Average Medicaid Emergency Room Visit Payments in Pflugerville, TX: $104.64
Avg. Paid
$104.64
Range
$1.38 – $178.10
Total Claims
16,270
Providers
15
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 Pflugerville, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard Seth Benedon
900 Ramble Creek Dr |
$75.62 | 6,432 | 6,332 |
|
Alexis Rae Seibert
2600 E Pflugerville Pkwy Ste 100 |
$153.14 | 1,588 | 1,541 |
|
Robert Kenneth Reed
2600 E Pflugerville Pkwy |
$178.10 | 1,506 | 1,362 |
|
Astha Mor
2600 E Pflugerville Pkwy |
$146.03 | 1,462 | 1,451 |
|
Amanda Woltering
305 N Heatherwilde Blvd Ste 140 |
$104.26 | 1,345 | 1,322 |
|
Louis Richman
2600 E Pflugerville Pkwy Ste 100 |
$88.69 | 1,123 | 1,022 |
|
Luke Friebertshauser
2600 E Pflugerville Pkwy Ste 100 |
$81.62 | 692 | 605 |
|
Baylor Scott & White Medical Centers - Capitol Area
2600 E Pflugerville Pkwy |
$81.49 | 496 | 460 |
|
Christopher C Lingan
21315 Tx-130, Bldg 4 |
$116.38 | 493 | 481 |
|
Tatum Bohls
2600 E Pflugerville Pkwy |
$138.97 | 353 | 325 |
|
Kyriakos Tsalamandris
18817 N Heatherwilde Blvd Ste 150 |
$85.34 | 345 | 326 |
|
Bethany Eldridge
2600 E Plugerville Pkwy |
$39.90 | 282 | 257 |
|
Katherine Han
18612 Jana Patrice Dr |
$58.01 | 116 | 114 |
|
Madhuri Madabhushi
15803 Windermere Dr Ste 103 |
$1.38 | 22 | 22 |
|
Tomorrow Laureano
910 Wild Petunia Way |
$40.36 | 15 | 14 |
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 Pflugerville, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Pflugerville, TX is $104.64 per claim, based on 16,270 claims from 15 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 Pflugerville, TX?
There are 15 Medicaid providers offering Emergency Room Visit related services in Pflugerville, TX according to public payment data.
What is the price range for Emergency Room Visit in Pflugerville, TX?
Medicaid reimbursement for Emergency Room Visit in Pflugerville, TX ranges from $1.38 to $178.10 per claim, with an average of $104.64. 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 Pflugerville, TX
Dental Cleaning & Exam
Avg $40.67
96,014 claims
Vaccines & Immunizations
Avg $4.41
41,590 claims
Office Visit
Avg $42.42
40,957 claims
Speech Therapy
Avg $91.93
17,215 claims
Physical Therapy
Avg $79.73
16,264 claims
Dental Filling
Avg $78.34
12,541 claims
Podiatry (Foot Care)
Avg $2.58
11,602 claims
Nursing Facility Care
Avg $5.37
7,530 claims