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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Austin, TX: $125.71

Avg. Paid

$125.71

Range

$0.00 – $1,136

Total Claims

658,275

Providers

385

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 Austin, TX

Provider Avg. Paid Claims Patients
Philip Mark Ralidis

601 E 15Th St

$103.41 28,355 26,429
Sara L Wyrick

4900 Mueller Blvd

$109.36 14,202 13,900
Andrea Michelle Diebel

8611 N Mopac Expy Ste 200

$106.43 14,111 13,802
Robert M Vezzetti

4900 Mueller Blvd

$147.20 11,956 11,654
Pamela K Ashley

12221 N Mopac Expy

$109.66 11,805 11,528
Rebecca L Floyed

9835 Lake Creek Pkwy

$107.41 10,701 10,354
Cynthia L. Schroeder

North Austin Medical Center

$96.10 10,454 9,788
Catherine Elaine Yee

4900 Mueller Blvd

$154.66 10,146 9,908
Ian Andrew Buchanan

1400 N I-35, Suite C3.314

$56.23 10,137 10,071
Erin Deleigh Munns

4900 Mueller Blvd

$137.36 9,746 9,453
Andrew Joseph Kienstra

4900 Mueller Blvd

$143.30 9,298 9,082
Joseph L. Donnelly

12221 N Mo Pac Expy

$110.82 8,367 7,411
Seth Lewis Parkey

5245 W Highway 290

$115.45 8,241 7,917
Brandon Oyler

1400 N I-35, Suite C2.230

$116.90 8,219 7,901
Winnie T Whitaker

6300 La Calma Dr Ste 200

$116.23 8,197 7,867
Tina Chu

9835 N Lake Creek Pkwy

$146.20 8,021 7,884
Harold Lewis Schwab

6300 La Calma Dr

$118.25 7,408 6,776
Anthony Ray Arredondo

4900 Mueller Blvd

$401.16 7,341 7,262
Jimmy L Stickles

1400 N Interstate 35

$189.62 7,264 6,899
Eric A Higginbotham

8611 N Mopac Expy # 300

$147.88 7,261 7,127
Phillip Austen Friesen

1400 N. I-35

$167.12 6,963 6,653
Deepa M Shah

2400 Cedar Bend Dr

$103.79 6,689 6,600
Brittany Joy Difabio

4900 Mueller Blvd

$162.53 6,683 6,419
Nidhi Singh

4900 Mueller Blvd

$367.51 6,636 6,542
Timothy Kirk Ruttan

Dell Children'S Emergency Department

$143.12 6,470 6,304
James M. Jackson

12221 North Mopac Expressway

$107.70 6,336 6,017
Brian Edward Jameson

4409 Twisted Tree Dr

$105.80 6,175 5,781
Rex D Poole

1725 Toomey Rd Apt 106

$152.53 5,918 5,602
Navid Valizadeh

1601 Trinity St

$96.19 5,893 1,535
Joshua Judd Orrell

5245 W Highway 290

$101.20 5,891 5,740
Christian Trux

1400 N Interstate 35

$235.70 5,744 5,461
Duyen Le

4900 Mueller Blvd

$122.26 5,648 5,238
Anne Lilly Hagen

4900 Mueller Blvd

$103.20 5,517 5,432
Courtney Umstattd Quintana

4910 Mueller Blvd

$184.29 5,453 5,326
St. David'S Healthcare Partnership, L.P., Llp

901 W Ben White Blvd

$51.54 5,287 4,850
Stephen Reed Beckwith

804 Leonard St

$43.52 5,234 5,207
Jacob A Jones

901 W Ben White Blvd

$113.05 5,146 4,990
Yana Duncan

7900 Fm 1826

$171.54 5,143 4,715
Gaurang N. Shah

919 E 32Nd St

$141.26 5,101 4,905
Doris Pappas

6300 La Calma Dr

$56.15 5,017 4,880
Laura Pittman

6300 La Calma Dr Ste 20

$107.00 4,941 4,794
St Davids Healthcare Partnership Lp Llp

12221 N Mo Pac Expy

$68.96 4,926 4,613
Ryan T Allen

901 W Ben White Blvd

$105.54 4,878 4,745
St. Davids Healthcare Partnership, L.P., Llp

919 E 32Nd St

$89.32 4,818 4,449
Cameron Watkins Keller

12221 N Mopac Expy

$149.02 4,767 4,173
Kathleen Theresa Berg

4900 Mueller Blvd

$124.52 4,611 4,495
Mark Dariush Tabarrok

9835 N Lake Creek Pkwy

$182.04 4,601 4,456
William Everett Clementson

8701 Shoal Creek Blvd Ste 401

$127.24 4,467 4,270
Truman John Milling

601 E 15Th St

$117.03 4,418 4,163
Jeremy Layn Kim

901 W Ben White Blvd

$105.49 4,398 4,268

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 Austin, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Austin, TX is $125.71 per claim, based on 658,275 claims from 385 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 Austin, TX?

There are 385 Medicaid providers offering Emergency Room Visit related services in Austin, TX according to public payment data.

What is the price range for Emergency Room Visit in Austin, TX?

Medicaid reimbursement for Emergency Room Visit in Austin, TX ranges from $0.00 to $1,136 per claim, with an average of $125.71. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Austin, TX