Cost of a ER Visit (Moderate) Visit
in Texas
Reviewed by Momentary Medical Group West PC
Texas operates one of the nation's largest emergency care networks, with over 14,947 providers handling moderate-severity ER visits across the state's sprawling geography. Patients seeking ER Visit (Moderate) care in Texas typically face costs ranging from $80 to $196, with a median rate of $90 for moderate-severity emergency visits. The Lone Star State's extensive provider network spans from major metropolitan medical centers to rural critical access hospitals, giving patients numerous options for emergency care.
Average
$122
Median
$90
Lowest
$80
Highest
$196
Providers
14,947
14% below national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in Texas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $54 | $86 | $118 | 15,367 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $80 | $90 | $257 | 14,322 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99284 — Emergency department visit, moderate severity). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 99284 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99284 (Emergency department visit, moderate severity), as mandated by the CMS Price Transparency Rule.
What CPT 99284 covers: the provider's professional fee for er visit (moderate severity). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top-Rated Hospitals in Texas
These hospitals in Texas are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BRYAN, TX
AMARILLO, TX
SAN ANTONIO, TX
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why ER Visit (Moderate) Visit Costs Vary Across Texas
Texas emergency care costs run approximately 4% below national averages, reflecting the state's competitive healthcare market and diverse provider landscape spanning from world-renowned medical centers in Houston and Dallas to smaller rural emergency facilities. The state's vast geography creates significant cost variations, with urban emergency departments often charging premium rates while rural critical access hospitals may offer more affordable care options.
Urban vs. Rural Provider Availability
Texas's massive geographic footprint creates stark disparities between metropolitan areas like Houston, Dallas, San Antonio, and Austin, which host multiple competing emergency facilities, and rural counties where residents may travel 50+ miles to reach the nearest emergency department. This geographic distribution directly impacts pricing, with urban emergency departments facing higher overhead costs but also more competitive pressure, while rural facilities often operate as sole providers in their service areas.
Facility Type and Overhead Costs
Texas emergency care is dominated by large health systems including Houston Methodist, Baylor Scott & White, HCA Healthcare facilities, and Memorial Hermann, alongside independent emergency centers and critical access hospitals. Hospital-based emergency departments typically charge higher facility fees than freestanding emergency centers, though they also provide more comprehensive services including trauma care and inpatient admission capabilities when moderate cases require extended treatment.
Insurance Market Competition in Texas
The Texas insurance landscape features robust competition among UnitedHealthCare, Blue Cross Blue Shield of Texas, Aetna, and Cigna, creating downward pressure on negotiated emergency care rates in many markets. This competitive environment generally benefits patients through lower out-of-pocket costs, though rural areas may have fewer insurer options and less negotiating leverage with emergency care providers.
Physician Supply and Demand in Texas
With over 14,947 providers handling moderate ER visits statewide, Texas maintains a relatively robust emergency physician workforce, though distribution remains uneven between urban and rural regions. This substantial provider network helps moderate costs through competition while ensuring reasonable access to emergency care, though rural physician shortages can still drive up costs in underserved areas where emergency physicians command premium compensation.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — ER Visit (Moderate) Costs in Texas
What is the average cost of a ER Visit (Moderate) visit in Texas without insurance?
Does Texas Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in Texas?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a ER Visit (Moderate) visit in Texas?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Texas?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99284)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $647 | $311 |
| 2 | Illinois Range: $80 – $431 | $223 |
| 3 | Iowa Range: $80 – $371 | $205 |
| 4 | New Hampshire Range: $102 – $307 | $202 |
| 5 | Pennsylvania Range: $55 – $431 | $191 |
| 6 | New York Range: $67 – $374 | $183 |
| 7 | Rhode Island Range: $62 – $374 | $177 |
| 8 | Maine Range: $116 – $233 | $172 |
| 9 | Massachusetts Range: $62 – $368 | $170 |
| 10 | Nebraska Range: $83 – $291 | $165 |
| 11 | Washington Range: $80 – $259 | $161 |
| 12 | Michigan Range: $80 – $291 | $158 |
| 13 | New Mexico Range: $85 – $266 | $158 |
| 14 | Wyoming Range: $85 – $262 | $157 |
| 15 | Colorado Range: $80 – $267 | $157 |
| 16 | Vermont Range: $80 – $257 | $156 |
| 17 | Georgia Range: $84 – $246 | $151 |
| 18 | California Range: $80 – $258 | $142 |
| 19 | Indiana Range: $80 – $258 | $142 |
| 20 | Kentucky Range: $70 – $246 | $140 |
| 21 | North Carolina Range: $80 – $231 | $139 |
| 22 | District of Columbia Range: $80 – $217 | $138 |
| 23 | West Virginia Range: $62 – $174 | $137 |
| 24 | Utah Range: $80 – $228 | $135 |
| 25 | Maryland Range: $80 – $206 | $132 |
| 26 | New Jersey Range: $60 – $237 | $131 |
| 27 | Hawaii Range: $80 – $217 | $130 |
| 28 | Arkansas Range: $80 – $194 | $130 |
| 29 | Virginia Range: $81 – $202 | $129 |
| 30 | Tennessee Range: $85 – $187 | $128 |
| 31 | South Carolina Range: $80 – $206 | $128 |
| 32 | Ohio Range: $75 – $197 | $127 |
| 33 | Missouri Range: $85 – $167 | $124 |
| 34 | Alabama Range: $80 – $195 | $124 |
| 35 | Oklahoma Range: $85 – $169 | $123 |
| 36 | Kansas Range: $86 – $167 | $123 |
| 37 | Texas Range: $80 – $196 | $122 |
| 38 | Arizona Range: $80 – $187 | $122 |
| 39 | Mississippi Range: $86 – $165 | $121 |
| 40 | Idaho Range: $80 – $194 | $121 |
| 41 | Delaware Range: $80 – $157 | $120 |
| 42 | Minnesota Range: $62 – $233 | $119 |
| 43 | Nevada Range: $84 – $184 | $119 |
| 44 | Connecticut Range: $55 – $211 | $118 |
| 45 | Alaska Range: $80 – $194 | $118 |
| 46 | Louisiana Range: $62 – $150 | $104 |
| 47 | Oregon Range: $62 – $183 | $102 |
| 48 | Montana Range: $62 – $145 | $96 |
| 49 | Florida Range: $35 – $190 | $95 |
| 50 | North Dakota Range: $62 – $121 | $82 |
| 51 | South Dakota Range: $62 – $121 | $82 |