0450
Emergency room visit
Emergency room visit is the #121 most-billed Medicaid procedure code, with $1.62B in payments across 18.5M claims from 2018–2024. The national median cost per claim is $44.95. Costs vary widely — the 90th percentile is $162.70 per claim, 3.6× the median.
Total Paid
$1.62B
0.15% of all spending
Total Claims
18.5M
Providers
508
Avg Cost/Claim
$87
National Cost Distribution
How much do providers bill per claim for 0450? Based on 493 providers billing this code nationally.
Median
$44.95
Average
$73.72
Std Dev
$109.13
Max
$1,622.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.92 and $65.76 per claim for this code.
90% bill between $14.27 and $162.70.
Top 1% bill above $470.56.
About This Procedure
HCPCS code 0450 (Emergency room visit) was billed by 508 providers across 18.5M claims, totaling $1.62B in Medicaid payments from 2018–2024. This code was used for 16.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$44.95
Providers Billing
493
National Spending
$1.62B
Avg/Median Ratio
1.64×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0450
| # | Provider | Total Paid |
|---|---|---|
| 1 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $64.9M |
| 2 | Community Hospital Of San Bernardino San Bernardino, CA · General Acute Care Hospital | $61.5M |
| 3 | Port City Operating Company Llc Stockton, CA · General Acute Care Hospital | $54.8M |
| 4 | Dignity Health San Bernardino, CA · General Acute Care Hospital | $52.5M |
| 5 | 1508856535 | $42.7M |
| 6 | 1184654923 | $37.4M |
| 7 | 1114081056 | $36.4M |
| 8 | 1578529285 | $33.0M |
| 9 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $31.9M |
| 10 | 1104856095 | $30.9M |
| 11 | 1154368116 | $26.6M |
| 12 | 1477584993 | $25.2M |
| 13 | 1588908388 | $24.5M |
| 14 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $24.3M |
| 15 | 1194840421 | $21.8M |
| 16 | 1699129601 | $21.3M |
| 17 | Sharp Memorial Hospital San Diego, CA · General Acute Care Hospital, Women | $21.1M |
| 18 | 1588663769 | $20.6M |
| 19 | Sharp Chula Vista Medical Center Chula Vista, CA · General Acute Care Hospital | $20.1M |
| 20 | Palomar Health Escondido, CA · General Acute Care Hospital | $19.8M |
Showing top 20 of 508 providers billing this code