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Based on public Medicaid payment data.

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

Other Procedures in Edinburg, TX