Average Medicaid Emergency Room Visit Payments in South San Francisco, CA: $151.09
Avg. Paid
$151.09
Range
$19.41 – $246.46
Total Claims
52,085
Providers
21
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 San Francisco, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alyan Ali Schwartz
1200 El Camino Real |
$69.61 | 29 | 13 |
|
Michael Andrew Cohen
1392 Lowrie Ave |
$26.17 | 90 | 90 |
|
Eric P. Dilda
1200 El Camino Real |
$41.72 | 119 | 119 |
|
Eunice Park Robertson
1200 El Camino Real |
$23.91 | 205 | 205 |
|
Edward J. Baddour
1200 El Camino Real |
$48.78 | 321 | 316 |
|
James Robert O'Brien
1200 El Camino Real |
$71.12 | 336 | 308 |
|
Alice Kwan
1200 El Camino Real |
$49.79 | 371 | 369 |
|
William Garrett Holder
1200 El Camino Real |
$105.52 | 373 | 369 |
|
Edward Leiken
1200 El Camino Real |
$19.41 | 759 | 757 |
|
Steven M. Lee
1200 El Camino Real |
$42.89 | 848 | 844 |
|
Eric S. Chin
1200 El Camino Real |
$49.47 | 979 | 970 |
|
Kerlen Juliet Chee
1200 El Camino Real |
$56.04 | 1,077 | 1,055 |
|
Steven Hung
1200 El Camino Real |
$45.28 | 1,154 | 1,148 |
|
Ryan Himmelsbach
1200 El Camino Real |
$128.70 | 1,938 | 1,926 |
|
Dustin Paz
1200 El Camino Real |
$33.25 | 2,036 | 2,005 |
|
Robert Andrew Zimmerman
1200 El Camino Real |
$75.63 | 2,271 | 2,182 |
|
Elijah Michael Edwards
1200 El Camino Real |
$98.27 | 2,442 | 2,202 |
|
Markus T. Leong
1200 El Camino Real |
$101.23 | 3,324 | 3,302 |
|
Rochelle Cherie Rock
395 Oyster Point Blvd Ste 512 |
$60.69 | 3,580 | 3,545 |
|
Jeffrey Crowder
1200 El Camino Real |
$92.89 | 7,094 | 6,856 |
|
Kaiser Foundation Hospitals
1200 El Camino Real |
$246.46 | 22,739 | 21,352 |
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 San Francisco, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in South San Francisco, CA is $151.09 per claim, based on 52,085 claims from 21 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 San Francisco, CA?
There are 21 Medicaid providers offering Emergency Room Visit related services in South San Francisco, CA according to public payment data.
What is the price range for Emergency Room Visit in South San Francisco, CA?
Medicaid reimbursement for Emergency Room Visit in South San Francisco, CA ranges from $19.41 to $246.46 per claim, with an average of $151.09. 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 San Francisco, CA
Molecular & Genetic Testing
Avg $95.65
376,423 claims
Durable Medical Equipment (DME)
Avg $47.41
117,203 claims
Blood Work & Lab Tests
Avg $3.74
62,736 claims
Office Visit
Avg $12.92
61,570 claims
Pathology & Lab Services
Avg $45.60
50,362 claims
Speech Therapy
Avg $58.93
24,921 claims
Ambulance Transport
Avg $135.46
17,279 claims
Urinalysis & Urine Tests
Avg $1.97
15,237 claims