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Based on public Medicaid payment data.

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

Other Procedures in Mcallen, TX