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 |
|---|---|---|---|
|
Alexis S Guerra
1435 W. 49 Pl |
$332.10 | 12 | 12 |
|
Yoandra Gallardo
2001 W 68Th St |
$41.36 | 16 | 12 |
|
Blanca N Gonzalez
1435 W 49Th Pl Ste 701 |
$63.72 | 16 | 15 |
|
Juan R Del Rio
2001 W 68Th St |
$19.86 | 18 | 13 |
|
Jaime E. Campos, M.D., P.A.
7100 W 20Th Ave Ste 303 |
$116.12 | 19 | 14 |
|
Dailys Rios
2001 W 68Th St |
$70.42 | 21 | 15 |
|
Abelardo Broceta Martinez
1475 W 49Th Pl |
$98.73 | 28 | 26 |
|
Mislaidy Caraballe
7236 W 30Th Ct |
$24.47 | 30 | 12 |
|
Miguel Osvaldo Fernandez Barreras
1401 E 4Th Ave Ste 104 |
$112.79 | 30 | 29 |
|
Lester Martin Fernandez
7580 W 4Th Ave |
$57.91 | 33 | 30 |
|
Javier Puentes
5341 W 20Th Ave |
$0.00 | 34 | 33 |
|
Angel E. Tejeda, M.D., P.A.
4305 E 8Th Ave |
$0.00 | 44 | 12 |
|
Odalys Frontela
801 W 48 Street Suite A |
$34.03 | 53 | 48 |
|
Victor Pazos
7100 W 20Th Ave |
$15.39 | 60 | 25 |
|
Pedro Jose Valdes
7100 W 20Th Ave Ste G166 |
$26.28 | 62 | 13 |
|
Yumar Fernandez Marrero
2001 W 68Th St |
$60.32 | 73 | 62 |
|
Hendrick Vega Medina
18300 Nw 62Nd Ave Ste 100 |
$22.34 | 86 | 25 |
|
Celia C Yero
3233 Palm Ave |
$22.01 | 99 | 82 |
|
Sam Kara
1475 W 49Th Pl |
$66.76 | 103 | 89 |
|
Teofilo Enrique Matos Santana
4175 W 20Th Ave |
$45.12 | 149 | 142 |
|
Kenneth Strubbe
7100 W 20Th Ave Ste 314 |
$56.91 | 182 | 169 |
|
Sergio Hernandez Borges
1475 W 49Th Pl |
$66.91 | 182 | 156 |
|
Larkin Emergency Physicians Llc
1475 W 49Th Pl |
$84.22 | 230 | 212 |
|
Advanced Gastroenterology Of South Florida, P.A.
7100 W 20Th Ave |
$36.70 | 233 | 155 |
|
Javier Ricardo
7000 W 12Th Ave Ste 12 |
$21.16 | 291 | 206 |
|
Jorge Luis Russinyol
8325 Nw 194Th Ter |
$41.06 | 604 | 559 |
|
Juan Haydar
651 E 25Th St |
$25.73 | 610 | 445 |
|
Ileana Diaz
1280 W 54Th St Apt 201 |
$43.01 | 681 | 308 |
|
Yancy Lopez
2001 W 68Th St |
$126.97 | 686 | 631 |
|
Husham Haque
2001 W 68Th St Ste 202 |
$64.18 | 895 | 337 |
|
Lawrence Chen
2001 W 68Th St |
$50.31 | 898 | 719 |
|
Raul Portela
1475 W 49Th St |
$24.33 | 1,031 | 794 |
|
Cesar A Rodriguez
19620 E Oakmont Dr |
$37.43 | 1,172 | 445 |
|
Jorge Luis Garcia
4445 W 16Th Ave Ste 100 |
$24.75 | 1,301 | 956 |
|
Rafael Abreu
1435 W 49Th Pl Ste 500 |
$31.91 | 1,375 | 514 |
|
Rafael Hector Valdespino
777 E 25Th St Ste 419 |
$58.18 | 1,429 | 1,270 |
|
Dario D Altamirano
900 W 49Th St |
$72.21 | 1,769 | 1,621 |
|
Fernando Orochena
651 E 25Th St |
$177.80 | 1,864 | 1,795 |
|
Heriberto Fernandez
777 E 25Th St Ste 509 |
$66.78 | 1,889 | 1,224 |
|
Noemi Rivera
2100 W 68Th St |
$69.31 | 1,981 | 1,775 |
|
Javier Reyna
18300 Nw 62Nd Ave Ste 100 |
$36.74 | 2,294 | 371 |
|
Tahira Hussain Chaudhry
2001 W 68Th St |
$52.92 | 2,392 | 1,820 |
|
Julius Anthony Abenina
651 E 25Th St |
$45.46 | 2,572 | 1,853 |
|
Hakkam Zaghmout
2001 W 68Th St |
$47.70 | 2,581 | 1,555 |
|
Antonio Gandia
2001 W 68Th St |
$75.36 | 2,731 | 2,324 |
|
Hemang Thakor
2001 W 68Th St |
$60.74 | 2,814 | 2,473 |
|
Brett Clement
2001 W 68Th St Ste 202 |
$92.68 | 3,070 | 1,974 |
|
Ghulam Jafferi
651 E 25Th St |
$77.63 | 3,239 | 3,087 |
|
Maria Gabriela Romero
172 W 42Nd St |
$78.13 | 3,534 | 2,877 |
|
Roman Bernstein
2001 W 68Th St |
$62.18 | 3,765 | 1,398 |
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