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Based on public Medicaid payment data.

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

Other Procedures in Hialeah, FL