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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Houston, TX: $183.70

Avg. Paid

$183.70

Range

$0.00 – $3,136

Total Claims

2,360,699

Providers

1,404

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 Houston, TX

Provider Avg. Paid Claims Patients
Memorial Hermann Health System

1635 North Loop W

$201.02 41,495 38,345
Harris County Hospital District

1504 Taub Loop

$139.28 28,619 25,651
Vanessa T Lauck

710 Cypress Creek Pkwy

$110.86 26,972 22,033
Jaime Roberto Herrera

5230 Aldine Mail Rte

$128.33 22,025 19,708
Stephen D.C. Mac

18200 Katy Fwy

$211.68 21,416 19,179
Miguel Angel Arroyo

6701 Fannin St

$149.45 20,584 20,192
Jamal Rasem Saadah

710 Cypress Creek Pkwy

$157.59 19,064 17,782
Joe Nieto

1140 Business Center Dr

$59.46 17,138 16,724
Asma Khan

12430 Oxford Park Dr

$104.39 15,524 14,483
Abby Elizabeth Tausend

739 Bison Dr

$89.05 14,245 13,010
Joseph Y Allen

6621 Fannin

$338.33 13,465 13,270
Jessica Hersman Rankin

1102 Bates Ave

$111.72 12,976 12,694
Steve Matti

6642 Wanita Pl

$162.35 12,682 11,701
Linda Renee Boyd

6720 Bertner Ave

$95.10 12,430 11,427
Srinivas R Banala

1504 Ben Taub Loop

$193.57 12,354 11,821
Texas Children'S Hospital

6621 Fannin St

$427.18 12,190 11,731
Sergio Luis Molina

1504 Taub Loop

$112.06 11,759 10,741
Senthil Alagarsamy

2203 Goldsmith St

$166.97 11,502 10,610
Evan Hiroshi Suzuki

1504 Taub Loop

$210.67 11,227 10,449
Christian P. Mannsfeld

11111 Wilcrest Green Dr

$126.87 11,190 10,844
Jonathan D Lewis

6621 Fannin St

$332.96 11,110 10,939
Rhiannon Main

6701 Fannin St

$191.10 11,053 10,750
Aleksandra Trifunovic

6621 Fannin St

$160.60 10,839 9,633
Lydia Michelle Rabon

1102 Bates Ave

$230.06 10,822 9,812
Memorial Hermann Health System

6411 Fannin St

$231.01 10,602 9,888
Thomas S Guillot

11914 Astoria Blvd

$91.21 10,571 9,625
Rajan Parikh

2455 Dunstan Rd Apt 619

$295.27 10,422 9,817
Ryan William Gratton

6431 Fannin St Ste Jjl 431

$106.39 9,690 7,631
Sheebu V Chacko

6621 Fanin St

$403.69 9,559 9,429
Nathan Payam Vafaie

1504 Taub Loop

$103.56 9,308 8,448
Manas Mack Sarangi

6411 Fannin St

$78.19 9,167 8,463
Andrew Steven Fouche

6431 Fannin St

$237.31 8,958 8,725
Christopher Michael Reinhackel

915 Gessner Rd Ste 525

$348.92 8,806 8,677
Rolando G. Diaz

233 W Parker Rd

$103.68 8,782 7,884
Nicholas Herman Tinnesz

710 Cypress Creek Pkwy

$107.76 8,781 7,489
Winston Ho

6701 Fannin St

$402.01 8,669 8,545
Renita Goetz

6431 Fannin St Ste Jjl 431

$123.10 8,613 8,251
Matthew Peter Herrick

6411 Fannin St

$38.27 8,548 8,498
Leeor B. Peleg

18220 State Highway 249

$186.12 8,490 7,747
Joanna Schwartz

6621 Fannin St

$163.15 8,471 8,290
Arianna Nassiri

6621 Fannin St

$253.75 8,395 7,578
Shihab Ali

1515 Holcombe Blvd

$174.49 8,378 7,328
Bryan William Greenfield

6701 Fannin St

$345.18 8,313 8,213
David Wayne Ashby

6621 Fannin St

$356.57 8,270 8,081
Ian Smith

6431 Fannin St Fl 4

$211.77 8,220 7,971
Richard James Tomasheski

1504 Taub Loop

$68.80 8,168 7,575
Amy M Cooper

1102 Bates Ave

$215.11 8,159 7,671
Francisco Juan Ortiz

6804 Highway 6 S Ste F

$189.63 8,118 7,209
David Delemos

6621 Fannin St

$265.28 7,999 7,810
John Morgan Carey

6621 Fannin St

$364.61 7,797 7,701

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 Houston, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Houston, TX is $183.70 per claim, based on 2,360,699 claims from 1404 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 Houston, TX?

There are 1404 Medicaid providers offering Emergency Room Visit related services in Houston, TX according to public payment data.

What is the price range for Emergency Room Visit in Houston, TX?

Medicaid reimbursement for Emergency Room Visit in Houston, TX ranges from $0.00 to $3,136 per claim, with an average of $183.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Houston, TX