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

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
Josue Nathan Garcia 1700 W Dove Ave Ste 20	$30.35	12	12
Colette Margaret Robertson 600 East Pineridge Ave	$46.15	12	12
Alireza Ghaffarieh 1309 E Ridge Rd Ste 1	$36.35	12	12
Muzammil M Z Noorani 101 E Ridge Rd	$323.38	13	13
Elena M Ortega 1421 N Col Rowe Blvd Ste A	$7.15	13	12
Rene Immanuel Luna 501 Savannah Ave	$76.07	13	12
Jose Rodriguez 1200 E Ridge Rd Ste 6	$14.14	14	14
Ruby Mae Balderas 301 W Expressway 83	$45.21	14	13
Sujan Gogu 1000 E Dove Ave Ste 200	$48.83	15	15
Juan Ignacio Sanchez 1100 E Dove Ave Ste 200	$162.92	15	15
Sharon Strawn Greer 101 E Ridge Rd	$51.32	17	12
Roy Dewayne Edwards 1100 E Dove Ave Ste 300	$70.39	17	13
Katian Rodriguez 101 E Ridge Rd	$0.00	34	21
Judjee Diaz 301 W Expy 83	$61.04	34	34
Lerone Raul Simpson 1801 S 5Th St	$130.71	60	31
Riley H Wyna 1200 E Savannah Ave Ste 14	$51.38	72	71
Edgar V M Cruz-Gonzalez 1100 E Dove Ave Ste 300	$156.39	76	67
Joshua Abraham Betancourt 1801 S 5Th St Ste 101	$107.75	90	87
Angelica Ruby Urbina 801 S Main St	$53.09	91	82
Norma Alejandra Garcia 3401 N 23Rd St	$108.39	116	109
Roman E Tavarez 1801 S 5Th St Ste 101	$48.20	127	123
Monica Lynne Hartman 1421 N Col Rowe Blvd Ste A	$81.45	135	135
Abdul-Aziz R Ahmed 800 E Dove Ave	$95.47	148	148
Fernando Javier Otero 3401 N 23Rd St	$71.33	160	151
Gholam A Kiani Khozani 5121 N Jackson Rd Ste 10	$149.50	171	155
Kenneth A Averack 1017 S Peking St	$20.96	214	206
Flor Aurora Limas 3220 Buddy Owens Ave Ste 300	$96.81	240	227
Henry Destura Yee 721 Lindberg Ave	$43.51	253	251
Alejandro A Tey 801 E Nolana St	$90.34	369	337
Omar Gonzalez 101 E Ridge Rd	$134.73	384	371
Numan A Arafat 500 E Ridge Rd	$26.55	391	99
Kelly Maedo 3100 Buddy Owens Ave	$1,492	432	247
Magdalena Lamsis 2901 W Nolana Ave # Uite10	$36.14	447	261
Donald Tommy Tucker 1421 N Col Rowe Blvd Ste A	$29.80	486	478
Rodrigo Lema 1200 E Savannah Ave Ste 12	$60.29	595	233
Nga Nguyen Goodahl 1900 S D St	$235.98	676	668
Arturo Avelino 1941 S 31St St	$53.35	727	693
Majid Sabahi 205 E Toronto Ave	$181.09	729	713
Felipe Gutierrez 1421 N Col Rowe Blvd Ste A	$111.41	863	804
Mylien T Huynh 205 E Toronto Ave	$151.62	877	852
Ashley Pena 100 E Ridge Rd Ste A	$25.34	1,027	620
Taniya Philip 101 E Ridge Rd	$20.69	1,061	676
Juan Pablo Gomez 1200 E Savannah Ave	$59.37	1,080	427
Maria Diodonna Cubangbang 2605 Quamasia Ave	$41.79	1,284	971
Harold Louis Yee 500 E Ridge Rd Ste 300	$79.86	1,496	1,478
Martin Vicente Hernandez 1421 N Col Rowe Blvd Ste A	$49.42	1,507	1,474
Shyala Brooke Bensen 301 W Expy 83	$111.31	1,652	1,613
Potenciano R Garcia 1200 E Savannah Ave Ste 16	$71.81	1,762	700
Francisco Trevino 801 E Nolana Ave Ste 13A	$58.32	1,956	1,795
Jesus David Paternina 205 E Toronto Ave	$76.31	2,012	1,775

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.

Average Medicaid Emergency Room Visit Payments in Mcallen, TX: $120.78

Providers Offering Emergency Room Visit in Mcallen, TX

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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