Average Medicaid Emergency Room Visit Payments in Allen, TX: $89.33
Avg. Paid
$89.33
Range
$22.81 – $247.60
Total Claims
45,003
Providers
29
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 Allen, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Olusesan Daniels
608 Easton Ln |
$125.14 | 7,917 | 7,624 |
|
John C Royse
847 Falcon Trace Dr |
$94.68 | 7,833 | 7,062 |
|
Ion Chuang
936 Cottontop Trl |
$69.28 | 5,111 | 4,810 |
|
Nisarg N Shah
1105 Central Expy N |
$72.39 | 4,500 | 4,338 |
|
Texas Health Presbyterian Hospital Allen
1105 Central Expresseway N. |
$144.28 | 3,308 | 3,095 |
|
Robert Marc Wycoff
1310 W. Exchange Pkwy |
$49.67 | 3,261 | 3,038 |
|
John A Cox
1105 Central Expy N |
$85.57 | 2,471 | 2,292 |
|
James Wyrick
1105 Central Expy N |
$76.19 | 1,990 | 1,918 |
|
Kristen Conroy
1428 Constellation Dr |
$24.30 | 1,739 | 1,544 |
|
Jonathan Franklin
1105 Central Expy N |
$60.83 | 957 | 913 |
|
Theresa M Olfson
1105 Central Expy N |
$74.30 | 923 | 890 |
|
Mohammad Azad
60 E Mcdermott Dr Ste A |
$108.80 | 794 | 764 |
|
Frank Azubuike Nwankwo
974 Shaddock Park Ln |
$88.80 | 709 | 653 |
|
Sean D Fleming
1105 Central Expy N |
$106.21 | 645 | 626 |
|
Marian Bednar
1105 Central Expy N |
$60.02 | 619 | 602 |
|
Kavita A Chitale
906 W Mcdermott Dr Ste A-124 |
$39.71 | 384 | 369 |
|
Katy Jo Wood
1985 Central Expy N Ste 120 |
$77.60 | 361 | 357 |
|
Yousaf Abdullah Khan
981 State Highway 121 Ste 1100 |
$125.73 | 298 | 293 |
|
Rashmi Bolinjkar
1105 Central Expy N Ste 230 |
$25.01 | 232 | 180 |
|
Laura Sofia Pumarejo-Gomez
1310 W Exchange Pkwy |
$123.63 | 223 | 161 |
|
Muhammad Ali Raza
1312 W Exchange Pkwy Ste 2130 |
$44.10 | 168 | 108 |
|
Mohammed Shakeel Ur Rehman
940 W Stacy Rd Ste 110 |
$175.98 | 143 | 137 |
|
Troy Bender
1105 Central Expy N |
$125.26 | 128 | 128 |
|
Krista Volberding
825 Watters Creek Blvd Ste 205 |
$42.26 | 124 | 106 |
|
Khalid Mohammad
Lung And Sleep Health Center |
$71.15 | 47 | 12 |
|
Leslie A. Brown
406 W Main St |
$22.81 | 34 | 34 |
|
Anthony Eguakhide Nebor
981 State Highway 121 Ste 3100 |
$58.77 | 33 | 18 |
|
Satish Ramesh Bagdure
931 State Hwy 121 |
$247.60 | 26 | 26 |
|
Jenmark Adan Cruz
325 Central Expy S |
$46.17 | 25 | 24 |
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 Allen, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Allen, TX is $89.33 per claim, based on 45,003 claims from 29 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 Allen, TX?
There are 29 Medicaid providers offering Emergency Room Visit related services in Allen, TX according to public payment data.
What is the price range for Emergency Room Visit in Allen, TX?
Medicaid reimbursement for Emergency Room Visit in Allen, TX ranges from $22.81 to $247.60 per claim, with an average of $89.33. 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 Allen, TX
Office Visit
Avg $57.41
105,000 claims
Eye Exam
Avg $20.23
103,311 claims
Dental Cleaning & Exam
Avg $38.41
42,639 claims
Vaccines & Immunizations
Avg $6.81
41,194 claims
Speech Therapy
Avg $79.21
34,955 claims
Physical Therapy
Avg $47.52
28,986 claims
Blood Work & Lab Tests
Avg $7.26
28,213 claims
Nursing Facility Care
Avg $6.59
10,803 claims