Average Medicaid Emergency Room Visit Payments in Las Piedras, PR: $51.99
Avg. Paid
$51.99
Range
$5.89 – $88.80
Total Claims
22,142
Providers
10
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 Las Piedras, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Municipio De Las Piedras
Carr 198 Km 22.2 |
$88.80 | 7,402 | 5,471 |
|
Julio Santory -Ortiz
Urb. La Inmaculada Calle 1 # 103 |
$36.95 | 4,474 | 4,032 |
|
Ronald Serrano Ramos
Bo Montones 1 Carr 183 Km 19.3 |
$21.51 | 3,578 | 3,233 |
|
Willyson Velazquez Velazquez
Calle Vicente De Leon Num 15 Bo Collores |
$56.24 | 2,153 | 1,897 |
|
Josue Alexis Benabe Carlo
124 Calle Guayacan |
$46.80 | 2,023 | 1,706 |
|
Nerily Torres
Mansiones De Los Artesanos #40 |
$14.34 | 1,734 | 1,565 |
|
Victor M Grillo
Parque Industrial Bo Montones |
$13.06 | 666 | 611 |
|
Steven Abreu Reyes
B.O Montones # 4 Sector Piedra Azul Carr. 917 Km 6.6 |
$11.91 | 57 | 57 |
|
Julio Angel Vergara Cordero
Bo Montones 1 Carr 183 Km 19.3 |
$5.89 | 28 | 26 |
|
Noris Marie Diaz
I68 Calle 6 |
$52.35 | 27 | 27 |
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 Las Piedras, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Las Piedras, PR is $51.99 per claim, based on 22,142 claims from 10 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 Las Piedras, PR?
There are 10 Medicaid providers offering Emergency Room Visit related services in Las Piedras, PR according to public payment data.
What is the price range for Emergency Room Visit in Las Piedras, PR?
Medicaid reimbursement for Emergency Room Visit in Las Piedras, PR ranges from $5.89 to $88.80 per claim, with an average of $51.99. 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 Las Piedras, PR
Blood Work & Lab Tests
Avg $10.09
255,276 claims
Office Visit
Avg $7.66
76,625 claims
Urinalysis & Urine Tests
Avg $3.58
58,274 claims
X-Ray
Avg $17.67
31,758 claims
Dental Cleaning & Exam
Avg $21.28
30,264 claims
Ultrasound
Avg $67.13
21,775 claims
Physical Therapy
Avg $21.48
20,540 claims
Psychiatric Evaluation
Avg $7.04
19,761 claims