Average Medicaid Emergency Room Visit Payments in Moca, PR: $55.72
Avg. Paid
$55.72
Range
$0.30 – $169.20
Total Claims
14,412
Providers
12
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 Moca, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hiram E Luigi Sanchez
Concepcion Vera Ayala 550 |
$47.15 | 14 | 12 |
|
Guillermo A. Alvarez
Moca Medical Plaza |
$22.59 | 25 | 13 |
|
Yamil A Crespo Badillo
Carr 110 Km 12.8 |
$98.57 | 37 | 32 |
|
Lila E Manzano Rodriguez
550S Calle Concepcion Vera Ayala |
$52.68 | 43 | 40 |
|
Emmanuel Soto-Hernandez
32 Calle Don Chemary |
$54.77 | 68 | 38 |
|
Iris D Velazquez
Hc 4 Box 14054 |
$169.20 | 136 | 77 |
|
Roberto Jimenez
Hc 1 Box 6933 |
$4.50 | 259 | 255 |
|
Omar Rodriguez Sanabria
Calle Concepcion Vera 550 |
$82.39 | 318 | 177 |
|
Hospital San Carlos Incorporado
Carr. 110 Barrio Pueblo |
$0.30 | 339 | 324 |
|
Cristian S. Colon-Rivera
3 Calle Catalino Velazquez |
$24.31 | 549 | 308 |
|
Pablo Rivera Vale
Plaza Jaicoa |
$41.04 | 4,977 | 3,750 |
|
Leslie Rosie Camacho Acevedo
Hc 2 Box 12305 |
$68.54 | 7,647 | 6,287 |
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 Moca, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Moca, PR is $55.72 per claim, based on 14,412 claims from 12 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 Moca, PR?
There are 12 Medicaid providers offering Emergency Room Visit related services in Moca, PR according to public payment data.
What is the price range for Emergency Room Visit in Moca, PR?
Medicaid reimbursement for Emergency Room Visit in Moca, PR ranges from $0.30 to $169.20 per claim, with an average of $55.72. 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 Moca, PR
Blood Work & Lab Tests
Avg $10.57
218,633 claims
Office Visit
Avg $8.93
170,290 claims
Dental Cleaning & Exam
Avg $18.58
64,323 claims
Urinalysis & Urine Tests
Avg $3.86
56,238 claims
Vaccines & Immunizations
Avg $6.40
50,424 claims
Eye Exam
Avg $31.13
37,960 claims
Psychiatric Evaluation
Avg $2.75
30,215 claims
Speech Therapy
Avg $46.93
19,900 claims