Average Medicaid Emergency Room Visit Payments in Rockwall, TX: $115.31
Avg. Paid
$115.31
Range
$24.76 – $278.39
Total Claims
28,480
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 Rockwall, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott M Pierce
810 E Ralph Hall Pkwy |
$133.48 | 5,498 | 5,357 |
|
Michele Suter
2306 Ridge Rd |
$138.22 | 4,032 | 4,020 |
|
Rockwall Regional Hospital, Llc
3150 Horizon Rd |
$135.26 | 2,961 | 2,725 |
|
Leonard Q Gruppo
810 E Ralph Hall Pkwy Unit 100 |
$146.76 | 2,357 | 2,336 |
|
Royce Mathew Joseph
1975 Alpha Dr # 100 |
$65.51 | 2,351 | 2,234 |
|
Michelle Chang
1975 Alpha Dr |
$67.71 | 2,231 | 2,130 |
|
Jennifer Feltman
3150 Horizon Rd |
$74.42 | 2,134 | 2,013 |
|
Jonathan S Coolidge
2756 Mira Vista Ln |
$107.23 | 2,121 | 2,067 |
|
Waqas Ali
1301 Summer Lee Dr |
$161.49 | 1,607 | 1,544 |
|
Trevor Dylan Smith
862 W Rusk St |
$48.72 | 898 | 615 |
|
Molly Kathleen Mcstravick
3144 Horizon Rd Ste 220 |
$36.85 | 876 | 785 |
|
Lya Michelle Swaner
810 E Ralph Hall Pkwy Ste 100 |
$66.91 | 640 | 618 |
|
Kimberly S Tyner
2504 Ridge Rd |
$278.39 | 594 | 558 |
|
Randy Gentry
7133 Oconnell St |
$50.26 | 99 | 95 |
|
Stephanie Michele Mishaw
1005 W Ralph Hall Pkwy Ste 115 |
$174.74 | 19 | 15 |
|
Catherine Olsen
3144 Horizon Rd Ste 220 |
$46.60 | 18 | 14 |
|
Sarah Elizabeth Perry
2504 Ridge Rd Ste 108 |
$58.23 | 17 | 13 |
|
Luis Deleon Usuga
6800 Heritage Pkwy Ste 102 |
$58.80 | 15 | 12 |
|
William Michael Wueller
2004 N Goliad St |
$24.76 | 12 | 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 Rockwall, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Rockwall, TX is $115.31 per claim, based on 28,480 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 Rockwall, TX?
There are 19 Medicaid providers offering Emergency Room Visit related services in Rockwall, TX according to public payment data.
What is the price range for Emergency Room Visit in Rockwall, TX?
Medicaid reimbursement for Emergency Room Visit in Rockwall, TX ranges from $24.76 to $278.39 per claim, with an average of $115.31. 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 Rockwall, TX
Physical Therapy
Avg $11.53
109,181 claims
Dental Cleaning & Exam
Avg $45.69
89,066 claims
Office Visit
Avg $44.51
74,563 claims
Home Health Visit
Avg $55.57
59,652 claims
Vaccines & Immunizations
Avg $6.14
41,233 claims
Psychiatric Evaluation
Avg $32.41
31,972 claims
Dental Filling
Avg $86.27
28,717 claims
Speech Therapy
Avg $24.08
25,255 claims