Average Medicaid Emergency Room Visit Payments in San Antonio, TX: $126.61
Avg. Paid
$126.61
Range
$0.00 – $1,112
Total Claims
1,783,972
Providers
691
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 San Antonio, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David F Piper
333 N Santa Rosa |
$97.14 | 51,433 | 47,750 |
|
Santos Cantu
333 N Santa Rosa St |
$116.11 | 30,500 | 29,348 |
|
Methodist Healthcare System Of San Antonio, Ltd., L.L.P.
7700 Floyd Curl Drive |
$64.35 | 29,662 | 26,827 |
|
Sushil Sadanand Valavalkar
7700 Floyd Curl |
$135.61 | 28,283 | 26,191 |
|
Paula Angelica Shelton
4502 Medical Dr |
$73.58 | 22,582 | 21,250 |
|
Thaddeus David Wilson
4204 Gardendale St |
$156.98 | 20,450 | 19,477 |
|
Duncan Andrew Hansing
4502 Medical Dr |
$109.69 | 20,386 | 18,695 |
|
Vhs San Antonio Partners Llc
111 Dallas St |
$119.18 | 19,717 | 17,812 |
|
Valerie Erwin Parr
333 N Santa Rosa |
$141.60 | 18,999 | 17,637 |
|
Sherif M Shamaa
3322 Sable Crk |
$107.78 | 18,985 | 17,770 |
|
Heather Campos
333 N Santa Rosa St |
$82.33 | 18,201 | 17,704 |
|
David C Riojas
8401 Datapoint Dr |
$145.62 | 17,977 | 16,875 |
|
Leann Bingham Fikac
333 N Santa Rosa |
$93.87 | 17,082 | 16,534 |
|
Nkeiruka Ngozi Onyenekwu
4502 Medical Dr |
$132.47 | 16,831 | 15,700 |
|
Moshood B. Karimu
333 N Santa Rosa |
$87.01 | 16,444 | 15,544 |
|
Hussain Shakir
333 N Santa Rosa |
$150.00 | 16,104 | 15,590 |
|
Amber Marie Hathcock
333 N Santa Rosa |
$83.51 | 15,985 | 12,251 |
|
Rebecca A Hutchings
333 N Santa Rosa |
$195.19 | 15,415 | 14,162 |
|
Robert James Stewart
333 N Santa Rosa |
$135.51 | 15,360 | 14,575 |
|
Lee M Armstrong
333 N Santa Rosa |
$141.57 | 15,295 | 14,167 |
|
Adam Bonder
4502 Medical Dr |
$104.55 | 15,253 | 14,610 |
|
Bexar County Hospital District
4502 Medical Dr |
$476.59 | 14,935 | 13,678 |
|
Morey J Silverman
333 N Santa Rosa |
$136.44 | 14,829 | 13,472 |
|
Christine Lee Johnson
8401 Datapoint Dr |
$136.10 | 14,671 | 14,257 |
|
Mary Phylinda Redeker Mcdaniel
333 N Santa Rosa St |
$90.11 | 14,597 | 14,218 |
|
Carly Paige Hinojosa
333 N Santa Rosa |
$92.77 | 14,449 | 14,014 |
|
Alexander Henri
315 N San Saba Ste 1135 |
$130.17 | 14,352 | 13,833 |
|
Darcie Zarlingo
333 N. Santa Rosa Street |
$88.85 | 13,933 | 13,523 |
|
Momena Bajwa
333 N Santa Rosa |
$144.18 | 13,461 | 12,127 |
|
Cletus Emeka Onyiorah
333 N Santa Rosa |
$98.83 | 13,224 | 12,441 |
|
Mary Ellen Tehas
333 N Santa Rosa |
$85.22 | 13,217 | 12,912 |
|
Kristine K. Rittichier
333 N Santa Rosa St |
$106.07 | 13,066 | 12,441 |
|
Leslie Marie Hunter
Christus Santa Rosa Childrens Hospital |
$141.75 | 12,754 | 11,827 |
|
Timothy David Rodriguez
98 Briggs St Ste 800 |
$89.20 | 12,587 | 12,156 |
|
Lisa Amy Friedman
333 N Santa Rosa |
$67.63 | 12,533 | 12,245 |
|
Heather Borowiec
16414 San Pedro Ave |
$66.86 | 12,278 | 11,978 |
|
David Bruce Newby
333 N Santa Rosa |
$110.29 | 12,270 | 11,938 |
|
Abhay Kulkarni
333 N Santa Rosa |
$317.48 | 11,886 | 11,634 |
|
Cassie Layne Coates
333 N Santa Rosa St |
$79.30 | 11,867 | 11,570 |
|
Robert David Johnson
333 N Santa Rosa |
$148.35 | 11,703 | 11,658 |
|
Whitney Wroe Schwarz
4502 Medical Dr |
$130.00 | 11,413 | 11,088 |
|
Bonita Nuanez
7703 Floyd Curl Dr |
$118.19 | 10,885 | 9,706 |
|
David Bruce Bartos
1310 Mccullough Ave |
$113.87 | 10,477 | 10,062 |
|
Daniel Sanchez
333 N Santa Rosa |
$62.55 | 10,426 | 10,004 |
|
Brittney N. Mitchell
4502 Medical Dr |
$170.24 | 10,066 | 9,328 |
|
Gilberto Arbelaez
4204 Gardendale St |
$266.12 | 10,044 | 9,612 |
|
Mary M Kirkendall-Atkins
8401 Datapoint Dr |
$107.42 | 9,925 | 9,544 |
|
Anh Dinh
4502 Medical Dr |
$131.51 | 9,808 | 9,012 |
|
Jennifer M Gonzales
520 Madison Oak Dr |
$112.21 | 9,379 | 8,692 |
|
Deborah L Callanan
333 N Santa Rosa |
$126.32 | 9,363 | 9,032 |
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 San Antonio, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in San Antonio, TX is $126.61 per claim, based on 1,783,972 claims from 691 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 San Antonio, TX?
There are 691 Medicaid providers offering Emergency Room Visit related services in San Antonio, TX according to public payment data.
What is the price range for Emergency Room Visit in San Antonio, TX?
Medicaid reimbursement for Emergency Room Visit in San Antonio, TX ranges from $0.00 to $1,112 per claim, with an average of $126.61. 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 San Antonio, TX
Office Visit
Avg $47.25
4,471,070 claims
Personal Care Services
Avg $59.18
4,411,375 claims
Dental Cleaning & Exam
Avg $40.74
2,116,599 claims
Vaccines & Immunizations
Avg $6.82
1,972,578 claims
Home Health Visit
Avg $36.92
1,523,622 claims
Blood Work & Lab Tests
Avg $7.55
1,133,231 claims
Physical Therapy
Avg $40.31
1,006,482 claims
Psychiatric Evaluation
Avg $48.09
889,042 claims