Average Medicaid Emergency Room Visit Payments in Manati, PR: $42.73
Avg. Paid
$42.73
Range
$0.63 – $198.71
Total Claims
42,643
Providers
30
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 Manati, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lizbette Lugo Perez
Calle 3, C-11, Urb. Flamboyan |
$30.42 | 9,656 | 6,984 |
|
Mogic Ob-Gyn Psc
Mmc Professional Plaza |
$29.99 | 5,793 | 4,658 |
|
Jorge Wilson Mendez Ortiz
Carr #2 Km 47.0 |
$52.75 | 5,678 | 5,249 |
|
Rosa Maria Vazquez
Torre Medica 1 |
$27.55 | 5,122 | 4,906 |
|
Family Doctors Consulting Services, Llc
Carr # 2 |
$83.55 | 5,018 | 4,843 |
|
Yasser Ricardo Awad Melendez
17 Calle Flamboyan |
$39.37 | 3,269 | 2,672 |
|
Rejee Areeckal
Carr 2 Km 47.7 |
$42.33 | 2,034 | 1,533 |
|
Ricardo Antonio Pineiro
Carr 2 Km. 47.7 |
$44.82 | 1,779 | 1,336 |
|
Felix Maldonado Trinidad
2Da Ave 5 Los Rosales |
$18.63 | 679 | 642 |
|
Porfirio Franqui
Road # 2 Urb. Atenas |
$43.32 | 492 | 399 |
|
Michelle Sugeiliz Aviles Perez
Urb. Atenas Calle Hernandez Carrion Carr.#2 Int.668 |
$85.82 | 365 | 205 |
|
Hector Albarran
Carr. # 2 Int. 668 |
$39.52 | 359 | 291 |
|
Rodolfo Caballero Quinones
Caller Carrion Hernandez Urb Atenas |
$53.65 | 354 | 238 |
|
Griseida Vazquez Colon
Manati Medical Plz |
$18.23 | 310 | 299 |
|
Marcos Rafael Liriano Suarez
Calle Herhandez Carrion Urb Atenas |
$96.69 | 273 | 234 |
|
Dorado Health Inc
Calle Hernandez Carrion |
$0.63 | 267 | 211 |
|
Hector D Romero Tirado
Urb. Atenas |
$33.77 | 260 | 239 |
|
Atenas Community Health Center Achc Inc
Carr Num 2 Km50 |
$41.00 | 257 | 252 |
|
Carlos Arturo Colon - Guzman
Calle Hernandez Carrion |
$39.87 | 125 | 70 |
|
Cdt Dr. Melendez, Inc
Carr 685 Km 1.9 |
$69.85 | 124 | 122 |
|
Emanuel C Moreno Candelaria
J28 Calle 3 |
$12.09 | 103 | 90 |
|
Samuel A Amill-Acosta
E36 Calle Hernandez Carrion |
$198.71 | 102 | 26 |
|
Stephanie Ortiz
Calle Hernadez Carrion |
$57.70 | 77 | 64 |
|
Luis Alberto Mateo Jimenez
Paseos De Atenas |
$29.70 | 37 | 31 |
|
Centro Cardiovascular De Manati Iii Csp
1 Calle Marginal Ext |
$175.40 | 36 | 13 |
|
Bradlye Joel Tobi Martinez
Calle Hernandez Carrion,Manati,00674 |
$62.68 | 22 | 12 |
|
Alexis Otero Rosado
Mmc Professional Plaza |
$47.80 | 14 | 13 |
|
North Ob-Gyn Services, Psc
Edificio Medico I Dr. Pedro Blanco Lugo |
$15.00 | 13 | 12 |
|
Judianys Santiago-Delgado
Calle Hernandez Carrion, Urb. Atenas, |
$30.00 | 13 | 13 |
|
Luis Viera-Caban
Torre Medica I |
$58.42 | 12 | 12 |
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 Manati, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Manati, PR is $42.73 per claim, based on 42,643 claims from 30 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 Manati, PR?
There are 30 Medicaid providers offering Emergency Room Visit related services in Manati, PR according to public payment data.
What is the price range for Emergency Room Visit in Manati, PR?
Medicaid reimbursement for Emergency Room Visit in Manati, PR ranges from $0.63 to $198.71 per claim, with an average of $42.73. 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 Manati, PR
Office Visit
Avg $25.46
767,236 claims
Blood Work & Lab Tests
Avg $8.09
395,058 claims
Dental Cleaning & Exam
Avg $23.54
163,564 claims
EKG / ECG (Electrocardiogram)
Avg $20.01
136,921 claims
Pathology & Lab Services
Avg $151.36
97,436 claims
Eye Exam
Avg $43.91
79,835 claims
Urinalysis & Urine Tests
Avg $3.44
78,665 claims
Physical Therapy
Avg $21.50
67,496 claims