Average Medicaid Emergency Room Visit Payments in Porter, TX: $151.11
Avg. Paid
$151.11
Range
$56.26 – $223.17
Total Claims
14,738
Providers
5
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 Porter, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jon Sampson Hitchcock
3339 Ashberry Falls Ln |
$223.17 | 6,412 | 6,214 |
|
Stevley Koshy
24770 Stowbridge Dr Apt 6201 |
$102.91 | 2,896 | 2,666 |
|
Gayana Grigoryan Roland
21898 Fm 1314 Rd # B |
$138.50 | 2,089 | 1,947 |
|
Kristen Annette Brucker
22006 Soft Pines Ct |
$66.62 | 2,002 | 1,863 |
|
Lieu Ngo Duran
22678 Highway 59 |
$56.26 | 1,339 | 1,237 |
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 Porter, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Porter, TX is $151.11 per claim, based on 14,738 claims from 5 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 Porter, TX?
There are 5 Medicaid providers offering Emergency Room Visit related services in Porter, TX according to public payment data.
What is the price range for Emergency Room Visit in Porter, TX?
Medicaid reimbursement for Emergency Room Visit in Porter, TX ranges from $56.26 to $223.17 per claim, with an average of $151.11. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
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Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Porter, TX
Office Visit
Avg $36.38
103,015 claims
Vaccines & Immunizations
Avg $6.21
64,137 claims
Dental Cleaning & Exam
Avg $43.22
39,110 claims
Dental Filling
Avg $86.54
17,633 claims
Physical Therapy
Avg $79.27
13,011 claims
Speech Therapy
Avg $87.47
8,564 claims
Blood Work & Lab Tests
Avg $21.75
6,928 claims
Urinalysis & Urine Tests
Avg $7.36
6,672 claims