Average Medicaid Emergency Room Visit Payments in Sherman, TX: $74.86
Avg. Paid
$74.86
Range
$30.51 – $184.74
Total Claims
22,620
Providers
21
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 Sherman, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Junior A. Taylor
500 N Highland Ave |
$36.68 | 3,456 | 2,372 |
|
Jerry D Bennett
706 Legend Ln |
$83.96 | 2,348 | 2,071 |
|
David A Peterson
500 N Highland Ave |
$53.85 | 2,269 | 2,180 |
|
Andrew Lamont Wade
2100 Monte Cristo Dr |
$54.06 | 2,091 | 1,995 |
|
Alfonso Cardenas
500 N Highland Ave |
$62.44 | 2,056 | 1,981 |
|
Aristotle Almazar Callado
809 Gallagher Dr Ste D |
$140.89 | 1,613 | 1,576 |
|
Marta Urszula Weiss
321 N Highland Ave Ste 200 |
$42.14 | 1,379 | 1,141 |
|
Teresa A Rockhill
500 N Highland Ave |
$73.82 | 1,363 | 1,224 |
|
Susan Mary Potter
500 N Highland Ave |
$129.39 | 1,334 | 1,324 |
|
Sarah S King
600 N Highland Ste 104 |
$51.70 | 1,182 | 1,124 |
|
Sherman Grayson Hospital Llc
500 N Highland Ave |
$75.50 | 1,078 | 948 |
|
Anthony Bret Beaverson
500 N Highland Ave |
$97.90 | 673 | 619 |
|
Alexander Thomas Williams
500 N Highland Ave |
$184.74 | 554 | 517 |
|
Philomena Hamilton Mistretta
500 N Highland Ave |
$160.29 | 426 | 412 |
|
Ahmad Maher
425 N Highland Ave Ste 240 |
$88.80 | 326 | 322 |
|
Marcus Byrd
809 Gallagher Dr Ste D |
$87.18 | 178 | 176 |
|
Todd Dean Cutler
2901 Overland Trl Ste 100 |
$124.27 | 87 | 78 |
|
Muqdad A Zuriqat
300 N Highland Ave |
$75.94 | 56 | 14 |
|
Alec Raye Harvey
4226 N Us Highway 75 |
$77.65 | 55 | 55 |
|
Jeremy West
500 N Highland Ave |
$61.74 | 51 | 46 |
|
Irfanullah Yusufzai
300 N Highland Ave |
$30.51 | 45 | 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 Sherman, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sherman, TX is $74.86 per claim, based on 22,620 claims from 21 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 Sherman, TX?
There are 21 Medicaid providers offering Emergency Room Visit related services in Sherman, TX according to public payment data.
What is the price range for Emergency Room Visit in Sherman, TX?
Medicaid reimbursement for Emergency Room Visit in Sherman, TX ranges from $30.51 to $184.74 per claim, with an average of $74.86. 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 Sherman, TX
Office Visit
Avg $55.89
211,049 claims
Dental Cleaning & Exam
Avg $35.04
130,739 claims
Vaccines & Immunizations
Avg $6.42
84,130 claims
Speech Therapy
Avg $90.71
69,435 claims
Physical Therapy
Avg $62.23
69,171 claims
Blood Work & Lab Tests
Avg $8.25
36,333 claims
Dental Filling
Avg $78.18
26,071 claims
Psychiatric Evaluation
Avg $75.46
20,147 claims