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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in West Covina, CA: $46.31

Avg. Paid

$46.31

Range

$0.00 – $121.02

Total Claims

173,869

Providers

26

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 West Covina, CA

Provider Avg. Paid Claims Patients
Cep America - California

1115 S Sunset Ave

 $43.93 50,722 47,797
Emanate Health Medical Center

1115 S Sunset Ave

 $31.68 40,829 35,045
Denis J Kollar

1115 S Sunset Ave

 $52.47 12,536 12,361
Cheryl Cochrane

1115 S Sunset Ave

 $51.45 12,158 11,956
Edward M Gentile

1115 S Sunset Ave

 $48.55 9,844 9,714
Norman D. Owashi

1115 S Sunset Ave

 $49.77 9,368 9,246
Samuel J Thurber

1115 S Sunset Ave

 $56.14 9,184 9,077
Shun Pa

1115 S Sunset Ave

 $49.56 8,195 8,094
Daniel Solomin

1115 S Sunset Ave

 $47.76 7,727 7,678
Edmund James Nichter

1115 S Sunset Ave

 $121.02 5,069 4,766
Andy Chin-Shing Hsu

2707 E Valley Blvd

 $47.53 3,680 3,657
James Paul Holland

1115 S Sunset Ave

 $42.69 1,477 1,467
Kelvin Zili Liu

2707 E Valley Blvd Ste 116

 $45.29 656 653
Allyson Way

2707 E Valley Blvd

 $76.14 633 630
Jackyln Wai-Shan Chan

2707 E Valley Blvd Ste 215

 $26.80 567 564
James Lawrence Vella

1115 S Sunset Ave

 $42.89 315 312
Patrick Lincoln Maloney

933 S. Sunset Ave. #106

 $43.92 299 294
Tong Minh Luong

2707 E Valley Blvd Ste 116

 $48.97 138 137
Mariana Munatones

1135 S Sunset Ave Ste 401

 $55.12 131 128
Jonathan Tye

1250 S Sunset Ave

 $104.54 111 105
California Em-I Medical Services, A Medical Corporation

1115 S Sunset Ave

 $84.70 102 95
Andrew Charles Bliss

2707 E Valley Blvd Ste 116

 $45.76 46 46
Casey Melanie Yin

1115 S Sunset Ave

 $34.82 30 30
Anna S Leung

1135 S Sunset Ave Ste 402

 $0.00 26 26
James Lin

1115 S Sunset Ave

 $113.60 13 13
Jonathan J Tye, Md A Professional Corp

1250 S Sunset Ave

 $111.41 13 12

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 West Covina, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in West Covina, CA is $46.31 per claim, based on 173,869 claims from 26 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 West Covina, CA?

There are 26 Medicaid providers offering Emergency Room Visit related services in West Covina, CA according to public payment data.

What is the price range for Emergency Room Visit in West Covina, CA?

Medicaid reimbursement for Emergency Room Visit in West Covina, CA ranges from $0.00 to $121.02 per claim, with an average of $46.31. 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 West Covina, CA

Office Visit

Avg $18.59

1,073,885 claims

Blood Work & Lab Tests

Avg $3.18

398,597 claims

Dental Cleaning & Exam

Avg $49.90

383,558 claims

Vaccines & Immunizations

Avg $2.95

312,564 claims

Physical Therapy

Avg $14.46

222,916 claims

Urinalysis & Urine Tests

Avg $1.39

183,574 claims

Ultrasound

Avg $60.42

156,802 claims

Substance Abuse Treatment

Avg $24.82

156,348 claims