Insurance & Billing

Feel Confident About Your Care and Coverage

At Physicians Premier, you get more than fast emergency care — you get support that continues after you leave. Our Patient Service Navigators take the guesswork out of the process with personal support, clear answers, and compassionate guidance.

Less Stress, Faster Healing

What to Know About Your Insurance

Physicians Premier Emergency Room is an out-of-network provider for all health benefit plans. However, federal law requires insurance companies to process your ER visit at the in-network level and guarantee coverage in a true emergency.

We bill all private insurance plans, including Aetna, Blue Cross Blue Shield, Cigna, Humana, and Marketplace plans. We also take cash and all major credit cards.

Please note: As a freestanding emergency room, we are unable to bill CMS insurance programs such as Medicare, Medicaid, and TRICARE.

PERSONALIZED SUPPORT

Patient Service Navigators

At every Physicians Premier ER location, you’ll have a go-to advisor throughout your experience. Our Patient Service Navigators (PSNs) have the answers you need to smoothly navigate the financial aspects of your care:

  • Clarify your insurance coverage and benefits
  • Confirm your out-of-pocket financial responsibilities
  • Answer billing questions

It’s all about helping you feel informed, supported, and confident from start to finish.

Find Your Patient Service Navigator

No surprise billing

Your rights are protected under the No Surprises Act. Emergency medical care is protected under federal law and should be covered at the in-network benefit level, regardless of the contracted status of the facility where you receive care.

You should receive an “Explanation of Benefits” (EOB) by mail. This is not a bill — it is a statement that explains how your claim was processed based on your insurance benefits.

For more information regarding the No Surprises Billing Act, download Your Rights and Protections Under the No Surprises Billing Act (PDF).


Fee Schedules

BRYAN

Download the Facility & Professional Chargemasters for our Bryan location

CORPUS CHRISTI

Download the Facility & Professional Chargemasters for all (5) Corpus Christi locations

Cibolo

Download the Facility & Professional Chargemasters for our Cibolo location

Missouri City

Download the Facility & Professional Chargemasters for our Missouri City location

Cinco Ranch

Download the Facility & Professional Chargemasters for our Cinco Ranch location

Potranco

Download the Facility & Professional Chargemasters for our Potranco location


Important Notices

State and Federal Statutes

Texas Senate Bill 425

Senate Bill 425, passed by the Texas Legislature during the 84th Regular Session, requires all FECs to post notice of the following:

  • This is a Freestanding Emergency Medical Care Facility
  • This facility charges rates comparable to a hospital Emergency Room and may charge a facility fee
  • This facility or physician providing medical care at this facility may not be a participating provider in your Health Benefit Plan provider network
  • A physician providing medical care at this facility may bill separately from the facility for the medical care provided to you

Texas House Bill 3276

If we are not in-network with your particular health plan, Federal law requires insurance companies to process your ER visit at the in-network benefit level.

We are not yet recognized by Medicaid. If you would like to assist us in being able to accept these insurance plans, please contact your legislators.

Texas House Bill 2041

House Bill 2041, passed by the Texas Legislature during the 86th Regular Session, requires all FECs to post notice of the following:

  • This facility is a Freestanding Emergency Medical Care Facility
  • This facility charges rates comparable to a hospital Emergency Room and may charge a facility fee
  • The facility or physician providing medical care at this facility may be an out-of-network provider for the patient’s health benefit plan provider network
  • A physician providing medical care at this facility may bill separately from the facility for the medical care provided to the patient

Texas Senate Bill 2038

Freestanding ERs are required to publicly share testing charges or vaccinations for an infectious disease when a state of disaster has been declared.

Texas Senate Bill 1188

Texas Senate Bill 1188 establishes requirements related to the privacy, security, and management of electronic health records. Physicians Premier Emergency Room maintains electronic health records in accordance with applicable Texas law to help protect patient information.

FFCRA & CARES Act Provider Compliance Information

Pursuant to section 6001 of the Families First Coronavirus Response Act (the “FFCRA”) as amended by Sections 3201 and 3202 of the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”) specifically as the foregoing relate to the provision and reimbursement of orders for and or administration of SARS-CoV-2 or COVID-19 (collectively, “COVID-19) in vitro diagnostic tests (including serological tests used to detect COVID-19 antibodies) as well as the provision and reimbursement of items and services furnished to individuals during visits that result in an order for, or administration of a COVID-19 in vitro diagnostic test(s) and or the provision and reimbursement of services related to the evaluation of such individuals by the attending healthcare provider for purposes of determining the need for the product or service in question, the following are the lists by provider of CPT codes (refer to fee schedule for associated cash prices) required by section 3202 (b) of the CARES Act related to the foregoing COVID-19 in vitro diagnostic testing services as well as said related items and services:

  • SARS-COV-2 COVID-19 ANTIBODY
  • SARSCOV2 COVID19 PCR

Patient Tools

The Care You Need — Without the Wait

cross

Medical Records Request

Stay connected to your care. Contact us to request copies of your medical records.
heart pulse

ER vs. Urgent Care

Understanding where to go for care can help you make a confident decision when symptoms arise.
shield alert

Find a Location Near You

You’ll find Physicians Premier Emergency Rooms in convenient locations across Texas.