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 |
|---|---|---|---|
|
Naeem Silat
601 E 15Th St |
$68.64 | 12 | 12 |
|
Hayley Cestafe
1301 Barbara Jordan Blvd Ste 200G |
$19.43 | 12 | 12 |
|
Ryan David Cradeur
2806 Westlake Dr |
$0.00 | 12 | 12 |
|
Lynn Marie Thoreson
313 E 12Th St |
$585.49 | 12 | 12 |
|
Niharika Goparaju
4900 Mueller Blvd |
$93.48 | 12 | 12 |
|
Scott Warren Nowlin
720 W 34Th St |
$62.66 | 12 | 12 |
|
Danielle Frances Duquette
12221 Renfert Way |
$31.58 | 13 | 13 |
|
Brent Lucas Treadaway
5245 W Highway 290 |
$46.00 | 13 | 12 |
|
Peter Caldwell Gilbreath
4900 Mueller Boulevard, Suite 3S.066C |
$47.21 | 13 | 12 |
|
Jessica Swanson
1400 St North I-35 |
$56.82 | 13 | 13 |
|
Kirsten Gibbs Nieto
4900 Mueller Blvd |
$633.00 | 13 | 12 |
|
Stephen Young
3800 Allegro Lugar St Apt 1A |
$65.55 | 13 | 13 |
|
Brandon Michael Watson
3403 Hollywood Ave |
$58.26 | 13 | 12 |
|
Alyse Nicole Graul
8611 N Mopac Expy Ste 200 |
$75.19 | 13 | 13 |
|
John Chang Luk
313 E 12Th St |
$451.31 | 13 | 12 |
|
Nalinda Charnsangavej
4900 Mueller Blvd |
$426.57 | 13 | 12 |
|
Marcos Sosa
211 Comal St |
$30.83 | 14 | 12 |
|
Hanh Keyburn
4900 Mueller Blvd |
$768.26 | 14 | 12 |
|
Sharon M Long
601 E 15Th St |
$84.32 | 14 | 12 |
|
Charles B. Owen
3403 Foothill Pkwy |
$37.53 | 14 | 14 |
|
Julio David Ortiz
4900 Mueller Blvd Ste 3S.066C |
$545.32 | 14 | 13 |
|
Brandy Martin Rizzo
900 West Ave |
$45.69 | 15 | 15 |
|
Cindy Kumar
901 W Ben White Blvd |
$85.38 | 16 | 16 |
|
Mark C. Burr
12221 N. Mopac Expressway |
$31.60 | 16 | 16 |
|
Ourania Rossetos
2237 E Riverside Dr Ste 101-C |
$38.32 | 17 | 16 |
|
Meghann Josephine Hallock
901 W Ben White Blvd |
$69.69 | 18 | 17 |
|
Bcep Pa
720 W 34Th St |
$18.20 | 19 | 16 |
|
T Hayden L Dietz
10407 Jollyville Rd |
$46.49 | 19 | 16 |
|
Mladen Sokolovic
5920 W William Cannon Dr Ste 150 |
$31.00 | 20 | 12 |
|
Stacie Michelle Otten
1201 W 38Th St |
$49.87 | 20 | 20 |
|
Kyle Scott Miller
4900 Mueller Blvd |
$146.34 | 23 | 12 |
|
Alice Lee
4900 Mueller Blvd |
$423.78 | 25 | 25 |
|
Margaret Vo
5245 W Highway 290 |
$16.27 | 25 | 25 |
|
Maricela Bergstrom
823 Congress Ave Ste 150-518 |
$23.50 | 25 | 12 |
|
Thien Quang Nguyen
5915 La Crosse Avneue |
$100.15 | 26 | 26 |
|
Yizhi Lin
601 E 15Th St |
$74.13 | 26 | 16 |
|
Alexandra Reed
8300 Spicewood Springs Cv |
$65.46 | 26 | 26 |
|
Hannah Michelle Crement
919 E 32Nd St |
$31.75 | 26 | 25 |
|
Nicole H Higginbotham
9835 N Lake Creek Pkwy |
$74.88 | 27 | 26 |
|
Jennifer Hughes
4900 Mueller Blvd |
$667.72 | 27 | 26 |
|
Michael Beers Warner
5920 W William Cannon Dr |
$23.84 | 27 | 15 |
|
Christopher Martinborough
3001 Palm Way Ste D134 |
$37.60 | 27 | 26 |
|
Curran Hunter Daigle
4900 Mueller Blvd |
$63.20 | 28 | 12 |
|
Brittany Rosales
1601 Trinity St |
$108.56 | 29 | 14 |
|
Fiona Claire Esfandiari
12200 Renfert Way Ste 100 |
$423.18 | 29 | 27 |
|
Julie Foran
4900 Mueller Blvd |
$97.78 | 29 | 29 |
|
Nicholas R. Walker
901 W Ben White Blvd |
$54.66 | 30 | 30 |
|
Elizabeth Jimenez
Dell Seton Medical Center At The University Of Texas |
$65.78 | 30 | 28 |
|
Riane Nicole Diancin Cuevas
901 W Ben White Blvd |
$60.91 | 30 | 26 |
|
Cathia Mendez-Vargas
1101 Camino La Costa |
$33.95 | 30 | 25 |
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