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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Fajardo, PR: $69.27

Avg. Paid

$69.27

Range

$1.18 – $158.72

Total Claims

29,936

Providers

22

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 Fajardo, PR

Provider Avg. Paid Claims Patients
Samuel Negron Agosto

Calle Cipres #706 Local #2

 $61.47 27 27
Jose Luis Mendez

353 Ave General Valero

 $121.32 35 35
Jettie Danilsa Alvarez Suero

375 Ave. Osvaldo Molina Esq. General Valero

 $121.32 40 40
Adria Lebron Ayala

151 Ave Osvaldo Molina

 $44.34 42 37
Robert Adeyemi

F5 Calle Principal

 $3.55 62 56
Rosamar Caraballo Lopez

228 Ave B

 $9.53 83 66
Omar Mohamed Al-Kahlout

233 Calle Laurel

 $16.26 86 82
Edgardo Omar Velez

404 Ave Valero

 $158.72 174 101
Gustavo Adolfo Infante Nerys

404 Ave General Valero

 $82.07 179 108
Reynaldo Pezzotti Alvarez

Ave.General Valero Kl.2.6 Carr. 194

 $56.30 212 161
Jose M Mendez Jiminian

Ave General Valero # 353

 $30.68 225 180
Sebastian Alexis Bonilla Benitez

404 Ave General Valero

 $52.91 284 190
Juan Luis Vazquez

404 Ave General Valero

 $41.78 425 339
Felix R Quiles Fernandez

151 Ave Osvaldo Molina

 $63.00 500 298
Xiomara Resto

151 Ave Osvaldo Molina

 $63.71 531 395
Yessi Caraballo

Ave B-228

 $34.88 1,027 979
John N Velazquez Rodriguez

404 Ave General Valero

 $31.28 1,451 1,251
Edward B Smith Fermoso

Ave. General Valero .Km.2.6 Carre #194

 $24.18 1,595 1,406
Caribe Physicians Plaza Corporation

151 Ave Osvaldo Molina

 $1.18 1,869 1,193
Zaida Perez

400 Ave A Cond Vista Real

 $67.34 1,990 1,373
Jose Osvaldo Alba

404 Ave General Valero

 $93.49 5,500 4,939
Servicios Medicos Integrados De Fajardo, P.S.C.

I24 Calle Principal

 $83.03 13,599 8,822

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 Fajardo, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Fajardo, PR is $69.27 per claim, based on 29,936 claims from 22 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 Fajardo, PR?

There are 22 Medicaid providers offering Emergency Room Visit related services in Fajardo, PR according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Fajardo, PR ranges from $1.18 to $158.72 per claim, with an average of $69.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Detroit, MI

Avg $110.55

4,694,783 claims · 272 providers

Chicago, IL

Avg $84.83

4,391,753 claims · 1550 providers

Phoenix, AZ

Avg $203.26

4,304,161 claims · 851 providers

Indianapolis, IN

Avg $116.65

4,172,341 claims · 898 providers

New York, NY

Avg $130.02

3,905,512 claims · 1591 providers

Columbus, OH

Avg $98.63

3,813,295 claims · 929 providers

Brooklyn, NY

Avg $130.10

3,752,387 claims · 1080 providers

Philadelphia, PA

Avg $135.52

3,661,931 claims · 1481 providers

Other Procedures in Fajardo, PR

Blood Work & Lab Tests

Avg $2.85

427,587 claims

Office Visit

Avg $5.92

237,185 claims

Urinalysis & Urine Tests

Avg $1.01

98,710 claims

Vaccines & Immunizations

Avg $4.99

87,855 claims

Dental Cleaning & Exam

Avg $21.36

58,702 claims

Hearing Test (Audiometry)

Avg $24.03

57,148 claims

Eye Exam

Avg $29.92

44,704 claims

Psychiatric Evaluation

Avg $5.78

31,753 claims