Average Medicaid Emergency Room Visit Payments in South Lake Tahoe, CA: $105.47
Avg. Paid
$105.47
Range
$40.44 – $227.64
Total Claims
38,772
Providers
23
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 South Lake Tahoe, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elke Anne Houser
2201 South Ave |
$91.61 | 126 | 121 |
|
Targhee Orr Oeveraas
2170 South Ave |
$66.70 | 289 | 286 |
|
Jacquelyn Noel Sartorius
2201 South Ave |
$128.64 | 291 | 275 |
|
Allison V Brewer
2170 South Ave |
$65.79 | 372 | 359 |
|
Lars Douglas Ensign
2170 South Ave |
$61.18 | 471 | 462 |
|
Kandra T Yee
2170 South Ave |
$64.80 | 471 | 468 |
|
Lance Matthew Orr
2170 South Ave |
$55.85 | 608 | 601 |
|
Michael E. R. Habicht
2170 South Ave |
$59.78 | 652 | 646 |
|
Elizabeth Marilyn Mcnamara
Barton Memorial Hospital |
$71.63 | 750 | 738 |
|
Kathi Sue Glauner
2170 South Ave |
$69.19 | 902 | 889 |
|
Amy Pape Anton
2170 South Ave |
$77.05 | 935 | 915 |
|
Corey A Mc Leod
2170 South Ave |
$62.76 | 963 | 938 |
|
Thomas Joseph Jantos
2170 South Ave |
$63.96 | 984 | 967 |
|
Taylor Brooke Myatt
2170 South Ave |
$71.35 | 1,075 | 1,055 |
|
Jessica Marie Starr
1139 3Rd St |
$40.44 | 1,231 | 997 |
|
Timothy David Tonini
2170 South Ave |
$72.59 | 1,242 | 1,214 |
|
Michael R Mclaughlin
2170 South Ave |
$74.78 | 1,297 | 1,281 |
|
Peter Protell
2170 South Ave |
$63.09 | 1,569 | 1,547 |
|
Raymond Lee Stillwell
2170 South Ave |
$81.15 | 1,720 | 1,606 |
|
Ryan W Horton
2170 South Ave |
$163.80 | 3,584 | 3,359 |
|
Clinton James Masterson
2170 South Ave |
$227.64 | 4,363 | 4,050 |
|
Barton Healthcare System
2170 South Ave |
$88.27 | 4,679 | 4,361 |
|
Dennis Anthony Martinez
2170 South Ave |
$98.77 | 10,198 | 9,584 |
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 South Lake Tahoe, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in South Lake Tahoe, CA is $105.47 per claim, based on 38,772 claims from 23 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 South Lake Tahoe, CA?
There are 23 Medicaid providers offering Emergency Room Visit related services in South Lake Tahoe, CA according to public payment data.
What is the price range for Emergency Room Visit in South Lake Tahoe, CA?
Medicaid reimbursement for Emergency Room Visit in South Lake Tahoe, CA ranges from $40.44 to $227.64 per claim, with an average of $105.47. 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 South Lake Tahoe, CA
Blood Work & Lab Tests
Avg $12.87
100,594 claims
Office Visit
Avg $25.02
69,717 claims
Physical Therapy
Avg $28.45
35,692 claims
Vaccines & Immunizations
Avg $7.09
22,381 claims
X-Ray
Avg $15.76
22,017 claims
Urinalysis & Urine Tests
Avg $5.56
19,067 claims
CT Scan (Computed Tomography)
Avg $112.01
11,259 claims
Behavioral & Mental Health Therapy
Avg $259.44
10,953 claims