Average Medicaid Emergency Room Visit Payments in Coamo, PR: $48.69
Avg. Paid
$48.69
Range
$1.18 – $75.30
Total Claims
5,052
Providers
12
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 Coamo, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Francisco Jose Betancourt Borges
Coamo Garden C4 |
$42.41 | 1,504 | 1,311 |
|
Ruben A Rubero Aponte
Carrion Maduro St. #51-C |
$75.30 | 1,087 | 792 |
|
Nelson David Valentin
19 Calle Baldorioty |
$50.73 | 767 | 594 |
|
Randy Ortiz Irizarry
Jardines De Santa Ana |
$45.90 | 591 | 388 |
|
Armando Troche Olivieri
Ave Maraton San Blas |
$16.94 | 332 | 311 |
|
Wilfredo Raphael Paoli Lopez
Mansiones De Coamo |
$47.57 | 256 | 223 |
|
Jose A. Zayas Rivas
Desvio Calle Luis Munoz Marin |
$44.46 | 193 | 131 |
|
Xavier Delgado-Lopez
Urb. Valle Real #90 |
$6.99 | 107 | 91 |
|
Angel Luis Santiago Ramos
A29 Valles Del Paraiso |
$18.57 | 89 | 79 |
|
Javier Morales
Calle Imperio |
$67.45 | 60 | 57 |
|
Javier Enrique Echevarria
Luis Munoz Marin Ave #138 |
$1.18 | 35 | 30 |
|
Dr Jose A Torres Viruet Csp
Ave Luis M Marin |
$46.65 | 31 | 30 |
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 Coamo, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Coamo, PR is $48.69 per claim, based on 5,052 claims from 12 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 Coamo, PR?
There are 12 Medicaid providers offering Emergency Room Visit related services in Coamo, PR according to public payment data.
What is the price range for Emergency Room Visit in Coamo, PR?
Medicaid reimbursement for Emergency Room Visit in Coamo, PR ranges from $1.18 to $75.30 per claim, with an average of $48.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Avg $203.26
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Avg $116.65
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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 Coamo, PR
Blood Work & Lab Tests
Avg $8.96
266,812 claims
Office Visit
Avg $7.42
138,275 claims
Urinalysis & Urine Tests
Avg $3.52
64,232 claims
Dental Cleaning & Exam
Avg $17.08
34,857 claims
Physical Therapy
Avg $23.76
32,610 claims
Pathology & Lab Services
Avg $92.75
27,018 claims
Psychiatric Evaluation
Avg $19.39
22,129 claims
Dental Filling
Avg $26.84
8,607 claims