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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
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

Other Procedures in Austin, TX