Average Medicaid Emergency Room Visit Payments in Gurabo, PR: $74.50
Avg. Paid
$74.50
Range
$12.91 – $112.30
Total Claims
14,744
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 Gurabo, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Michael Danet
Los Altos 202 |
$112.30 | 6,900 | 3,802 |
|
Gerald A Beltre-Tavares
Urb. Vistalago #64 Calle Lago La Plata |
$40.25 | 2,232 | 1,619 |
|
Carlos Acevedo Vila
Carretera 941 |
$16.99 | 1,884 | 1,660 |
|
Ketsy Pagan Mercado
Carr 941 |
$63.22 | 1,122 | 1,066 |
|
Elia Marie Rios Cosme
Urb Veredas 46 |
$52.36 | 1,064 | 967 |
|
Iliana Alicea
Hc 3 Box 8911 |
$56.24 | 639 | 570 |
|
Minela Colon
Villas Del Golf 85 |
$54.01 | 546 | 480 |
|
Neomed Center, Inc
941 San Antonio Final St Rt |
$40.14 | 162 | 158 |
|
Felix M Acosta
Calle 1, Urb El Vivero D-12 |
$12.91 | 67 | 38 |
|
Miosoti Diaz
Hc 3 Box 4709 |
$15.94 | 65 | 63 |
|
Jc Professional Medical Services, Psc
Carr. 931 Km 5.4 |
$20.34 | 48 | 46 |
|
William Fred
Lopez Sanches #100 |
$20.00 | 15 | 15 |
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 Gurabo, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Gurabo, PR is $74.50 per claim, based on 14,744 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 Gurabo, PR?
There are 12 Medicaid providers offering Emergency Room Visit related services in Gurabo, PR according to public payment data.
What is the price range for Emergency Room Visit in Gurabo, PR?
Medicaid reimbursement for Emergency Room Visit in Gurabo, PR ranges from $12.91 to $112.30 per claim, with an average of $74.50. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
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Other Procedures in Gurabo, PR
Office Visit
Avg $6.62
146,688 claims
Vaccines & Immunizations
Avg $4.65
141,658 claims
Blood Work & Lab Tests
Avg $8.26
140,133 claims
Physical Therapy
Avg $26.95
49,523 claims
Speech Therapy
Avg $45.97
39,567 claims
Urinalysis & Urine Tests
Avg $2.78
30,600 claims
Dental Cleaning & Exam
Avg $21.14
29,030 claims
Eye Exam
Avg $34.26
20,517 claims