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
Platinum Emergency Group Carr 853 Km 11.7	$13.75	12	12
Laiza Marie Rivera Figueroa Calle 3, Av 65 De Infanteria	$75.63	13	13
Lope Manuel Gomez-Hormazagal Ave Roberto Sanchez Vilella, A6 Castellana Gardens	$10.15	13	13
Nazaret Colon Fernandez Hospital Upr Dr. Federico Trilla	$50.82	14	13
Margarita M Pacheco 10 Calle Amapola	$62.61	23	15
Ana Y Cruz Cabrera Clinica Borinquen Suite 106	$18.36	26	25
Maritza Acevedo Cuevas 5859 Ave Isla Verde	$0.00	43	42
Juanita Negron 105 Ave Laguna	$12.56	58	48
Paola Rijo Urb. Country Club	$102.15	73	60
Jose M Garcia Garcia Stree Via Leticia Number 4As1	$34.29	94	82
Jose G Ayala Pr 3 Km 8 Cii 3	$9.68	110	110
Kevin A Buenahora Medina 1 Calle Hnos Rodriguez Ema	$19.90	126	92
Luis Montalvo Toledo Policlinica Dr Salvador Ribot Ruiz	$34.07	138	101
Diana Diaz-Ramirez Hospital Upr Carolina	$11.71	195	124
Julio Perez Rodriguez 221 Calle Urayoan	$66.99	200	130
Alma Alicia Reyes Estrada 6471 Ave Isla Verde Apt 1001	$31.17	202	153
Metro Pavia Healthcare Centers Inc Carr 857 Km 13.4	$26.99	220	214
Caterina Nicole Rovoletto Ave. 65 De Infanteria, Carr. 3, Km 8.3	$60.23	231	210
Irelis Villegas Fiol Carr 859 Km 1.9 Bo. Santa Cruz	$91.17	265	237
Jonathan Romero Casillas Carr 185 Km15.8 Bo Cedros	$15.26	270	264
Orlando M. Sanchez Carr 3 Km 8.3 Ave 65 De Infanteria	$90.46	338	303
Paula Noelis Marin-Acevedo Carretera 3 Km 8.3	$146.59	356	352
Iara M. Ramos Velez H 1807 Villas Parque Escorial	$48.93	360	337
Recinto De Ciencias Medicas Ave. 65 De Infanteria	$58.46	371	217
Maritere Olascoaga-Torres Hospital Upr	$100.66	457	333
Carlos A Munoz Torres Carr. #3 Km. 8.3 Ave 65 Infanteria	$63.76	476	329
Glaymar Dominguez Ave. 65 De Infanteria, Carr.3, Km 8.3	$54.41	508	389
Analaura Santiago Perez Hospital Federico Trilla Km 8 Calle 3	$60.79	519	383
Michelle Castellanos Martin 80100 Calle Munoz Rivera Esq. Molinillo	$66.08	564	533
Waleska Enid Arias Street 73C	$28.02	585	451
Edgardo Luis Carazo Edif Jesus T. Pineino	$14.69	589	562
Glorissa Rodriguez-Feliciano 1 Calle Tulipan Ba-22	$33.21	642	561
Felipe Aguayo Romero Carretera 3 Km 8.3	$73.85	738	708
Dora De Lourdes Donate-Perez 65Th Infantry Ave	$90.44	776	626
Giovan E Hernandez Lebron Grupo Medico Samaritano	$36.02	909	746
Ernie Jose Canales Rivera Urb Carolina Alta Calle Milagros Cabezas Local A	$51.30	1,029	771
Rosa A Martinez Calle 3 Km 8.3	$93.48	1,102	832
Mark Anthony Vergara-Gomez Ave. 65Th Infanteria Km 8.3 Carr. 3	$153.37	1,138	241
Vanessa Torres Navarro Hc 4 Box 15449	$20.41	1,290	1,177
Soobin Maeng Condominio Playa Dorada Torres B Ph 12	$52.41	1,536	1,285
Pablo David Vega Parra Km 8. P.R 3 Calle 3, Av. 65 De Infanteria	$110.30	1,646	1,518
Josiel Medina Zayas 65 Ave De Infanteria	$94.55	1,718	1,271
Javier Ricardo Burgos Hospital U.P.R 65Th Infantry Ave.	$91.40	2,001	1,543
Euri De Jesus Fernandez Nunez Jesus T. Pinero Building, Unit 8	$18.07	2,019	1,881
Javier Enrique Rosario Ave. 3 Km 8.3	$74.88	2,172	1,861
Jose Luis Serrano Via 39	$45.70	2,265	1,831
Norbert J Seda Olmo Point Lagoon Estates A-10	$52.19	2,323	1,877
Letty Negron Rojas Carr 185 Km 15.8 Bo. Cedros	$26.50	2,357	2,165
Yadira Moran Betancourt Edf Jesus T Pinero	$43.10	2,429	2,065
Harold Anthony Serrano Ave. 65 De Infanteria	$180.81	2,543	2,436

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)