Average Medicaid Emergency Room Visit Payments in Mcallen, TX: $120.78
Avg. Paid
$120.78
Range
$0.00 – $1,492
Total Claims
203,406
Providers
84
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 Mcallen, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Columbia Rio Grande Healthcare, L.P.
101 E Ridge Rd |
$78.07 | 20,494 | 19,135 |
|
Elizabet Vazquez
4813 N 5Th St |
$242.88 | 12,710 | 12,318 |
|
David Olatunji Abebefe
1900 S D St |
$145.22 | 11,694 | 11,127 |
|
Ileana E Mendez
205 E Toronto Ave |
$101.82 | 8,357 | 7,628 |
|
Salvador Elizarraraz
205 E Toronto Ave |
$186.14 | 6,988 | 6,481 |
|
Krista Marie Bermejillo-Vasquez
6900 N 10Th St Ste 3 |
$72.14 | 6,168 | 6,014 |
|
Amanda Arevalo
4200 N Chai St Apt 820 |
$132.64 | 6,150 | 5,975 |
|
Isabel Reyna
205 E Toronto Ave |
$153.73 | 5,985 | 5,572 |
|
Scott Michael Hibbard
301 W Expressway 83 |
$55.30 | 5,955 | 5,792 |
|
German Candanedo
101 E Ridge Rd |
$101.83 | 5,635 | 5,024 |
|
Chigozie Christine Dike
101 E Ridge Rd |
$114.87 | 5,533 | 5,083 |
|
Judemae Cabrera Escovilla
1421 N Col Rowe Blvd Ste A |
$83.27 | 5,391 | 5,222 |
|
Fernando Arzola
110 E Savannah Ave Bldg A203 |
$94.51 | 5,248 | 4,772 |
|
Suman Choudhury
3700 W Nolana Ave |
$74.07 | 5,239 | 5,028 |
|
Ruben Rosales
1200 E Ridge Rd |
$51.97 | 5,201 | 5,010 |
|
Oscar Cortes
205 E Toronto Ave |
$104.22 | 5,067 | 4,773 |
|
Ernesto E Garcia Flores
205 E Toronto Ave |
$231.69 | 4,699 | 4,610 |
|
Guillermo A Cortinas
709 S Broadway St |
$230.30 | 4,558 | 4,402 |
|
Mergene Trinidad
1421 N Col Rowe Blvd Ste A |
$95.86 | 4,430 | 4,215 |
|
Monica Lopez
101 E Ridge Rd |
$115.62 | 4,418 | 4,150 |
|
Vladimir F Semilla
301 W Expressway 83 |
$206.25 | 4,024 | 3,960 |
|
Michael Anthony Gonzalez
301 W Expy 83 |
$87.64 | 3,555 | 3,434 |
|
Michael Stanley Menowsky
301 W Expressway 83 |
$124.20 | 3,278 | 3,123 |
|
Eduardo Candanosa
4232 N Mccoll Rd |
$217.19 | 3,260 | 3,135 |
|
Michael C Watson
1005 E Nolana Loop |
$51.29 | 2,907 | 2,789 |
|
Ramon Isidro Rodriguez
1200 E Savannah Ste 16 |
$87.20 | 2,855 | 1,023 |
|
Antonio Degorordo Arzamendi
5300 N G St Ste 110 |
$81.11 | 2,611 | 1,072 |
|
Amy M Lai
301 W Expy 83 |
$76.85 | 2,584 | 2,508 |
|
Gideao Rodrigues
205 E Toronto Ave |
$164.92 | 2,567 | 2,469 |
|
Juan Marcos Chavez Paz
5300 N G St Ste 110 |
$79.65 | 2,555 | 1,044 |
|
Jorge Ricardo Duarte Solis
3001 N 23Rd St Ste 4 |
$137.27 | 2,536 | 2,251 |
|
Jose Federico Vallejo-Manzur
5300 N G St Ste 110 |
$84.03 | 2,346 | 985 |
|
Juan Pablo Sarmiento
5300 N G St Ste 110 |
$89.55 | 2,217 | 892 |
|
Juan Rivera
1200 E Savannah Ave Ste 16 |
$88.36 | 2,190 | 779 |
|
Jesus David Paternina
205 E Toronto Ave |
$76.31 | 2,012 | 1,775 |
|
Francisco Trevino
801 E Nolana Ave Ste 13A |
$58.32 | 1,956 | 1,795 |
|
Potenciano R Garcia
1200 E Savannah Ave Ste 16 |
$71.81 | 1,762 | 700 |
|
Shyala Brooke Bensen
301 W Expy 83 |
$111.31 | 1,652 | 1,613 |
|
Martin Vicente Hernandez
1421 N Col Rowe Blvd Ste A |
$49.42 | 1,507 | 1,474 |
|
Harold Louis Yee
500 E Ridge Rd Ste 300 |
$79.86 | 1,496 | 1,478 |
|
Maria Diodonna Cubangbang
2605 Quamasia Ave |
$41.79 | 1,284 | 971 |
|
Juan Pablo Gomez
1200 E Savannah Ave |
$59.37 | 1,080 | 427 |
|
Taniya Philip
101 E Ridge Rd |
$20.69 | 1,061 | 676 |
|
Ashley Pena
100 E Ridge Rd Ste A |
$25.34 | 1,027 | 620 |
|
Mylien T Huynh
205 E Toronto Ave |
$151.62 | 877 | 852 |
|
Felipe Gutierrez
1421 N Col Rowe Blvd Ste A |
$111.41 | 863 | 804 |
|
Majid Sabahi
205 E Toronto Ave |
$181.09 | 729 | 713 |
|
Arturo Avelino
1941 S 31St St |
$53.35 | 727 | 693 |
|
Nga Nguyen Goodahl
1900 S D St |
$235.98 | 676 | 668 |
|
Rodrigo Lema
1200 E Savannah Ave Ste 12 |
$60.29 | 595 | 233 |
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 Mcallen, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mcallen, TX is $120.78 per claim, based on 203,406 claims from 84 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 Mcallen, TX?
There are 84 Medicaid providers offering Emergency Room Visit related services in Mcallen, TX according to public payment data.
What is the price range for Emergency Room Visit in Mcallen, TX?
Medicaid reimbursement for Emergency Room Visit in Mcallen, TX ranges from $0.00 to $1,492 per claim, with an average of $120.78. 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 Mcallen, TX
Office Visit
Avg $34.30
1,812,622 claims
Personal Care Services
Avg $63.38
875,432 claims
Blood Work & Lab Tests
Avg $6.37
629,855 claims
Physical Therapy
Avg $43.78
459,714 claims
Vaccines & Immunizations
Avg $6.56
436,231 claims
Urinalysis & Urine Tests
Avg $3.15
342,921 claims
Dental Cleaning & Exam
Avg $38.45
308,893 claims
Speech Therapy
Avg $83.20
295,326 claims