Average Medicaid Emergency Room Visit Payments in Edinburg, TX: $249.60
Avg. Paid
$249.60
Range
$0.00 – $477.40
Total Claims
194,012
Providers
73
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 Edinburg, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mcallen Hospitals L P
1102 W Trenton Rd |
$477.40 | 63,001 | 58,952 |
|
Doctors Hospital At Renaissance, Ltd
5501 S Mccoll Rd |
$159.09 | 14,815 | 13,189 |
|
Rogelio Eduardo Rojas
5111 S Mccoll Rd |
$278.20 | 13,064 | 12,629 |
|
German Roman Esquivel-Vanegas
1102 W Trenton Rd |
$229.84 | 10,885 | 10,588 |
|
Javier Elias Cortinas
5501 S Mccoll Rd |
$124.84 | 10,216 | 9,757 |
|
Westly Arrow Keating
5007 S Mccoll Rd |
$95.63 | 10,042 | 9,707 |
|
Desmond Okey Ikondu
2502 W Trenton Rd |
$131.22 | 9,276 | 8,623 |
|
Javier Antonio Rodriguez
1102 W Trenton Rd |
$52.37 | 7,987 | 7,304 |
|
Maxwell Wesley Falkoff
4590 S Professional Dr |
$129.14 | 6,510 | 6,326 |
|
Noumeda Messeroux
4702 S Mccoll Rd |
$176.87 | 4,734 | 4,394 |
|
Paul Dominici
5501 S Mccoll Rd |
$103.75 | 4,574 | 4,436 |
|
Karla Trevino-Ramirez
4745 S Jackson Rd |
$209.30 | 4,218 | 4,092 |
|
Leslye Ayers-Santos
1102 W Trenton Rd |
$95.71 | 3,947 | 3,732 |
|
Juan Manuel Ortiz
5501 S Mccoll Rd |
$79.67 | 2,726 | 1,263 |
|
Jorge Eduardo Garcia
3115 Sabercat Ave Apt 2 |
$55.55 | 1,853 | 1,697 |
|
Praveen Vijhani
5501 S Mccoll Rd |
$76.50 | 1,830 | 517 |
|
Kathryn Lai
5501 S Mccoll Rd |
$90.81 | 1,723 | 454 |
|
Jose A Lopez
4949 S Jackson Rd |
$32.63 | 1,370 | 990 |
|
Jose Cruz
2717 Michaelangelo Dr Ste 200 |
$152.01 | 1,260 | 1,178 |
|
Vicki Denise Morin
1156 W Monte Cristo Rd |
$78.61 | 1,224 | 1,196 |
|
Scott Michalk
1201 W University Dr |
$28.85 | 1,149 | 753 |
|
Kristy Morales
4302 S Sugar Rd Ste 206 |
$174.24 | 1,122 | 1,038 |
|
Juan Gabriel Burciaga
5501 S Mccoll Rd |
$80.88 | 877 | 866 |
|
Cathleen Russell
5501 S Mccoll Rd |
$39.95 | 801 | 781 |
|
Michelle Ann Ibarra Jimenez
1102 W Trenton Rd |
$60.63 | 792 | 776 |
|
Loren Rossi
2711 Nessuh Ave |
$58.68 | 749 | 718 |
|
Mahfuzul Huq
1102 W Trenton Rd |
$66.35 | 732 | 713 |
|
Carlos I Moreno
3516 W Alberta Rd |
$126.37 | 728 | 716 |
|
Nicholas Pereira
1102 W Trenton Rd |
$44.65 | 662 | 647 |
|
Ivelisse Santiago-Barouhas
1102 W Trenton Rd |
$60.99 | 610 | 591 |
|
Safeer Ahmed
1102 W Trenton Rd |
$72.03 | 587 | 567 |
|
Andrew Warejko Phillips
5501 S Mccoll Rd |
$102.80 | 581 | 550 |
|
Alberto Nenninger Leon
5501 S Mccoll Rd |
$144.03 | 549 | 313 |
|
Eduardo E Robles-Emanuelli
5502 S Mccoll Rd |
$142.48 | 499 | 469 |
|
Jayanth Kadur Lakshmikanth
5501 S Mccoll Rd |
$116.66 | 465 | 232 |
|
Mini Vinoj
5502 S Mccoll Rd |
$56.58 | 457 | 404 |
|
Xavier Isaiah Morales
1201 W University Dr |
$74.58 | 457 | 445 |
|
David London
5501 S Mccoll Rd |
$104.85 | 453 | 181 |
|
Satish R Nandyala
5501 S Mccoll Rd |
$142.01 | 451 | 203 |
|
Luis Ali Lopez
1201 W University Dr |
$70.34 | 427 | 379 |
|
Rebecca Lyn Thompson
5502 S Mccoll Rd |
$45.88 | 413 | 369 |
|
Amanda Marie Bahr
5502 S Mccoll Rd |
$39.16 | 397 | 300 |
|
Amanda Maria Dsouza
1201 W University Dr |
$66.96 | 375 | 370 |
|
Narendra Chetram Singh
1102 W Trenton Rd |
$152.97 | 370 | 114 |
|
Nilda D Rodriguez
1156 W Monte Cristo Rd Ste B |
$47.69 | 332 | 308 |
|
Erik Michael Escobedo
1201 W University Dr |
$67.82 | 313 | 307 |
|
Yanet Leija
1114 Goodrich Dr |
$57.20 | 307 | 280 |
|
Uchechukwu Obioma Odunze
1201 W University Dr |
$77.97 | 288 | 281 |
|
Driscoll Childrens Hospital
2820 Michaelangelo Dr |
$397.65 | 278 | 258 |
|
Leslie Michael Kalman
13401 N Ware Rd |
$40.25 | 238 | 237 |
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 Edinburg, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Edinburg, TX is $249.60 per claim, based on 194,012 claims from 73 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 Edinburg, TX?
There are 73 Medicaid providers offering Emergency Room Visit related services in Edinburg, TX according to public payment data.
What is the price range for Emergency Room Visit in Edinburg, TX?
Medicaid reimbursement for Emergency Room Visit in Edinburg, TX ranges from $0.00 to $477.40 per claim, with an average of $249.60. 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
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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 Edinburg, TX
Office Visit
Avg $39.60
1,601,805 claims
Blood Work & Lab Tests
Avg $8.03
994,855 claims
Personal Care Services
Avg $66.62
932,589 claims
Vaccines & Immunizations
Avg $6.07
492,039 claims
Dental Cleaning & Exam
Avg $43.69
427,789 claims
Physical Therapy
Avg $59.61
294,805 claims
Speech Therapy
Avg $81.81
279,480 claims
Urinalysis & Urine Tests
Avg $3.46
217,843 claims