Average Medicaid Emergency Room Visit Payments in Lewisville, TX: $113.51
Avg. Paid
$113.51
Range
$63.99 – $171.71
Total Claims
61,752
Providers
17
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 Lewisville, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James D Doyle
500 W Main St |
$128.28 | 11,401 | 10,998 |
|
Travis K Lilly
500 W Main St |
$141.73 | 9,849 | 9,527 |
|
Kevin M Senser
500 W Main St |
$129.69 | 9,508 | 9,185 |
|
Robert D Garrison
500 W Main St |
$81.76 | 6,305 | 6,061 |
|
Leyya Suleman-Civis
500 W Main St |
$119.28 | 5,272 | 5,065 |
|
Rouhollah F Prueitt
500 W Main St |
$92.48 | 4,896 | 4,677 |
|
Nicole A Duval
500 W Main St |
$110.93 | 3,696 | 3,425 |
|
Columbia Medical Center Of Lewisville Subsidiary Lp
500 W Main St |
$63.99 | 3,056 | 2,750 |
|
Catherine Eno Okpon Onabajo
1118 W Main St |
$109.43 | 2,652 | 2,461 |
|
Donald E Gibbons
500 W Main St |
$77.51 | 1,798 | 1,696 |
|
Meera Chopra
1596 W Main St |
$72.13 | 1,154 | 1,148 |
|
Rebecca Lauren Schulman
1945 Lakepointe Dr |
$71.49 | 986 | 960 |
|
Mahesh Candiah Thiagarajah
500 W Main St |
$117.12 | 864 | 836 |
|
Christina Daniel Grubbs
328 W Main St |
$70.17 | 179 | 153 |
|
Jiwon Lee
500 W Main St |
$171.71 | 57 | 51 |
|
Stewart Ross Coffman
500 W Main St |
$120.75 | 54 | 53 |
|
Ellen J O'Connell
500 W Main St |
$83.85 | 25 | 24 |
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 Lewisville, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Lewisville, TX is $113.51 per claim, based on 61,752 claims from 17 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 Lewisville, TX?
There are 17 Medicaid providers offering Emergency Room Visit related services in Lewisville, TX according to public payment data.
What is the price range for Emergency Room Visit in Lewisville, TX?
Medicaid reimbursement for Emergency Room Visit in Lewisville, TX ranges from $63.99 to $171.71 per claim, with an average of $113.51. 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
3,905,512 claims · 1591 providers
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 Lewisville, TX
Office Visit
Avg $41.97
297,601 claims
Vaccines & Immunizations
Avg $6.44
127,067 claims
Blood Work & Lab Tests
Avg $5.17
102,594 claims
Dental Cleaning & Exam
Avg $36.81
92,066 claims
Dental Filling
Avg $80.45
48,681 claims
Psychiatric Evaluation
Avg $62.61
44,041 claims
Urinalysis & Urine Tests
Avg $2.91
40,020 claims
Pathology & Lab Services
Avg $25.46
38,126 claims