Average Medicaid Emergency Room Visit Payments in Port Arthur, TX: $85.83
Avg. Paid
$85.83
Range
$32.09 – $123.89
Total Claims
40,120
Providers
19
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 Port Arthur, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Medical Center Of Southeast Texas Lp
2555 Jimmy Johnson Blvd |
$123.42 | 6,781 | 6,244 |
|
Michael G Kolcun
2555 Jimmy Johnson Blvd |
$112.60 | 6,437 | 6,150 |
|
Jolayne Smith
8801 9Th Ave |
$62.07 | 3,289 | 3,011 |
|
Lindsey Taylor Fowler
3600 Gates Blvd |
$61.88 | 3,020 | 2,790 |
|
Angela Marie Brooks
2555 Jimmy Johnson Blvd |
$61.90 | 2,956 | 2,873 |
|
Jacqueline Mcneal
8801 9Th Ave |
$60.05 | 2,944 | 2,793 |
|
Dennis C Rainey
2555 Jimmy Johnson Blvd |
$84.23 | 2,374 | 2,143 |
|
Tony Thomas Abraham
8801 9Th Ave |
$74.09 | 2,088 | 1,961 |
|
Roy R Marrero
2555 Jimmy Johnson Blvd |
$123.89 | 2,079 | 1,955 |
|
Susanna Elizabeth Bloss
3600 Gates Blvd |
$64.68 | 2,046 | 1,897 |
|
Jedidiah Morgan
2548 Memorial Blvd |
$63.77 | 1,744 | 1,599 |
|
David Millich
2555 Jimmy Johnson Blvd |
$60.63 | 1,611 | 1,563 |
|
Shannon Huebel Keith
2555 Jimmy Johnson Blvd |
$54.58 | 1,074 | 1,055 |
|
Chau My Tran
2555 Jimmy Johnson Blvd |
$67.46 | 606 | 589 |
|
Charles D Foutz
2555 Jimmy Johnson Blvd |
$76.93 | 556 | 540 |
|
Monica Kathleen Loverdi
2555 Jimmy Johnson Blvd |
$68.47 | 430 | 422 |
|
Brandy Kotz
3600 Gates Blvd |
$56.42 | 36 | 36 |
|
Kyle David Peterson
3600 Gates Blvd |
$92.26 | 34 | 33 |
|
Stephanie Prince Cunningham
2875 Jimmy Johnson Blvd Ste 100 |
$32.09 | 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 Port Arthur, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Port Arthur, TX is $85.83 per claim, based on 40,120 claims from 19 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 Port Arthur, TX?
There are 19 Medicaid providers offering Emergency Room Visit related services in Port Arthur, TX according to public payment data.
What is the price range for Emergency Room Visit in Port Arthur, TX?
Medicaid reimbursement for Emergency Room Visit in Port Arthur, TX ranges from $32.09 to $123.89 per claim, with an average of $85.83. 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 Port Arthur, TX
Office Visit
Avg $34.02
172,067 claims
Dental Cleaning & Exam
Avg $43.16
152,299 claims
Vaccines & Immunizations
Avg $7.41
123,583 claims
Dental Filling
Avg $83.53
27,377 claims
Physical Therapy
Avg $20.30
26,688 claims
Nursing Facility Care
Avg $4.41
18,429 claims
Blood Work & Lab Tests
Avg $7.15
17,296 claims
X-Ray
Avg $10.43
14,112 claims