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
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 Austin, TX
Blood Work & Lab Tests
Avg $7.09
4,048,248 claims
Personal Care Services
Avg $51.29
3,439,018 claims
Office Visit
Avg $39.88
1,367,991 claims
X-Ray
Avg $5.51
1,081,382 claims
Vaccines & Immunizations
Avg $3.40
861,990 claims
Dental Cleaning & Exam
Avg $37.36
759,881 claims
Urinalysis & Urine Tests
Avg $2.52
612,948 claims
CT Scan (Computed Tomography)
Avg $35.56
441,128 claims