Average Medicaid Emergency Room Visit Payments in Watsonville, CA: $86.08
Avg. Paid
$86.08
Range
$21.78 – $166.99
Total Claims
158,516
Providers
13
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 Watsonville, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Watsonville Hospital Corporation
75 Nielson St |
$79.96 | 82,492 | 73,194 |
|
Pajaro Valley Health Care District Hospital Corporation
75 Nielson St |
$84.89 | 26,448 | 23,835 |
|
Patrick Cary
75 Neilson St |
$98.25 | 22,366 | 22,083 |
|
Peter Derek Markel
75 Nielson St |
$99.17 | 13,248 | 13,114 |
|
Sterling F Lewis
75 Nielson St |
$84.96 | 7,270 | 7,164 |
|
Kay C Sato
75 Nielson St |
$166.99 | 2,444 | 2,349 |
|
Mark Harold Luoto
1505 Main St |
$72.98 | 2,064 | 2,042 |
|
Neelima Asha Vegesna
204 E Beach St |
$76.31 | 681 | 656 |
|
Cep America - California
75 Neilson St |
$21.78 | 660 | 603 |
|
Douglas J Spurr
75 Nielson St |
$36.27 | 489 | 485 |
|
Linda Szema
75 Nielson St |
$115.02 | 202 | 202 |
|
Christopher Mills
30 Brennan St |
$53.86 | 107 | 107 |
|
Abraham J. Sklar
45 Neilson St |
$78.03 | 45 | 44 |
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 Watsonville, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Watsonville, CA is $86.08 per claim, based on 158,516 claims from 13 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 Watsonville, CA?
There are 13 Medicaid providers offering Emergency Room Visit related services in Watsonville, CA according to public payment data.
What is the price range for Emergency Room Visit in Watsonville, CA?
Medicaid reimbursement for Emergency Room Visit in Watsonville, CA ranges from $21.78 to $166.99 per claim, with an average of $86.08. 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 Watsonville, CA
Office Visit
Avg $23.13
810,071 claims
Substance Abuse Treatment
Avg $20.35
265,540 claims
Vaccines & Immunizations
Avg $17.08
151,859 claims
Blood Work & Lab Tests
Avg $12.10
141,597 claims
Urinalysis & Urine Tests
Avg $4.05
113,734 claims
Behavioral & Mental Health Therapy
Avg $287.53
105,891 claims
Psychiatric Evaluation
Avg $65.31
105,083 claims
Physical Therapy
Avg $36.48
66,886 claims