Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Plano, TX: $138.94

Avg. Paid

$138.94

Range

$23.18 – $297.43

Total Claims

130,721

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 Plano, TX

Provider	Avg. Paid	Claims	Patients
Marvin Criddle Culbertson 6200 W Parker Rd	$121.20	18,660	17,519
Michael Lee 8512 Cadbury Ct	$100.69	13,477	13,276
Children'S Health System Of Texas 7601 Preston Rd	$297.43	9,051	8,720
Columbia Medical Center Of Plano Subsidiary Lp 3901 W 15Th St	$76.31	7,053	6,227
John C Hall 3901 W 15Th St	$261.07	6,517	6,029
Matthias Marvin Manuel 7601 Preston Rd	$281.49	6,262	6,178
Janelle Donovan Mccall 7601 Preston Rd	$145.75	5,849	5,370
Texas Health Presbyterian Hospital Plano 6200 W Parker Rd	$114.55	5,808	5,270
Princy P George 7601 Preston Rd	$145.77	5,308	4,881
Jennifer Anne Aljoe 3060 Communications Pkwy Ste 100	$164.85	5,258	5,218
Liwen Zhang 6020 W Parker Rd Ste 200	$120.49	3,098	2,782
Gregory Norman Messner 4708 Dexter Dr Ste 350	$121.40	2,800	2,690
Baylor Regional Medical Center At Plano 4700 Alliance Blvd	$59.67	2,730	2,370
Brent A Armstrong 6200 W Parker Rd	$134.31	2,385	2,330
Jacqueline Bolt 7601 Preston Rd	$277.01	2,367	2,337
Akram Abd El Kader 4601 Old Shepard Pl Ste 402	$63.36	2,011	1,862
Dennisse Ruiz-Adib 4001 W 15Th St Ste 480	$32.38	1,898	1,637
Halana Rideau 2200 Dallas Pkwy	$30.77	1,788	1,692
Ahsan Akram 3901 W 15Th St	$78.10	1,723	1,628
Gregory Samuel Lachar 3901 W 15Th St	$62.99	1,714	1,638
Kristen Angela Langley 4115 West 15Th Street Suite 100	$174.83	1,591	1,495
Eric Anthony Madden 3901 W 15Th St	$118.91	1,540	1,499
Nick Nguyen 850 Central Pkwy E Ste 275	$56.57	1,524	1,195
Richard S Honaker 3901 W 15Th St	$126.42	1,283	1,222
Robert Lewis Levy 6300 W. Parker Road	$62.43	1,213	1,109
Shane Edward Zatkalik 6200 W Parker Rd	$61.15	1,174	1,124
Zachary J Baselle 3901 W 15Th St	$79.05	1,116	1,059
Nicole Lynn Rogers 3901 W 15Th St	$110.75	1,113	1,087
Michael Brandon Meek 3901 W 15Th St	$119.92	1,112	1,095
Michael T Lew 6200 W Parker Rd	$73.41	1,084	1,016
Thomas Alan Gerbus 3901 W 15Th St	$103.36	1,045	998
Michael John Carrasco 3901 W 15Th St	$94.59	988	954
Alex I. B. Akuagwu 7112 Sugarplum Dr	$94.82	919	896
Katherine Bernhardt Hurley 4509 Waterford Dr	$116.84	890	858
James W Ball 3901 W 15Th St	$91.31	796	780
Robert B Thomas 6200 W Parker Rd	$38.64	783	710
Manohar Yedulapuram Po Box 260489	$83.33	721	695
Niaz Farhat 3909 W Parker Rd	$43.02	626	590
Harry Frederick Meyers 3608 Preston Rd.	$84.40	594	547
Irwin Endelman 6130 W. Parker Rd	$36.61	580	509
Blake T Smith 3901 W 15Th St	$62.27	468	450
Harold Jimenez 4700 Alliance Blvd	$65.97	453	405
Maci Chapman 3901 W 15Th St	$153.40	425	404
Linda M Ho 3901 W 15Th St	$59.78	401	372
Matthew Charles Winters 4700 Alliance Blvd	$201.57	374	342
David Nga Hoang 6821 Columbine Way	$42.60	370	347
Varalakshmi Jhingade Devesh 8209 Sutherland Ln	$133.39	332	322
Martha A Grimm 6200 W Parker Rd	$59.24	255	245
Shameem R Nazeer 3901 W 15Th St	$75.35	154	127
Paula Weddel 1100 Allied Dr	$44.15	137	129

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 Plano, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Plano, TX is $138.94 per claim, based on 130,721 claims from 69 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 Plano, TX?

There are 69 Medicaid providers offering Emergency Room Visit related services in Plano, TX according to public payment data.

What is the price range for Emergency Room Visit in Plano, TX?

Medicaid reimbursement for Emergency Room Visit in Plano, TX ranges from $23.18 to $297.43 per claim, with an average of $138.94. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Plano, TX: $138.94

Providers Offering Emergency Room Visit in Plano, TX

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Blood Work & Lab Tests

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