Average Medicaid Emergency Room Visit Payments in Hialeah, FL: $61.88
Avg. Paid
$61.88
Range
$0.00 – $332.10
Total Claims
125,429
Providers
63
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 Hialeah, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Felix A. Rodriguez
777 E 25Th St Ste 304 |
$57.15 | 8,990 | 6,462 |
|
Adam Ethan Leisy
2001 W 68Th St |
$46.81 | 7,952 | 4,980 |
|
Geraldo Bandel
1475 W 49Th St |
$100.22 | 7,226 | 6,790 |
|
Alex Morizio
2001 W 68Th St |
$49.16 | 6,266 | 1,924 |
|
Juan Carlos Rey
1435 W 49Th Pl |
$56.20 | 5,949 | 4,279 |
|
Stephanie Michelle Garmer
2001 W 68Th St |
$43.82 | 5,941 | 3,483 |
|
Carlos Lorenzo Rodriguez
1485 W 46Th St |
$54.12 | 5,801 | 4,558 |
|
Christopher Wayne King
2001 W 68Th St |
$49.09 | 5,092 | 1,874 |
|
Peter George Lindo
2001 W 68Th St |
$51.75 | 5,022 | 1,571 |
|
Yemal Calderon Amezquita
2001 W 68Th St |
$70.07 | 4,997 | 4,126 |
|
Michael Alexander Sanchez
1475 W 49Th St |
$85.92 | 4,737 | 4,338 |
|
Luis Enrique Gutierrez
440 W 49Th St |
$46.25 | 4,410 | 3,046 |
|
Cynthia L Sanchez
2001 W 68Th St |
$73.81 | 3,765 | 3,289 |
|
Roman Bernstein
2001 W 68Th St |
$62.18 | 3,765 | 1,398 |
|
Maria Gabriela Romero
172 W 42Nd St |
$78.13 | 3,534 | 2,877 |
|
Ghulam Jafferi
651 E 25Th St |
$77.63 | 3,239 | 3,087 |
|
Brett Clement
2001 W 68Th St Ste 202 |
$92.68 | 3,070 | 1,974 |
|
Hemang Thakor
2001 W 68Th St |
$60.74 | 2,814 | 2,473 |
|
Antonio Gandia
2001 W 68Th St |
$75.36 | 2,731 | 2,324 |
|
Hakkam Zaghmout
2001 W 68Th St |
$47.70 | 2,581 | 1,555 |
|
Julius Anthony Abenina
651 E 25Th St |
$45.46 | 2,572 | 1,853 |
|
Tahira Hussain Chaudhry
2001 W 68Th St |
$52.92 | 2,392 | 1,820 |
|
Javier Reyna
18300 Nw 62Nd Ave Ste 100 |
$36.74 | 2,294 | 371 |
|
Noemi Rivera
2100 W 68Th St |
$69.31 | 1,981 | 1,775 |
|
Heriberto Fernandez
777 E 25Th St Ste 509 |
$66.78 | 1,889 | 1,224 |
|
Fernando Orochena
651 E 25Th St |
$177.80 | 1,864 | 1,795 |
|
Dario D Altamirano
900 W 49Th St |
$72.21 | 1,769 | 1,621 |
|
Rafael Hector Valdespino
777 E 25Th St Ste 419 |
$58.18 | 1,429 | 1,270 |
|
Rafael Abreu
1435 W 49Th Pl Ste 500 |
$31.91 | 1,375 | 514 |
|
Jorge Luis Garcia
4445 W 16Th Ave Ste 100 |
$24.75 | 1,301 | 956 |
|
Cesar A Rodriguez
19620 E Oakmont Dr |
$37.43 | 1,172 | 445 |
|
Raul Portela
1475 W 49Th St |
$24.33 | 1,031 | 794 |
|
Lawrence Chen
2001 W 68Th St |
$50.31 | 898 | 719 |
|
Husham Haque
2001 W 68Th St Ste 202 |
$64.18 | 895 | 337 |
|
Yancy Lopez
2001 W 68Th St |
$126.97 | 686 | 631 |
|
Ileana Diaz
1280 W 54Th St Apt 201 |
$43.01 | 681 | 308 |
|
Juan Haydar
651 E 25Th St |
$25.73 | 610 | 445 |
|
Jorge Luis Russinyol
8325 Nw 194Th Ter |
$41.06 | 604 | 559 |
|
Javier Ricardo
7000 W 12Th Ave Ste 12 |
$21.16 | 291 | 206 |
|
Advanced Gastroenterology Of South Florida, P.A.
7100 W 20Th Ave |
$36.70 | 233 | 155 |
|
Larkin Emergency Physicians Llc
1475 W 49Th Pl |
$84.22 | 230 | 212 |
|
Sergio Hernandez Borges
1475 W 49Th Pl |
$66.91 | 182 | 156 |
|
Kenneth Strubbe
7100 W 20Th Ave Ste 314 |
$56.91 | 182 | 169 |
|
Teofilo Enrique Matos Santana
4175 W 20Th Ave |
$45.12 | 149 | 142 |
|
Sam Kara
1475 W 49Th Pl |
$66.76 | 103 | 89 |
|
Celia C Yero
3233 Palm Ave |
$22.01 | 99 | 82 |
|
Hendrick Vega Medina
18300 Nw 62Nd Ave Ste 100 |
$22.34 | 86 | 25 |
|
Yumar Fernandez Marrero
2001 W 68Th St |
$60.32 | 73 | 62 |
|
Pedro Jose Valdes
7100 W 20Th Ave Ste G166 |
$26.28 | 62 | 13 |
|
Victor Pazos
7100 W 20Th Ave |
$15.39 | 60 | 25 |
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 Hialeah, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Hialeah, FL is $61.88 per claim, based on 125,429 claims from 63 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 Hialeah, FL?
There are 63 Medicaid providers offering Emergency Room Visit related services in Hialeah, FL according to public payment data.
What is the price range for Emergency Room Visit in Hialeah, FL?
Medicaid reimbursement for Emergency Room Visit in Hialeah, FL ranges from $0.00 to $332.10 per claim, with an average of $61.88. 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 Hialeah, FL
Home Health Visit
Avg $45.78
6,110,568 claims
Personal Care Services
Avg $26.96
4,301,517 claims
Case Management Services
Avg $57.62
1,437,779 claims
Office Visit
Avg $31.22
1,061,174 claims
Behavioral & Mental Health Therapy
Avg $76.84
945,390 claims
Speech Therapy
Avg $57.69
603,545 claims
Physical Therapy
Avg $53.82
597,771 claims
Blood Work & Lab Tests
Avg $5.35
516,319 claims