Average Medicaid Emergency Room Visit Payments in Abilene, TX: $133.80
Avg. Paid
$133.80
Range
$16.97 – $371.82
Total Claims
82,993
Providers
41
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 Abilene, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maxwell Collins Gresham
1900 Pine St |
$72.99 | 13 | 13 |
|
Eddie P Moore
1900 Pine St |
$38.61 | 15 | 15 |
|
Steven L Kastl
1900 Pine St |
$16.97 | 24 | 24 |
|
Randy C Daniell
1924 Pine St |
$44.92 | 25 | 24 |
|
Ramona Hernandez Wyatt
1900 Pine St |
$59.66 | 30 | 30 |
|
Katherine Tenell Zahodnik
1900 Pine St |
$76.18 | 30 | 30 |
|
Dolores Zertuche
30 Harvard Pl |
$72.55 | 37 | 37 |
|
Darby Ross Thornton
1900 Pine St |
$72.39 | 42 | 42 |
|
James Gregory Bass
1924 Pine St |
$27.06 | 51 | 48 |
|
Cecelia Nicole Erickson
950 N 19Th St Ste 100 |
$119.02 | 54 | 52 |
|
Christina Rachelle Robinson
1900 Pine St |
$71.61 | 57 | 55 |
|
Calvin J Abor
950 N 19Th St Ste 100 |
$108.78 | 57 | 51 |
|
Henry H Robinson
1150 N 18Th St |
$66.90 | 58 | 56 |
|
Daniel G Canario
1441 Pine St |
$93.77 | 63 | 16 |
|
Jessica Rachelle Olson
1900 Pine St |
$65.89 | 64 | 60 |
|
Ameeta Kapu
1850 Hickory St |
$50.43 | 104 | 88 |
|
Brandon M. Goetz
1900 Pine St |
$128.72 | 120 | 113 |
|
Valerie Benavides
1900 Pine St |
$223.13 | 244 | 236 |
|
Timothy Joseph Hill
1924 Pine St Ste 401B |
$371.82 | 267 | 234 |
|
Ronald Dwayne Meador
6250 Us Highway 83 |
$82.52 | 267 | 259 |
|
Roddy S. White
6250 Highway 83 84 |
$98.46 | 401 | 380 |
|
Gautam Dinesh Bhimani
1900 Pine St |
$42.93 | 609 | 598 |
|
Kenneth M Lenhert
1900 Pine St |
$136.18 | 756 | 722 |
|
Bethany Autumn Rankin
3101 S 27Th St |
$55.53 | 856 | 807 |
|
Kathryn A Simmons
6200 Regional Plz |
$74.79 | 959 | 941 |
|
Jeffrey Carl Patterson
4058 Bay Hill Dr |
$83.33 | 1,016 | 824 |
|
David K Patterson
1900 Pine St |
$102.92 | 1,194 | 1,150 |
|
Colin Bumann
8433 Saddle Creek Rd |
$107.39 | 1,262 | 1,076 |
|
Jerry Sinclair
1680 Antilley Rd |
$96.96 | 1,275 | 1,159 |
|
Tiffany J Garrett
3347 S 2Nd St |
$79.64 | 1,409 | 1,325 |
|
Scott M Malowney
1900 Pine St |
$134.36 | 1,754 | 1,684 |
|
Lynn B Barlow
1900 Pine St |
$76.28 | 2,536 | 2,276 |
|
Jonathan Holloway
1402 Fm 89 |
$89.53 | 3,545 | 3,436 |
|
David Nash
1665 Antilley Rd Ste 240 |
$129.65 | 3,999 | 3,138 |
|
Brandon Scott Dupont
6250 Hwy 83/84 |
$169.87 | 4,884 | 4,700 |
|
Anthony S. Rossettie
1900 Pine St |
$183.52 | 7,119 | 6,819 |
|
Adam Edward Majkowski
1900 Pine St |
$154.72 | 8,058 | 7,781 |
|
Nicolas C Pugh
1925 Hospital Pl |
$82.81 | 8,288 | 7,308 |
|
Robert L Lawson
1900 Pine St |
$160.19 | 10,116 | 9,720 |
|
Jonathan Dizon
1900 Pine St |
$162.07 | 10,122 | 9,757 |
|
Hendrick Medical Center
1900 Pine St |
$124.97 | 11,213 | 10,170 |
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 Abilene, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Abilene, TX is $133.80 per claim, based on 82,993 claims from 41 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 Abilene, TX?
There are 41 Medicaid providers offering Emergency Room Visit related services in Abilene, TX according to public payment data.
What is the price range for Emergency Room Visit in Abilene, TX?
Medicaid reimbursement for Emergency Room Visit in Abilene, TX ranges from $16.97 to $371.82 per claim, with an average of $133.80. 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 Abilene, TX
Office Visit
Avg $40.98
345,281 claims
Vaccines & Immunizations
Avg $6.21
246,070 claims
Dental Cleaning & Exam
Avg $38.56
210,377 claims
Home Health Visit
Avg $23.56
196,909 claims
Blood Work & Lab Tests
Avg $3.45
139,772 claims
Personal Care Services
Avg $38.85
113,483 claims
Speech Therapy
Avg $50.50
86,288 claims
Physical Therapy
Avg $38.02
83,733 claims