Average Medicaid Emergency Room Visit Payments in Canovanas, PR: $28.59
Avg. Paid
$28.59
Range
$7.11 – $51.70
Total Claims
13,919
Providers
7
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 Canovanas, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Glaritza Jimenez Torres
644 Calle 6 |
$25.10 | 8,727 | 7,823 |
|
Vanessa Esther Alvarado Gonzalez
69 Hoconuco |
$32.40 | 3,186 | 2,982 |
|
Carl Lance Palermo Cortes
Calle Corchado Final |
$51.70 | 778 | 627 |
|
Luz E Vazquez Cancel
Aa10 Loiza Valley Mall |
$24.54 | 494 | 438 |
|
Bimely E Torres
Canovanas Medical Center |
$46.25 | 455 | 412 |
|
Justo Quinones Negron
975 Calle Bauhinia |
$7.11 | 235 | 149 |
|
Ronald Delgado - Matos
188 Calle 1 |
$12.84 | 44 | 43 |
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 Canovanas, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Canovanas, PR is $28.59 per claim, based on 13,919 claims from 7 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 Canovanas, PR?
There are 7 Medicaid providers offering Emergency Room Visit related services in Canovanas, PR according to public payment data.
What is the price range for Emergency Room Visit in Canovanas, PR?
Medicaid reimbursement for Emergency Room Visit in Canovanas, PR ranges from $7.11 to $51.70 per claim, with an average of $28.59. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $203.26
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New York, NY
Avg $130.02
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Avg $98.63
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Brooklyn, NY
Avg $130.10
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Avg $135.52
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Other Procedures in Canovanas, PR
Blood Work & Lab Tests
Avg $7.09
263,052 claims
Office Visit
Avg $3.83
156,647 claims
X-Ray
Avg $8.50
127,420 claims
Urinalysis & Urine Tests
Avg $2.92
62,406 claims
CT Scan (Computed Tomography)
Avg $126.12
45,955 claims
Physical Therapy
Avg $26.47
45,640 claims
Vaccines & Immunizations
Avg $9.57
39,373 claims
Dental Cleaning & Exam
Avg $19.10
39,186 claims