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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
Wilfredo G Lorenzo

5501 S Mccoll Rd

$0.00 12 12
Perla Lizeth Olivo Uribe

1214 W Schunior St

$37.94 12 12
Heidi Joy Duarte

1102 W Trenton Rd

$105.11 21 21
Michael Timothy Lago

3804 S Jackson Rd Ste 1

$155.58 27 25
Dulce Rosario Benavides

1102 W Trenton Rd

$69.00 32 30
Alix Paulina Medrano

1201 W University Dr

$29.97 46 30
Eistle Marie Reguyal Uy

5215 S Sugar Rd

$39.78 49 42
Guadalupe Rosas

1156 W Monte Cristo Rd

$111.93 54 52
Jonathan Matthew Lugo

1661 E Canton Rd

$91.09 57 51
Efraim Vela

2821 Michaelangelo Dr Ste 202

$48.11 66 51
Esteban Daniel Cortez

5540 Raphael Dr

$81.21 67 65
David Gonzales

2708 Serrano St

$25.09 78 77
Gerie Lynn Glidden

5502 S Mccoll Rd

$22.03 83 52
Chi Lun Pui

2821 Michael Angelo

$55.10 86 24
Dahud Jamal Farhan

5416 S Jackson Rd

$109.15 121 121
Rajeswary Nair

5502 S Mccoll Rd

$56.31 133 123
Steven Greg Trevino

1201 W University Dr

$64.90 154 153
Jesus Eduardo Castillo Martinez

1102 W Trenton Rd

$51.33 161 158
Jeannette Almeraz

1102 W Trenton Rd

$59.17 172 171
Rosa Lina Aguirre

24210 Jackpot Blvd

$54.16 197 189
Padmini Bhadriraju

5215 S Mccoll Rd

$98.91 200 64
Yuri Edgardo Cuellar De La Cruz

4702 S Mccoll Rd

$95.61 233 229
Manuel De Jesus Ramos Ramirez

5501 S Mccoll Rd

$117.43 237 101
Leslie Michael Kalman

13401 N Ware Rd

$40.25 238 237
Driscoll Childrens Hospital

2820 Michaelangelo Dr

$397.65 278 258
Uchechukwu Obioma Odunze

1201 W University Dr

$77.97 288 281
Yanet Leija

1114 Goodrich Dr

$57.20 307 280
Erik Michael Escobedo

1201 W University Dr

$67.82 313 307
Nilda D Rodriguez

1156 W Monte Cristo Rd Ste B

$47.69 332 308
Narendra Chetram Singh

1102 W Trenton Rd

$152.97 370 114
Amanda Maria Dsouza

1201 W University Dr

$66.96 375 370
Amanda Marie Bahr

5502 S Mccoll Rd

$39.16 397 300
Rebecca Lyn Thompson

5502 S Mccoll Rd

$45.88 413 369
Luis Ali Lopez

1201 W University Dr

$70.34 427 379
Satish R Nandyala

5501 S Mccoll Rd

$142.01 451 203
David London

5501 S Mccoll Rd

$104.85 453 181
Mini Vinoj

5502 S Mccoll Rd

$56.58 457 404
Xavier Isaiah Morales

1201 W University Dr

$74.58 457 445
Jayanth Kadur Lakshmikanth

5501 S Mccoll Rd

$116.66 465 232
Eduardo E Robles-Emanuelli

5502 S Mccoll Rd

$142.48 499 469
Alberto Nenninger Leon

5501 S Mccoll Rd

$144.03 549 313
Andrew Warejko Phillips

5501 S Mccoll Rd

$102.80 581 550
Safeer Ahmed

1102 W Trenton Rd

$72.03 587 567
Ivelisse Santiago-Barouhas

1102 W Trenton Rd

$60.99 610 591
Nicholas Pereira

1102 W Trenton Rd

$44.65 662 647
Carlos I Moreno

3516 W Alberta Rd

$126.37 728 716
Mahfuzul Huq

1102 W Trenton Rd

$66.35 732 713
Loren Rossi

2711 Nessuh Ave

$58.68 749 718
Michelle Ann Ibarra Jimenez

1102 W Trenton Rd

$60.63 792 776
Cathleen Russell

5501 S Mccoll Rd

$39.95 801 781

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