Average Medicaid Emergency Room Visit Payments in Seguin, TX: $118.79
Avg. Paid
$118.79
Range
$0.00 – $183.69
Total Claims
44,582
Providers
13
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 Seguin, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gustavo A Gross
1215 E Court St |
$183.69 | 11,163 | 10,773 |
|
Susan Marie Heineck
1215 E Court St |
$128.27 | 9,372 | 9,081 |
|
Michael Brian Rotts
1215 E Court St |
$100.14 | 6,815 | 6,617 |
|
Curtis G Carriker
1215 E Court St |
$84.43 | 5,678 | 5,531 |
|
Sterling Thornton Brown
1215 E Court St |
$102.87 | 4,236 | 4,126 |
|
Guadalupe County Hospital Board
1215 E Court St |
$23.56 | 3,138 | 2,931 |
|
Alex Rosin
1215 E Court St |
$80.85 | 1,810 | 1,511 |
|
Kyu Young Kim
1215 E Court St |
$92.11 | 1,184 | 1,032 |
|
Michael Joseph Dwyer
1255 Ashby |
$110.86 | 967 | 916 |
|
Robert Bradley Rather
1215 E Court St |
$59.29 | 116 | 113 |
|
Sandra Lopez Miller
3415 Old Spanish Trl |
$0.00 | 65 | 34 |
|
Bhupinder Sangha
1339 E Court St Ste 240 |
$34.81 | 25 | 12 |
|
Scott Estep
1215 E Court St |
$123.43 | 13 | 13 |
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 Seguin, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Seguin, TX is $118.79 per claim, based on 44,582 claims from 13 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 Seguin, TX?
There are 13 Medicaid providers offering Emergency Room Visit related services in Seguin, TX according to public payment data.
What is the price range for Emergency Room Visit in Seguin, TX?
Medicaid reimbursement for Emergency Room Visit in Seguin, TX ranges from $0.00 to $183.69 per claim, with an average of $118.79. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
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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
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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
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Seguin, TX
Dental Cleaning & Exam
Avg $44.82
165,567 claims
Office Visit
Avg $49.94
92,173 claims
Blood Work & Lab Tests
Avg $6.04
59,614 claims
Vaccines & Immunizations
Avg $5.37
40,618 claims
Urinalysis & Urine Tests
Avg $7.99
24,226 claims
Psychiatric Evaluation
Avg $26.45
15,526 claims
Dental Filling
Avg $80.91
14,645 claims
EKG / ECG (Electrocardiogram)
Avg $7.30
12,499 claims