Average Medicaid Emergency Room Visit Payments in Coto Laurel, PR: $67.60
Avg. Paid
$67.60
Range
$9.38 – $73.56
Total Claims
3,407
Providers
6
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 Coto Laurel, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Raul Negron
204 Carr 14 |
$73.56 | 1,733 | 1,384 |
|
Kenneth Rivera Ayala
2201 Carr 14 Apt 33303 |
$64.83 | 988 | 665 |
|
Gabriel Pabon Morales
Hacienda Juliana |
$73.41 | 432 | 391 |
|
Jose L Torres-Silva
Urb Santa Rita Iii Calle Santa Maria 1430 |
$36.50 | 156 | 147 |
|
Juan Velez Rivera
220 Paseo Reina Mora |
$15.00 | 82 | 81 |
|
Maria Teresa Velez-Maldonado
Suite 1-A |
$9.38 | 16 | 16 |
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 Coto Laurel, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Coto Laurel, PR is $67.60 per claim, based on 3,407 claims from 6 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 Coto Laurel, PR?
There are 6 Medicaid providers offering Emergency Room Visit related services in Coto Laurel, PR according to public payment data.
What is the price range for Emergency Room Visit in Coto Laurel, PR?
Medicaid reimbursement for Emergency Room Visit in Coto Laurel, PR ranges from $9.38 to $73.56 per claim, with an average of $67.60. 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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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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Avg $130.10
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Avg $135.52
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Other Procedures in Coto Laurel, PR
Office Visit
Avg $20.78
165,544 claims
X-Ray
Avg $8.76
51,942 claims
Dental Cleaning & Exam
Avg $19.47
20,807 claims
EKG / ECG (Electrocardiogram)
Avg $18.69
19,660 claims
Ultrasound
Avg $31.03
9,482 claims
Colonoscopy
Avg $312.66
7,263 claims
Psychiatric Evaluation
Avg $12.50
7,202 claims
Upper Endoscopy (EGD)
Avg $279.22
6,232 claims