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
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
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Philadelphia, PA
Avg $135.52
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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