Average Medicaid Emergency Room Visit Payments in Baytown, TX: $192.43
Avg. Paid
$192.43
Range
$23.89 – $993.21
Total Claims
38,253
Providers
35
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 Baytown, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
San Jacinto Methodist Hospital
4401 Garth Rd |
$116.73 | 9,574 | 8,917 |
|
Alexander B Norinsky
4401 Garth Rd |
$158.76 | 4,777 | 4,474 |
|
Dinh Vuong
4401 Garth Rd |
$495.72 | 3,957 | 3,800 |
|
Lily B Wang-Kerrigan
4401 Garth Rd |
$527.22 | 2,861 | 2,774 |
|
Amir Rassoli
4401 Garth Rd |
$161.95 | 2,828 | 2,689 |
|
Brian Michael Karst
7710 Garth Rd Ste A |
$67.92 | 2,800 | 2,702 |
|
Kyle Bieschke
4401 Garth Road |
$67.51 | 2,229 | 2,167 |
|
Orlando David Gutierrez
4301 Garth Rd |
$84.15 | 1,808 | 1,641 |
|
Michael Harrington
4401 Garth Rd |
$65.51 | 1,183 | 1,068 |
|
Gonzalo Gonzalez
6051 Garth Rd |
$92.63 | 887 | 851 |
|
Anthony Capili
9825 Eagle Dr |
$54.54 | 663 | 626 |
|
Baytown Medical Center, Lp
1626 W Baker Rd |
$154.99 | 622 | 590 |
|
Zary Hashemi
4401 Garth Rd |
$67.03 | 472 | 250 |
|
Robert Panzarella
4401 Garth Rd |
$128.37 | 446 | 351 |
|
Zain Javaid
4401 Garth Rd |
$478.43 | 419 | 385 |
|
Laird A Sweet
4401 Garth Rd |
$56.03 | 361 | 300 |
|
Susan L Baldwin
4201 Garth Rd |
$170.32 | 306 | 287 |
|
Rosalyn Ann Gayle
1674 W Baker Rd Ste A |
$369.77 | 305 | 266 |
|
Nader Abdullah H Alhuzali
4401 Garth Rd |
$268.81 | 254 | 249 |
|
Joshua Michael Clark
720 Rollingbrook St |
$259.35 | 237 | 232 |
|
Mariana Neves Borges Karram
4401 Garth Rd Ste 400 |
$62.64 | 217 | 191 |
|
Shakira J Daniels
3717 Emmett Hutto |
$70.17 | 213 | 211 |
|
Kirk Shulke
4401 Garth Rd |
$84.34 | 166 | 160 |
|
Jessica Quach
4401 Garth Rd |
$320.72 | 149 | 144 |
|
Kevin Barrett
4401 Garth Rd |
$55.72 | 146 | 130 |
|
Dennis T Hines
2610 N Alexander Dr Ste 201 |
$33.20 | 120 | 62 |
|
Roderick Peter Diggs
4301 Garth Rd Ste 212 |
$413.02 | 91 | 79 |
|
Aditya Uppalapati
4401 Garth Rd |
$158.14 | 33 | 12 |
|
Russell Elliott
4301 Garth Rd # 306400 |
$74.02 | 33 | 31 |
|
Terry Wayne Springer
1001 W Baker Rd Ste 100 |
$145.34 | 26 | 25 |
|
Siomara Castro Sandoval
7710 Garth Rd Ste A |
$48.34 | 17 | 17 |
|
Marlee Marie Hunter
4401 Garth Rd |
$75.32 | 15 | 14 |
|
Cynthia Wang
4401 Garth Rd |
$86.24 | 13 | 13 |
|
Patricia Ann Frey
6711 Sjolander Rd |
$993.21 | 13 | 12 |
|
Mary Faye Hewitt
620 Massey Tompkins Rd |
$23.89 | 12 | 12 |
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 Baytown, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Baytown, TX is $192.43 per claim, based on 38,253 claims from 35 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 Baytown, TX?
There are 35 Medicaid providers offering Emergency Room Visit related services in Baytown, TX according to public payment data.
What is the price range for Emergency Room Visit in Baytown, TX?
Medicaid reimbursement for Emergency Room Visit in Baytown, TX ranges from $23.89 to $993.21 per claim, with an average of $192.43. 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 Baytown, TX
Office Visit
Avg $40.38
236,930 claims
Dental Cleaning & Exam
Avg $38.66
114,813 claims
Vaccines & Immunizations
Avg $6.15
80,999 claims
Blood Work & Lab Tests
Avg $6.45
63,250 claims
Dental Filling
Avg $87.16
47,883 claims
Urinalysis & Urine Tests
Avg $3.58
43,493 claims
Psychiatric Evaluation
Avg $42.40
33,911 claims
EKG / ECG (Electrocardiogram)
Avg $18.28
19,472 claims