Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Carolina, PR: $58.06

Avg. Paid

$58.06

Range

$0.00 – $180.81

Total Claims

282,272

Providers

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 Carolina, PR

Provider	Avg. Paid	Claims	Patients
Recinto De Ciencias Medicas Ave. 65 De Infanteria	$44.19	13,951	12,807
Joakyna De Santiago Pagan Ave 65 Infanteria Upr Hospital Carr 3 Km 8.3	$44.49	13,141	11,538
Cesar I Andino-Colon Hospital Upr Med De Emergencia	$45.10	12,986	11,448
Yanira Morales 65Th Infantery Ave. #3 St. Km 8.3	$46.65	11,738	10,351
Joanna Mercado/Alvarado Upr Hospital # 3 Road 65Th Infantry Ave.	$46.97	11,737	10,104
Manuel A Colon 65Th Infantry Ave. #3 St. Km 8.3	$45.42	11,721	10,221
Wanda L Rivera Bou Carr #3 K.M. 8.3 Ave. 65 Infanteria	$46.83	11,507	10,270
Reinaldo Ortiz 65 Inf Ave Street # 3 Km 8.3	$37.46	9,815	9,004
Maria R Ramos-Fernandez Hospital Dr. Federico Trilla	$45.92	9,493	8,383
Thaer Abukhalil Ave. 65 De Infanteria, Carr. 3, Km 8.3	$63.12	9,265	7,388
Edwin Ariel Rivera J19 Calle Isla Verde	$77.14	7,794	6,531
Pedro Antonio Rivera Caballero Calle Fernanez Juncos	$75.22	7,724	6,110
Bianca Rivera Carretera 3 Km 8.3	$64.12	7,001	6,464
Fernando L Soto Torres 65 Infanteria Km #8.3 Hospital Upr.	$34.54	6,781	6,334
Helen Rovira Figueroa Hospital Upr Km 8.3 Ave. 65 Infantery	$107.73	6,718	5,584
Michelle Osorio-Rodriguez 65 Avenida De Infanteria	$84.66	6,605	5,572
Jorge Luis Falcon-Chevere Carretera # 3 65Th Infantry Ave.	$52.09	6,435	5,695
Emily Ann Goldman-Huertas Road #3 Km 8.3	$97.07	5,959	5,739
Juan Rafael Fernandez Fernandez Ave. 65 De Infanteria, Carr. 3, Km 8.3	$68.01	5,856	4,617
Tai Le 80 Ciudad Jardin	$8.95	5,790	5,310
Pedro R. Badillo-Abasolo Ave El Comandante Calle 266 Pb30	$35.54	5,639	5,023
Lorraine Mendez Carreno 132 Calle Marte	$86.92	5,479	4,969
Esteban Jose Lugo-Ramos Ave. 65 De Infanteria, Carr. 3, Km 8.3	$71.77	5,132	4,409
Wilfredo Nieves 65 Infanteria Km # 8.3	$47.85	4,867	4,050
Luis Angel Reyes Mercado Carr. 3 Km 8.3 Ave. 65 De Infanteria	$118.75	4,692	4,560
Kid Khayam Velez Melendez Chalets De La Fuente	$23.23	4,661	1,984
Jessica Marie Quinones-De Echegaray University District Hospital - Carolina	$63.56	4,504	3,711
Lizabeth Michelle Perez-Pascual 3 Carretera Km 8.3 Ave 65 De Infanteria	$84.29	3,936	3,536
Edgar Javier Miranda Gonzalez 65Th Infantery Ave, Carr.3 Km. 8.3	$78.19	3,930	3,423
Ricardo Estrada Maisonet Carr. 853 Km 11.5 Bo. Barrazas	$69.69	3,691	2,790
Wilfredo Gutierrez Cotto Hospital De La Upr-Federico Trilla	$68.36	3,494	2,688
Ismael Enrique Diaz Davila Hx15 Calle 253	$31.94	3,379	3,055
Edil Josue Agosto Diaz Calle # 3 Km 8.3	$71.60	3,321	2,750
Juan Arnaldo Gonzalez-Sanchez 65 Infanteria Km # 8.3 Hospital Upr	$63.68	2,727	2,211
Omar E Diaz Sojo Pq28 Ave El Comandante	$14.45	2,721	2,551
Harold Anthony Serrano Ave. 65 De Infanteria	$180.81	2,543	2,436
Yadira Moran Betancourt Edf Jesus T Pinero	$43.10	2,429	2,065
Letty Negron Rojas Carr 185 Km 15.8 Bo. Cedros	$26.50	2,357	2,165
Norbert J Seda Olmo Point Lagoon Estates A-10	$52.19	2,323	1,877
Jose Luis Serrano Via 39	$45.70	2,265	1,831
Javier Enrique Rosario Ave. 3 Km 8.3	$74.88	2,172	1,861
Euri De Jesus Fernandez Nunez Jesus T. Pinero Building, Unit 8	$18.07	2,019	1,881
Javier Ricardo Burgos Hospital U.P.R 65Th Infantry Ave.	$91.40	2,001	1,543
Josiel Medina Zayas 65 Ave De Infanteria	$94.55	1,718	1,271
Pablo David Vega Parra Km 8. P.R 3 Calle 3, Av. 65 De Infanteria	$110.30	1,646	1,518
Soobin Maeng Condominio Playa Dorada Torres B Ph 12	$52.41	1,536	1,285
Vanessa Torres Navarro Hc 4 Box 15449	$20.41	1,290	1,177
Mark Anthony Vergara-Gomez Ave. 65Th Infanteria Km 8.3 Carr. 3	$153.37	1,138	241
Rosa A Martinez Calle 3 Km 8.3	$93.48	1,102	832
Ernie Jose Canales Rivera Urb Carolina Alta Calle Milagros Cabezas Local A	$51.30	1,029	771

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 Carolina, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Carolina, PR is $58.06 per claim, based on 282,272 claims from 85 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 Carolina, PR?

There are 85 Medicaid providers offering Emergency Room Visit related services in Carolina, PR according to public payment data.

What is the price range for Emergency Room Visit in Carolina, PR?

Medicaid reimbursement for Emergency Room Visit in Carolina, PR ranges from $0.00 to $180.81 per claim, with an average of $58.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Carolina, PR: $58.06

Providers Offering Emergency Room Visit in Carolina, PR

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

Detroit, MI

Chicago, IL

Phoenix, AZ

Indianapolis, IN

New York, NY

Columbus, OH

Brooklyn, NY

Philadelphia, PA

Other Procedures in Carolina, PR

Office Visit

Blood Work & Lab Tests

Dental Cleaning & Exam

Vaccines & Immunizations

Physical Therapy

Urinalysis & Urine Tests

Speech Therapy

Durable Medical Equipment (DME)