Average Medicaid Emergency Room Visit Payments in San Marcos, TX: $110.21
Avg. Paid
$110.21
Range
$53.62 – $170.61
Total Claims
34,254
Providers
16
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 Marcos, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bradley Lawing
1301 Wonder World Dr |
$114.02 | 8,027 | 7,471 |
|
Jose Ovidio Pena
1301 Wonder World Dr |
$118.27 | 4,809 | 4,688 |
|
Eduardo Gutierrez
1301 Wonder World Dr |
$103.43 | 4,208 | 3,870 |
|
Mary Elizabeth Andres
1509 N Interstate 35 |
$170.61 | 2,980 | 2,878 |
|
Christus Santa Rosa Health Care Corporation
1301 Wonder World Dr |
$88.09 | 2,263 | 2,046 |
|
Jessica Best
1301 Wonder World Dr |
$97.21 | 2,123 | 1,975 |
|
Robbin Jean Koehler
1941 S Ih 35 |
$53.62 | 1,927 | 1,877 |
|
Chad Benninghoff
1301 Wonder World Dr |
$167.80 | 1,926 | 1,761 |
|
Myla J. Canales
1301 Wonder World Dr |
$116.46 | 1,249 | 1,202 |
|
Thomas S. Parker
1301 Wonder World Dr |
$69.74 | 1,048 | 995 |
|
Kellie Marie Reardon
1301 Wonder World Dr |
$73.79 | 911 | 844 |
|
Frederick Gerald Miner
Gameday Mens Health - San Marcos |
$59.44 | 746 | 706 |
|
Katherine Alison Sides
1301 Wonder World Dr |
$128.41 | 736 | 716 |
|
Grant David Williams
1301 Wonder World Dr |
$76.17 | 617 | 526 |
|
Andrew Lee Walsh
1301 Wonder World Dr |
$54.07 | 516 | 206 |
|
Gilbert Saenz Rodriguez
1320 Wonder World Dr Ste 101 |
$93.50 | 168 | 167 |
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 Marcos, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in San Marcos, TX is $110.21 per claim, based on 34,254 claims from 16 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 Marcos, TX?
There are 16 Medicaid providers offering Emergency Room Visit related services in San Marcos, TX according to public payment data.
What is the price range for Emergency Room Visit in San Marcos, TX?
Medicaid reimbursement for Emergency Room Visit in San Marcos, TX ranges from $53.62 to $170.61 per claim, with an average of $110.21. 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 Marcos, TX
Physical Therapy
Avg $20.46
70,926 claims
Office Visit
Avg $46.10
69,208 claims
Home Health Visit
Avg $22.41
52,053 claims
Speech Therapy
Avg $87.59
51,834 claims
Dental Cleaning & Exam
Avg $44.36
41,086 claims
Vaccines & Immunizations
Avg $7.11
40,081 claims
Nursing Facility Care
Avg $6.49
18,110 claims
Psychiatric Evaluation
Avg $45.33
15,869 claims