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
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 Waco, TX
Office Visit
Avg $45.75
476,451 claims
Dental Cleaning & Exam
Avg $31.85
223,056 claims
Vaccines & Immunizations
Avg $2.89
200,017 claims
Physical Therapy
Avg $32.60
188,402 claims
Blood Work & Lab Tests
Avg $5.74
115,573 claims
Speech Therapy
Avg $98.50
83,337 claims
X-Ray
Avg $7.33
60,826 claims
Dental Filling
Avg $74.36
45,729 claims