Average Medicaid Emergency Room Visit Payments in Prosper, TX: $138.46
Avg. Paid
$138.46
Range
$43.75 – $553.66
Total Claims
89,749
Providers
21
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 Prosper, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michele Susanne Young
4100 W University Dr |
$44.38 | 12,049 | 11,387 |
|
Natalie Nimer Smith
4100 W University Dr |
$110.82 | 11,548 | 11,234 |
|
Yashas R Nathani
4100 W University Dr |
$159.49 | 10,579 | 10,545 |
|
Kristy Ruthann Bybee
4100 W University Dr |
$126.84 | 10,294 | 10,008 |
|
Julio Cesar Castillo
4100 W University Dr |
$162.71 | 9,817 | 9,422 |
|
Dirk B Verbrugghe
4100 W University Dr |
$140.77 | 7,763 | 7,700 |
|
Michael Flores
900 S Preston Rd Ste 50 |
$75.01 | 7,340 | 6,987 |
|
Andrew Kamal Boulos
4100 W University Dr |
$295.19 | 6,896 | 6,813 |
|
Shobhit Jain
4100 W University Dr |
$183.61 | 3,167 | 3,102 |
|
Eric Ryan Friedrich
4100 W University Dr |
$249.17 | 2,965 | 2,897 |
|
Wasie Jawed Iqbal
4100 W University Dr |
$56.21 | 2,758 | 2,644 |
|
Jill Yvonne Steinbach
4100 W University Dr |
$161.38 | 1,395 | 1,354 |
|
Kylie Michelle Clay
4100 W University Dr |
$166.74 | 1,375 | 1,347 |
|
Lisa Margaret Thompson-Ross
4100 W University Dr |
$208.50 | 652 | 645 |
|
Carlos Enrique Espada
4100 W University Dr |
$133.55 | 543 | 532 |
|
Kimberly Lynn Davies
4300 W University Dr Ste 20 |
$280.40 | 266 | 255 |
|
Cook Childrens Medical Center - Prosper
4100 W University Dr |
$394.29 | 156 | 150 |
|
Sana Jamil Siddiqui-Yousufzai
4100 W University Dr |
$553.66 | 112 | 104 |
|
Robert John Hitchcock
1830 Sweetwater Ln |
$43.75 | 29 | 28 |
|
Jay Robert Woody
211 W Frontier Pkwy |
$153.99 | 26 | 26 |
|
Junaid Siddiq Kalia
1740 Lonesome Dove Dr |
$69.15 | 19 | 12 |
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 Prosper, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Prosper, TX is $138.46 per claim, based on 89,749 claims from 21 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 Prosper, TX?
There are 21 Medicaid providers offering Emergency Room Visit related services in Prosper, TX according to public payment data.
What is the price range for Emergency Room Visit in Prosper, TX?
Medicaid reimbursement for Emergency Room Visit in Prosper, TX ranges from $43.75 to $553.66 per claim, with an average of $138.46. 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
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Other Procedures in Prosper, TX
Office Visit
Avg $51.73
70,106 claims
Dental Cleaning & Exam
Avg $37.49
44,977 claims
Vaccines & Immunizations
Avg $6.32
26,782 claims
Blood Work & Lab Tests
Avg $12.05
10,575 claims
Psychiatric Evaluation
Avg $104.10
9,918 claims
Dental Filling
Avg $81.60
7,115 claims
Urinalysis & Urine Tests
Avg $12.02
4,871 claims
Root Canal
Avg $79.30
4,344 claims