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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Waco, TX: $111.38

Avg. Paid

$111.38

Range

$18.70 – $640.56

Total Claims

109,207

Providers

55

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 Waco, TX

Provider Avg. Paid Claims Patients
Christopher Charles Happel

1600 Providence Dr

$86.63 16,115 15,452
Hillcrest Baptist Medical Center

100 Hillcrest Medical Blvd

$54.58 8,807 8,102
Robert T Collier

100 Hillcrest Medical Blvd

$149.51 8,063 7,677
Jay A Allport

100 Hillcrest Medical Blvd

$112.76 7,302 7,013
Brennon Edward Barajas

100 Hillcrest Medical Blvd

$130.58 6,319 5,501
Randy Joe Hartman

100 Hillcrest Medical Blvd

$136.71 5,818 5,514
Randall David Smith

3000 Herring Ave

$117.72 4,903 4,615
Daniel Morgan Roberts

6901 Medical Parkway

$141.54 4,680 4,183
Jolene Donald

6901 Medical Pkwy

$83.57 4,574 4,165
Daniel Mark Elwell

6901 Medical Pkwy

$351.16 3,872 3,728
Marcos Perez

851 N Loop 340

$80.06 3,473 3,348
Joel David Mendez

6901 Medical Pkwy

$124.54 3,182 3,029
Ascension Providence

6901 Medical Pkwy

$53.69 3,114 2,876
Hilda Ana Deen

1600 Providence Dr

$93.04 2,439 2,233
Stephanie Dunlop

100 Hillcrest Medical Blvd

$112.98 2,421 2,149
Roberto Flores

6901 Medical Pkwy

$133.26 2,264 2,186
Adam Rodrigues

6901 Medical Pkwy

$131.95 2,245 2,145
Kirk Anthony Mathews

6901 Medical Pkwy

$64.11 2,093 1,808
Shu-Hao Liu

120 Hillcrest Medical Blvd Ste 3053

$103.29 1,946 914
Jesse Ian Baker

851 N Loop 340

$71.61 1,672 1,610
Seth Lewis Koster

6600 Fish Pond Rd Ste 202A

$200.31 1,562 1,410
William P. Coleman

504 Meadowlake Center

$114.90 1,535 1,487
Lucas Ray Simonitch

10207 China Spring Rd Ste 170

$26.73 1,350 1,244
Lori Anne Welch

7300 Bosque Blvd

$68.63 1,336 1,250
John Paul Bambeck

6901 Medical Pkwy

$98.73 1,122 982
Kimberly L. Micus

120 Hillcrest Medical Blvd

$59.76 1,086 904
Terriawkia A Woods-Campbell

120 Hillcrest Medical Blvd

$74.07 837 780
Michael Paul Fichter

321 Richland West Cir

$78.98 743 701
Meghan Marie Ruscitto

6901 Medical Pkwy

$80.95 560 525
Berenice Fernandez Cardoza

6901 Medical Pkwy

$59.21 431 404
Peter Shane Dailey

6901 Medical Pkwy

$73.82 426 346
Kimberly Anne Hott

3000 Herring Ave

$68.91 369 364
Mark Raymond Norwid

6901 Medical Pkwy

$18.70 341 335
Tommy Wayne Laird

5400 Crosslake Pkwy

$140.78 306 297
Mark A. Beaird

405 Londonderry Dr

$38.43 276 242
Andrew Joseph Fehler

100 Hillcrest Medical Blvd

$60.39 241 237
Nicholas Schwedock

1600 Providence Dr

$200.84 155 148
Craig Allen Gill

6901 Medical Parkway

$129.94 154 137
Elizabeth Keller Lolley

120 Hillcrest Medical Blvd Ste 300

$41.31 140 112
Tyler Keith Johnson

6901 Medical Pkwy

$63.86 131 130
Katy Britten Wesley

120 Hillcrest Medical Blvd Bldg Ii Suite 300

$39.85 129 114
Haley Fuller

2304 Marketplace Dr

$42.32 128 113
Jamie Lynn Willits

7700 Fish Pond Rd

$143.99 117 111
Andrew B. Popejoy

100 Hillcrest Medical Blvd

$75.59 108 108
Thomas Franklin Culwell

100 Hillcrest Medical Blvd

$67.03 80 70
Srijana Dhakal Baniya

611 W Hwy 6 Ste 101

$47.84 33 33
Jon Michael Ellis

140 Hillcrest Medical Blvd Ste 2

$269.68 29 29
Derek Dongwoo Lee

6901 Medical Pkwy

$50.14 29 12
Ian Ashley

6901 Medical Pkwy

$137.31 29 27
Amy Flammer

120 Hillcrest Medical Blvd Bldg Ii

$640.56 27 25

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 Waco, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Waco, TX is $111.38 per claim, based on 109,207 claims from 55 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 Waco, TX?

There are 55 Medicaid providers offering Emergency Room Visit related services in Waco, TX according to public payment data.

What is the price range for Emergency Room Visit in Waco, TX?

Medicaid reimbursement for Emergency Room Visit in Waco, TX ranges from $18.70 to $640.56 per claim, with an average of $111.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Waco, TX