Average Medicaid Emergency Room Visit Payments in Isabela, PR: $62.91
Avg. Paid
$62.91
Range
$0.00 – $91.61
Total Claims
3,351
Providers
6
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 Isabela, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Juan Carlos Fantauzzi
Carr 112 Int |
$68.87 | 2,418 | 1,986 |
|
Municipio De Isabela
Ave. Agustin R Calero |
$91.61 | 386 | 324 |
|
Xiomara Lopez
35A Calle Cofre |
$0.00 | 340 | 318 |
|
Juan Manuel Corchado
Carr 494 Km 1 He 1 |
$42.90 | 120 | 108 |
|
Adrian Girald-Rosa
Carr 2 Bo Mora Km 111.3 |
$50.34 | 73 | 44 |
|
Jose A Mora
7342 Ave Agustin Ramos Calero |
$8.57 | 14 | 14 |
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 Isabela, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Isabela, PR is $62.91 per claim, based on 3,351 claims from 6 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 Isabela, PR?
There are 6 Medicaid providers offering Emergency Room Visit related services in Isabela, PR according to public payment data.
What is the price range for Emergency Room Visit in Isabela, PR?
Medicaid reimbursement for Emergency Room Visit in Isabela, PR ranges from $0.00 to $91.61 per claim, with an average of $62.91. 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
4,391,753 claims · 1550 providers
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
3,661,931 claims · 1481 providers
Other Procedures in Isabela, PR
Blood Work & Lab Tests
Avg $10.08
207,097 claims
Office Visit
Avg $1.26
201,625 claims
Dental Cleaning & Exam
Avg $19.93
102,370 claims
Vaccines & Immunizations
Avg $5.89
55,834 claims
Urinalysis & Urine Tests
Avg $3.45
45,460 claims
Dental Filling
Avg $33.90
20,411 claims
Psychiatric Evaluation
Avg $8.49
18,114 claims
Physical Therapy
Avg $24.96
12,451 claims