Average Medicaid Emergency Room Visit Payments in Victoria, TX: $173.31
Avg. Paid
$173.31
Range
$13.42 – $815.41
Total Claims
23,138
Providers
23
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 Victoria, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shannon Lee Casey
2701 Hospital Dr |
$84.26 | 4,982 | 4,748 |
|
Citizens Medical Center County Of Victoria
2701 Hospital Dr |
$19.22 | 4,150 | 3,859 |
|
Victoria Of Texas Lp
506 E San Antonio St |
$55.99 | 3,490 | 3,249 |
|
Boniface Gbalazeh
114 Sandstone Ct |
$815.41 | 3,400 | 1,801 |
|
Elyana Garcia York
7002 N Navarro St Ste 200 |
$95.11 | 1,173 | 1,157 |
|
Emma Christine Canion
101 W Goodwin Ave Ste 600 |
$108.91 | 1,119 | 1,089 |
|
John Lee Mcneill
3002 Sam Houston Dr |
$78.35 | 817 | 798 |
|
Michael Klein
4804 N Navarro St |
$104.78 | 634 | 323 |
|
Derrick C Wagner
3002 Sam Houston Dr |
$61.64 | 466 | 457 |
|
Clyde Walrod
2701 Hospital Dr |
$70.16 | 444 | 431 |
|
Elias Aparicio
2701 Hospital Dr |
$70.63 | 417 | 390 |
|
Margaret A. Mosley
4206 Retama Cir |
$13.42 | 330 | 262 |
|
Nancy Coppernoll
2701 Hospital Dr |
$34.63 | 329 | 308 |
|
Marcel Kroschk
2701 Hospital Dr |
$36.83 | 320 | 246 |
|
Miguel Angel Sierra-Hoffman
2710 Hospital Dr |
$66.12 | 302 | 65 |
|
Nicholas Lin
2700 Citizens Plz |
$69.01 | 212 | 210 |
|
Lisa Price
9006 N Navarro St Ste B |
$49.88 | 145 | 127 |
|
Desiree Young Moore
3002 Sam Houston Dr |
$29.86 | 100 | 68 |
|
Dillon Kelby Lesak
9410 Ne Zac Lentz Pkwy Ste 202 |
$51.59 | 94 | 89 |
|
Theresa O Ybarra
2701 Hospital Dr |
$62.55 | 84 | 77 |
|
Ross Edward Arnold
2701 Hospital Dr |
$56.03 | 69 | 68 |
|
John W Vaughan
506 E San Antonio St |
$31.14 | 34 | 33 |
|
Zachary Barber
605 E San Antonio St # 509 |
$74.94 | 27 | 27 |
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 Victoria, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Victoria, TX is $173.31 per claim, based on 23,138 claims from 23 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 Victoria, TX?
There are 23 Medicaid providers offering Emergency Room Visit related services in Victoria, TX according to public payment data.
What is the price range for Emergency Room Visit in Victoria, TX?
Medicaid reimbursement for Emergency Room Visit in Victoria, TX ranges from $13.42 to $815.41 per claim, with an average of $173.31. 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 Victoria, TX
Office Visit
Avg $35.79
230,068 claims
Home Health Visit
Avg $22.67
157,706 claims
Vaccines & Immunizations
Avg $7.62
118,101 claims
Dental Cleaning & Exam
Avg $42.40
69,284 claims
Speech Therapy
Avg $58.60
61,521 claims
Blood Work & Lab Tests
Avg $4.00
60,146 claims
Physical Therapy
Avg $53.62
39,070 claims
X-Ray
Avg $3.98
38,276 claims