Emergency Room Billing & Payment Information

Billing Process

At the time of your visit, your emergency room co-pay will be collected. After your visit, two separate claims will be mailed to your insurance company; one for the facility and one for the physician. Your insurance company will NOT be charged separately for radiology, pathology, or cardiology reports, as is the case with hospital-based ERs. Instead, these charges are included in your facility bill.

Please note: Eldridge Parkway Emergency Room is not in-network with any insurance benefit plans, however, your health insurance company is required by law to process emergency ER visits at an in-network benefit level.

Ask us for information on our Prompt Pay Discount. We accept cash, checks, and all major credit cards including Visa, MasterCard, AMEX and Discover.

Important Emergency Facility Level Note

Emergency rooms must maintain an extremely high level of preparedness to effectively treat emerging medical conditions and ensure you have access to the best in emergency care. Therefore, emergency rooms charge a facility fee for each patient visit to help offset the recurring costs associated with maintaining this level of preparedness that is much higher than traditional medical facilities.

While we may function as an out-of-network provider for some plans, Texas law requires insurers to process emergency care at in-network benefit levels. This gives you the protection to seek emergency care when you need it without worrying about coverage.

The facility fee is a charge that is calculated on several different factors and criteria by patient. Acuity level is determined based on: review of presenting issue, symptoms, history, physical information, severity of presenting issue, and necessary medical decisions made by the physician or underlying issues (based on information given as well as results of procedures and testing performed). These are graded as minimal, moderate and high severity.

About a month after your office visit, you will receive an Explanation of Benefits (EOB) from your insurance provider. You can review the EOB to fully understand your benefits; it explains what care you received, what your insurance plan has paid and what your anticipated responsibility is (what you can expect to be billed). Your EOB is NOT a bill.

After applying your insurance provider’s benefit, if there is a remaining balance, Eldridge Parkway Emergency Room will send you a bill. This normally arrives 2–4 weeks after you receive the EOB. As a result of possible in-network adjustments, this bill might be less than what your EOB had shown.

If you have any questions regarding your bill, please contact Billing Services. We will work with you quickly to resolve any differences.

We look forward to serving you in the future.

Download our Medical Disclosure Notice or read about Balance Billing.

Billing Process

Frequently Asked Question

Co-pay: The amount due at the time of service. This amount is set by your insurance provider and may vary based on your plan and where you receive care.
Deductible: The minimum amount you must pay before your insurance begins contributing toward medical expenses.
Co-Insurance: The percentage of your medical bill you pay after your deductible is met. This amount may be owed along with your co-pay depending on your plan.

An Explanation of Benefits (EOB) is a statement from your insurance company showing what services were billed, what they paid, and what portion may be your responsibility.
An EOB is NOT a bill.

Your EOB is only an estimate. Once insurance sends us their payment and applies required adjustments, your actual balance may be lower than what the EOB shows. If you are unsure, contact our Billing Services team and we will review it with you.

Yes. We can provide a full itemized bill that lists all facility services, physician services, and charges assigned during your visit. You may request this at any time.

You can contact our Billing Services department. Our team will help explain your charges, insurance adjustments, claim status, and any remaining balance. We’re here to resolve your concerns as quickly as possible.