Average Medicaid Emergency Room Visit Payments in Juana Diaz, PR: $38.37
Avg. Paid
$38.37
Range
$0.00 – $59.93
Total Claims
16,952
Providers
20
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 Juana Diaz, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nelmary Hernandez Rivera
4B Calle Hostos |
$58.81 | 25 | 25 |
|
Yanixa Marie Martinez Santiago
Urbanizacion Extension La Fe Calle 5 E39 |
$31.09 | 77 | 75 |
|
Carlos M Claudio-Rodriguez
Parque Industrial Amuelas, Suite 105 Carratera 584 #531 |
$35.73 | 114 | 44 |
|
Brenda I. Lopez
La Fe Plaza A-3 Bo. Sabana Llana |
$5.33 | 122 | 112 |
|
Armando Luis Munoz
6 Calle La Cruz |
$0.00 | 178 | 169 |
|
Southern Hospital Service Inc
Calle La Cruz |
$14.32 | 220 | 191 |
|
Carmarie Santiago Ortolaza
412 Calle Vizcaya |
$53.49 | 275 | 211 |
|
Alma J Cintron Albizu
Rio Canas Carr 14 Km 18.3 Sector Tijeras |
$59.93 | 301 | 284 |
|
Glenda Milagros Rodriguez
Carrion Maduro Street |
$15.71 | 391 | 368 |
|
Yajaira Guzman-Negron
145 Palacios Del Prado |
$16.13 | 470 | 399 |
|
Alexandra Vega Lagares
186 Calle Rey Francisco |
$18.69 | 548 | 454 |
|
Anibal Jose Diaz Santos
Calle 3, D-4 |
$50.07 | 589 | 386 |
|
Michael Wallace Martinez Rodriguez
Colinas Del Prado |
$54.97 | 713 | 530 |
|
Rafael Torres Melendez
Bo Jacaguas Sector Bayoan |
$40.38 | 1,094 | 694 |
|
Danna M Perez Torruella
Hc 6 Box 8589 |
$17.43 | 1,459 | 808 |
|
Hector Antonio Ortiz Miranda
700 Calle La Fuente |
$45.27 | 1,632 | 1,097 |
|
Emily Munoz
Carr. #14 Km 11.4 Bo. Jacaguas |
$57.77 | 1,714 | 1,173 |
|
Maria Victoria Perez Manon
Calle La Cruz #6 |
$37.10 | 1,777 | 1,621 |
|
Juan C Machado Torres
Local No. 1 Carr Pr 1 Km 11.29 |
$36.19 | 1,943 | 1,342 |
|
Rolando Diaz
Calle La Cruz #6 |
$40.65 | 3,310 | 2,619 |
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 Juana Diaz, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Juana Diaz, PR is $38.37 per claim, based on 16,952 claims from 20 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 Juana Diaz, PR?
There are 20 Medicaid providers offering Emergency Room Visit related services in Juana Diaz, PR according to public payment data.
What is the price range for Emergency Room Visit in Juana Diaz, PR?
Medicaid reimbursement for Emergency Room Visit in Juana Diaz, PR ranges from $0.00 to $59.93 per claim, with an average of $38.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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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
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Philadelphia, PA
Avg $135.52
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Other Procedures in Juana Diaz, PR
Blood Work & Lab Tests
Avg $8.59
316,801 claims
Office Visit
Avg $4.96
255,339 claims
Urinalysis & Urine Tests
Avg $3.35
77,109 claims
Vaccines & Immunizations
Avg $3.78
42,197 claims
Dental Cleaning & Exam
Avg $18.65
38,656 claims
Physical Therapy
Avg $25.22
38,545 claims
Psychiatric Evaluation
Avg $27.36
26,533 claims
Eye Exam
Avg $9.38
22,978 claims