Average Medicaid Emergency Room Visit Payments in Canton, TX: $104.40
Avg. Paid
$104.40
Range
$48.34 – $154.39
Total Claims
36,012
Providers
18
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 Canton, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph Clayton Bass
18780 Ih-20 |
$56.91 | 8,880 | 6,522 |
|
Glory Okugo
18780 Interstate 20 |
$130.67 | 4,019 | 3,819 |
|
Yidong Chen
18780 Interstate 20 |
$116.34 | 3,931 | 3,702 |
|
Jonathan Charles David
400 E State Highway 243 Ste 18 |
$145.44 | 3,346 | 3,213 |
|
Robert C. Montana
18780 Interstate 20 |
$137.50 | 3,182 | 3,018 |
|
Milind Ranjit Chinoy
18780 Interstate 20 |
$154.39 | 2,807 | 2,638 |
|
Thomas Bauman
18780 Interstate 20 |
$151.00 | 1,904 | 1,717 |
|
Corina Sturgeon
18780 Interstate 20 |
$61.43 | 1,864 | 1,746 |
|
Matthew Brian Hall
18780 Interstate 20 |
$97.73 | 1,625 | 1,511 |
|
Mark Dresselhouse
18780 Interstate 20 |
$110.22 | 1,280 | 1,194 |
|
Josh D Parker
18780 Interstate 20 |
$61.63 | 1,272 | 1,096 |
|
Faisal Ansari
18780 Interstate 20 |
$73.19 | 843 | 791 |
|
Sarah Elizabeth Chitty
100 Industrial Blvd |
$54.08 | 444 | 439 |
|
Phillip L Admire
18780 Interstate 20 |
$68.08 | 356 | 293 |
|
Jasleen Kaur Singh
406 E State Highway 243 |
$48.34 | 85 | 71 |
|
Toral Harsh Bhakta
18780 Interstate 20 |
$137.79 | 76 | 69 |
|
Paul Stewart
400 E State Highway 243 Ste 18 |
$84.22 | 73 | 73 |
|
Megan Pearce
18780 Interstate 20 |
$138.66 | 25 | 15 |
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 Canton, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Canton, TX is $104.40 per claim, based on 36,012 claims from 18 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 Canton, TX?
There are 18 Medicaid providers offering Emergency Room Visit related services in Canton, TX according to public payment data.
What is the price range for Emergency Room Visit in Canton, TX?
Medicaid reimbursement for Emergency Room Visit in Canton, TX ranges from $48.34 to $154.39 per claim, with an average of $104.40. 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 Canton, TX
Office Visit
Avg $38.53
23,723 claims
Vaccines & Immunizations
Avg $5.18
23,184 claims
Dental Cleaning & Exam
Avg $46.24
11,510 claims
Blood Work & Lab Tests
Avg $20.13
8,266 claims
Psychiatric Evaluation
Avg $19.80
8,191 claims
Nursing Facility Care
Avg $4.86
1,859 claims
EKG / ECG (Electrocardiogram)
Avg $20.01
1,462 claims
Culture & Microbiology Tests
Avg $12.93
1,427 claims