Average Medicaid Emergency Room Visit Payments in Tyler, TX: $103.85
Avg. Paid
$103.85
Range
$19.82 – $393.26
Total Claims
379,823
Providers
137
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 Tyler, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sean C Denham
800 E Dawson St |
$79.23 | 19,573 | 17,986 |
|
Mother Frances Hospital Regional Health Care Center
800 E Dawson St |
$378.08 | 16,354 | 14,144 |
|
Michael Gary Watson
800 East Dawson Street |
$54.44 | 9,888 | 8,108 |
|
Chijioke F Isinguzo
2990 N Broadway Ave |
$111.67 | 9,315 | 9,020 |
|
Daniel Baber
1000 S Beckham Ave |
$88.89 | 9,172 | 8,743 |
|
Trung Nam Nguyen
120 E South Town Dr Ste 100 |
$106.38 | 8,175 | 6,606 |
|
Trent David Hood
800 E Dawson St |
$55.47 | 8,153 | 5,976 |
|
David Pearce Fannon
800 E Dawson St |
$56.79 | 8,142 | 6,043 |
|
Joshua Diviney
800 E Dawson St |
$83.74 | 7,611 | 5,661 |
|
Stacy Laine Gregory
1809 Capital Dr |
$52.61 | 7,568 | 5,488 |
|
Christopher David Diaz
800 E Dawson St |
$117.90 | 7,316 | 6,883 |
|
Jessica Atkinson
5414 S Broadway Ave |
$53.16 | 7,260 | 5,208 |
|
Jason Moulton
11937 Us Highway 271 |
$101.32 | 6,755 | 6,103 |
|
Tyler Regional Hospital Llc
1000 S Beckham Ave |
$148.10 | 6,747 | 5,763 |
|
Katharine J Scheusner
800 E Dawson St |
$61.10 | 6,560 | 5,016 |
|
Frances L. Elizondo
11937 Us Highway 271 |
$68.57 | 6,504 | 5,199 |
|
Jason Douglas Soard
800 E Dawson St |
$89.90 | 6,268 | 5,320 |
|
Alonso Javier Osorio-Giraldo
800 E Dawson St |
$67.04 | 6,219 | 4,830 |
|
Eric Neil Bilby
800 E Dawson St |
$97.47 | 6,199 | 4,487 |
|
Robert Sigala
11937 Us Hwy 271 |
$161.85 | 6,090 | 5,881 |
|
Earnest W Stroupe
800 E Dawson St |
$73.70 | 5,817 | 4,242 |
|
John L Schnell
800 E Dawson St |
$108.42 | 5,693 | 5,411 |
|
Dallas Wright
800 E Dawson St |
$155.55 | 5,367 | 5,282 |
|
Judson Stewart Welch
800 E Dawson St |
$86.52 | 5,168 | 3,571 |
|
Shaun Michael York
800 E Dawson St |
$85.17 | 5,126 | 3,854 |
|
Michael Andrew Weber
800 E Dawson St |
$68.03 | 5,037 | 3,594 |
|
Preston Wayne Shumway
800 E Dawson St |
$93.78 | 4,965 | 3,772 |
|
Robert J Lueken
800 E Dawson St |
$96.35 | 4,806 | 4,703 |
|
Jason Anderson
800 E Dawson St |
$75.00 | 4,667 | 3,431 |
|
Jennifer Crayton
5414 S Broadway Ave |
$45.11 | 4,643 | 3,178 |
|
Addison G Whetstone
800 E Dawson St |
$202.74 | 4,621 | 4,163 |
|
Michael Arrington
800 E Dawson St |
$93.43 | 4,571 | 3,381 |
|
James David Franklin
901 Turtle Creek Dr |
$78.38 | 4,488 | 3,779 |
|
Christopher Schrupp
11937 Us Highway 271 |
$97.76 | 4,433 | 4,300 |
|
Adebola Temitope Ifafore
800 E Dawson St |
$172.89 | 4,409 | 4,246 |
|
James Carr
800 E Dawson St |
$92.85 | 4,371 | 3,173 |
|
Tracey Anelle Banks-Greczanik
800 E Dawson St |
$113.47 | 4,293 | 3,058 |
|
Clinton Charles Smithson
800 E Dawson St |
$76.93 | 3,948 | 2,886 |
|
Nima Pakzad
800 E Dawson St |
$88.55 | 3,768 | 2,838 |
|
Bryan Juan
11937 Us Highway 271 |
$153.03 | 3,695 | 3,544 |
|
Julie Carter Williams
800 E Dawson St |
$99.87 | 3,695 | 2,753 |
|
Tharren Charles Duffy
800 E Dawson St |
$83.64 | 3,690 | 3,541 |
|
Roy Wayne Morrison
800 E Dawson St |
$88.83 | 3,548 | 2,639 |
|
Mary Bishop Price
800 E Dawson St |
$109.27 | 3,504 | 2,381 |
|
Minh Q Le
11937 Us Highway 271 |
$88.18 | 3,423 | 3,202 |
|
Jeremy Michael Troyer
5414 S Broadway Ave |
$59.50 | 3,356 | 2,919 |
|
Terri Scamardo
800 E Dawson St |
$83.90 | 3,301 | 2,161 |
|
Joseph Yard
800 E Dawson St |
$75.65 | 3,297 | 2,463 |
|
Wayne D Wayt
800 E Dawson St |
$121.92 | 3,189 | 3,022 |
|
Saira Hoda
800 E Dawson St |
$95.02 | 3,145 | 2,953 |
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 Tyler, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Tyler, TX is $103.85 per claim, based on 379,823 claims from 137 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 Tyler, TX?
There are 137 Medicaid providers offering Emergency Room Visit related services in Tyler, TX according to public payment data.
What is the price range for Emergency Room Visit in Tyler, TX?
Medicaid reimbursement for Emergency Room Visit in Tyler, TX ranges from $19.82 to $393.26 per claim, with an average of $103.85. 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 Tyler, TX
Office Visit
Avg $44.43
469,139 claims
Blood Work & Lab Tests
Avg $5.27
313,965 claims
Dental Cleaning & Exam
Avg $39.99
266,952 claims
X-Ray
Avg $7.49
188,695 claims
Vaccines & Immunizations
Avg $6.68
122,404 claims
Urinalysis & Urine Tests
Avg $2.44
97,259 claims
Ultrasound
Avg $64.23
94,613 claims
Physical Therapy
Avg $17.39
74,314 claims