Average Medicaid Emergency Room Visit Payments in Simi Valley, CA: $95.07
Avg. Paid
$95.07
Range
$51.38 – $221.44
Total Claims
95,749
Providers
19
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 Simi Valley, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laura Bisaccia Hamilton
2996 Kilaine Dr |
$60.38 | 12 | 12 |
|
Ashim Arora
158 Macaw Ln |
$145.74 | 21 | 13 |
|
Klar Fulgentes Pasilaban
1822 Springgate Ln Apt G |
$82.58 | 27 | 27 |
|
Duc Nguyen
2650 Jones Way |
$158.31 | 31 | 13 |
|
Jaspreet Somal M.D., A.P.C.
1687 Erringer Rd Ste 215 |
$159.54 | 74 | 25 |
|
Afomia Mesfin
2975 Sycamore Dr |
$66.52 | 123 | 121 |
|
Gurdip Singh Flora
1172 Swallow Lane |
$148.58 | 182 | 104 |
|
Simi Valley Surgery Center Inc
3605 Alamo St Ste 102 |
$52.99 | 381 | 372 |
|
Laura L. Leistiko
2975 Sycamore Dr |
$71.01 | 4,394 | 4,357 |
|
Alfred L. Yu
2975 Sycamore Dr |
$84.53 | 5,432 | 5,349 |
|
Anthony Hung Quan Ho
2975 Sycamore Dr |
$84.26 | 5,774 | 5,653 |
|
Joyce Norman
2975 Sycamore Dr |
$81.99 | 7,084 | 6,920 |
|
Nancy Sun
2975 Sycamore Dr |
$83.92 | 8,335 | 8,167 |
|
Allied Emergency Physicians, Inc.
2975 Sycamore Dr |
$109.12 | 8,715 | 8,061 |
|
Hossein Gharakhani
2975 Sycamore Dr |
$86.44 | 9,571 | 9,363 |
|
Andrew Bourgeois
2975 Sycamore Dr |
$81.83 | 10,107 | 9,917 |
|
Siobhan Newman
5505 Coloma Cir |
$51.83 | 11,174 | 11,094 |
|
Simi Valley Hospital And Health Care Services
2975 Sycamore Dr |
$221.44 | 12,073 | 10,695 |
|
Marc L. Mendes
2975 Sycamore Dr |
$51.38 | 12,239 | 12,163 |
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 Simi Valley, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Simi Valley, CA is $95.07 per claim, based on 95,749 claims from 19 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 Simi Valley, CA?
There are 19 Medicaid providers offering Emergency Room Visit related services in Simi Valley, CA according to public payment data.
What is the price range for Emergency Room Visit in Simi Valley, CA?
Medicaid reimbursement for Emergency Room Visit in Simi Valley, CA ranges from $51.38 to $221.44 per claim, with an average of $95.07. 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 Simi Valley, CA
Office Visit
Avg $25.22
489,366 claims
Behavioral & Mental Health Therapy
Avg $115.94
144,101 claims
Substance Abuse Treatment
Avg $96.80
111,180 claims
Blood Work & Lab Tests
Avg $9.19
100,385 claims
Physical Therapy
Avg $81.86
87,963 claims
Dental Cleaning & Exam
Avg $51.73
84,698 claims
Vaccines & Immunizations
Avg $11.91
77,689 claims
X-Ray
Avg $12.49
59,848 claims