Average Medicaid Emergency Room Visit Payments in Rowlett, TX: $98.89
Avg. Paid
$98.89
Range
$64.64 – $120.87
Total Claims
41,117
Providers
11
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 Rowlett, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lake Pointe Operating Company, Llc
6800 Scenic Dr |
$101.92 | 15,269 | 13,839 |
|
Sadie Cole
6800 Scenic Dr |
$64.64 | 6,960 | 6,682 |
|
Lin Du
6800 Scenic Dr |
$110.00 | 6,294 | 5,949 |
|
Brian Scott Fromm
6800 Scenic Dr |
$120.87 | 5,162 | 4,759 |
|
Larry S. Dencklau
6800 Scenic Dr |
$104.65 | 4,115 | 3,932 |
|
Derrick William Dvorak
6800 Scenic Dr |
$98.81 | 1,423 | 1,346 |
|
Jonathan D Holt
8301 Lakeview Pkwy |
$93.23 | 883 | 836 |
|
Arie Marancenbaum
7501 Lakeview Pkwy |
$70.37 | 374 | 359 |
|
Tamanna Mithani
Bsw Lakepointe |
$118.35 | 298 | 285 |
|
Thai Ho
6800 Scenic Dr |
$88.94 | 200 | 197 |
|
Daniaya Kareece Ekwue
10401 Fairway Vista Dr |
$77.19 | 139 | 139 |
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 Rowlett, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Rowlett, TX is $98.89 per claim, based on 41,117 claims from 11 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 Rowlett, TX?
There are 11 Medicaid providers offering Emergency Room Visit related services in Rowlett, TX according to public payment data.
What is the price range for Emergency Room Visit in Rowlett, TX?
Medicaid reimbursement for Emergency Room Visit in Rowlett, TX ranges from $64.64 to $120.87 per claim, with an average of $98.89. 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 Rowlett, TX
Physical Therapy
Avg $0.03
60,522 claims
Dental Cleaning & Exam
Avg $39.88
49,088 claims
Blood Work & Lab Tests
Avg $6.45
31,816 claims
Dental Filling
Avg $93.48
18,522 claims
Nursing Facility Care
Avg $16.62
16,861 claims
Personal Care Services
Avg $56.71
16,087 claims
Urinalysis & Urine Tests
Avg $5.04
14,165 claims
X-Ray
Avg $14.66
10,550 claims