrari
1165 Montgomery Dr |
$96.29 | 7,851 | 7,641 |
|
Matthew Brady Thomas
1165 Montgomery Dr |
$90.55 | 7,019 | 6,783 |
|
Ridgely Oliver Muller
1165 Montgomery Dr |
$96.28 | 6,755 | 6,575 |
|
Brian Pritchard
401 Bicentennial Way |
$90.62 | 6,501 | 6,136 |
|
Kurt Andrew Holt
1165 Montgomery Dr |
$91.26 | 6,314 | 6,136 |
|
David A Grundy
1165 Montgomery Dr |
$67.38 | 6,192 | 5,802 |
|
Gerry V. Lazzareschi
401 Bicentennial Way |
$66.69 | 6,142 | 6,006 |
|
Gary Mc Calla
1165 Montgomery Drive |
$210.79 | 6,002 | 4,139 |
|
Christina Marie Goodwin
1165 Montgomery Dr |
$105.62 | 5,251 | 5,135 |
|
Stephen R Levinson
Santa Rosa Memorial Hospital |
$63.82 | 4,756 | 4,729 |
|
Edward Shang Jen Wang
1165 Montgomery Dr |
$57.58 | 4,065 | 3,968 |
|
Janet Catherina Uhde
1165 Montgomery Dr |
$88.62 | 3,759 | 3,733 |
|
Yizza Narvaez
401 Bicentennial Way |
$125.62 | 3,745 | 3,711 |
|
Satellite Healthcare Inc
2301 Circadian Way |
$910.70 | 3,703 | 3,683 |
|
Deborah Donlon
751 Lombardi Ct Ste B |
$0.45 | 3,089 | 2,243 |
|
Daniel I Loube
3622 Orbetello Ct. |
$38.15 | 2,784 | 1,243 |
|
Michael L. Medvin
1287 Fulton Rd |
$67.74 | 2,657 | 2,619 |
|
Carla Price Longchamp
1300 N Dutton Ave |
$0.17 | 2,652 | 2,103 |
|
Jotham Kahoro Gikuhi
983 Sonoma Ave |
$55.07 | 2,557 | 2,531 |
|
Quinn Tetsuro Fujii
1165 Montgomery Dr |
$98.96 | 2,513 | 2,403 |
|
Evan Michael Tobin
1165 Montgomery Dr |
$23.62 | 2,491 | 2,455 |
|
Stephen P Fuette
401 Bicentennial Way |
$38.37 | 2,211 | 2,171 |
|
Stacey N. Massignan
1165 Montgomery Dr |
$77.17 | 2,171 | 2,102 |
|
Hyun Kang
1165 Montgomery Dr |
$131.75 | 2,029 | 796 |
|
Brian Frederick Schmidt
1701 4Th St |
$156.27 | 1,910 | 1,360 |
|
Derrick Kyle Pelton
3883 Airway Dr Ste 120 |
$69.28 | 1,813 | 1,773 |
|
Michael Jeremy Gerstein
401 Bicentennial Way |
$28.54 | 1,696 | 1,672 |
|
Joshua Jacober
30 Mark West Springs Rd |
$76.21 | 1,688 | 1,643 |
|
Afsoon Foorohar
34 Mark West Springs Rd Fl 2 |
$0.09 | 1,687 | 1,266 |
|
Amelia Randolph
3883 Airway Dr Ste 120 |
$82.43 | 1,591 | 1,552 |
|
Kevin Bergman
3324 Chanate Rd |
$40.15 | 1,571 | 1,552 |
|
Santa Rosa Surgery Center L P
34 Mark West Springs Rd Suite 100 |
$67.45 | 1,558 | 1,539 |
|
Chanh Do
401 Bicentennial Way |
$33.39 | 1,554 | 1,523 |
|
Elaine C. Oliveira
401 Bicentennial Way |
$67.38 | 1,546 | 1,504 |
|
Joel M. Lewis
983 Sonoma Ave |
$0.28 | 1,535 | 1,413 |
|
Robert T. Galbraith
401 Bicentennial Way |
$76.59 | 1,522 | 1,256 |
|
Robert M. Duchynski
401 Bicentennial Way |
$22.69 | 1,397 | 1,370 |
|
Johnathan Emad Agil
1165 Montgomery Dr |
$103.81 | 1,305 | 1,261 |
|
Tinh Hua
401 Bicentennial Way |
$27.04 | 1,302 | 1,280 |
|
Selamawit Tekie Gebreslassie
401 Bicentennial Way |
$11.42 | 1,239 | 1,215 |
|
Andrew Joseph Merriman
1165 Montgomery Dr |
$119.60 | 1,226 | 1,186 |
|
Jaime Vasquez
401 Bicentennial Way |
$42.62 | 1,199 | 1,184 |
|
Bio-Medical Applications Of California, Inc.
1020 2Nd St |
$875.10 | 1,106 | 1,089 |
|
Lisa M. Ward
1110 N Dutton Ave |
$0.03 | 1,096 | 957 |
|
Claudia Alexandra Santucci
401 Bicentennial Way |
$78.27 | 1,090 | 1,056 |
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 Rosa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Santa Rosa, CA is $93.87 per claim, based on 505,118 claims from 161 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 Rosa, CA?
There are 161 Medicaid providers offering Emergency Room Visit related services in Santa Rosa, CA according to public payment data.
What is the price range for Emergency Room Visit in Santa Rosa, CA?
Medicaid reimbursement for Emergency Room Visit in Santa Rosa, CA ranges from $0.00 to $910.70 per claim, with an average of $93.87. 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 Rosa, CA
Office Visit
Avg $21.94
1,410,868 claims
Blood Work & Lab Tests
Avg $10.43
454,321 claims
Substance Abuse Treatment
Avg $71.21
265,758 claims
X-Ray
Avg $16.73
255,609 claims
Dental Cleaning & Exam
Avg $50.06
255,325 claims
Non-Emergency Medical Transportation
Avg $40.57
251,882 claims
Psychiatric Evaluation
Avg $37.81
234,328 claims
Behavioral & Mental Health Therapy
Avg $177.36
210,087 claims