Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Ponce, PR: $84.18

Avg. Paid

$84.18

Range

$0.00 – $340.17

Total Claims

162,937

Providers

106

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 Ponce, PR

Provider	Avg. Paid	Claims	Patients
Puerto Rico Medical Emergency Group P.S.C. Hospital Episcopal San Lucas	$48.75	30,984	27,491
James Gratton 917 Ave Tito Castro	$241.54	16,325	15,782
Juan Antonio Cebollero Urb Valle Verde	$71.31	9,700	8,191
Carlos Jacobo Gonzalez 2367 Calle Loma	$48.47	8,194	6,809
Jose F Battistini-Christian 917 Ave Tito Castro	$62.82	7,811	5,626
Yiraima E. Medina-Blasini Avenida Tito Castro #917	$99.30	7,776	6,777
Andres Elias Borrero Mendoza Ponce Byp # 2213	$68.04	7,004	6,410
Leniel Santana Hospital Episcopal San Lucas	$75.62	6,440	5,651
Andrea R Gonzalez-Quintero 917 Ave Tito Castro	$61.71	5,819	4,033
Marco Antonio Escobedo 917 Ave Tito Castro	$205.64	5,280	5,027
Marisa Lois 917 Ave Tito Castro	$139.33	5,069	4,819
Sheila Waleska Colon 3423 Calle Laffitte	$33.75	4,771	3,497
Marien Santaella Irizarry 5151 Calle Lucas Amadeo	$23.89	3,895	3,428
Luis Roberto Campis Vazquez 917 Ave Tito Castro	$69.70	3,484	3,125
Carmen Teresa Mercado 2279 Ponce By Pass	$37.41	3,449	2,920
Javier Gonzalez Hospital Episcopal San Lucas Ponce	$64.65	3,291	2,474
Wilmer Eliezer Morales-Hernandez 917 Ave Tito Castro	$84.49	3,092	2,846
Fernando Ortiz-Baez 509 Calle Luis A Morales	$68.57	2,173	1,932
Stephanie Bermudez Rivera 917 Ave Tito Castro	$59.68	1,944	1,624
Jose Rafael Perez 917 Ave Tito Castro	$54.02	1,679	1,115
Armando Miguel Alvarez Yulfo 1919 Calle Zarina	$44.38	1,466	1,294
Jonathan A Santos Garcia 2435 Blvd Luis A Ferre	$44.22	1,286	836
Jonathan Ortiz Agundez 8131 Calle Concordia	$64.15	1,247	781
Kariana Yolanda Camacho Ojeda Urb Caminos Del Sur	$61.92	1,108	700
Jose Cruz Rivera O6 Calle 6	$61.73	963	847
Ubaldino Ramirez De Arellano-Latoni 917 Ave Tito Castro	$52.45	959	829
Elba I Torres Velez #2275 Ponce By Pass	$42.64	883	661
Dev Richard Boodoosingh Torre San Lucas Suite 701	$128.95	870	287
Yves J Rivera Hernandez 1346 Don Quijote Costa Caribe	$51.45	838	643
Alexi Santos Santiago Ave. Tito Castro #917 Carretera14	$23.35	745	528
Saint Lukes Memorial Hospital Inc 917 Ave Tito Castro	$13.77	651	605
Carlos Francisco Garcia Borrero Metro Pavia Clinic, Ponce	$21.12	577	504
Sandra Enid Galarza-Vargas 917 Ave Tito Castro	$124.96	559	165
Marjorie Martinez El Madrigal Street 3 #E-51	$31.64	539	424
Enrique Rodriguez Urb. Quintas Del Sur Calle 9	$50.04	515	437
Jayson Vazquez Mercado 2614 Calle Mayor	$18.86	465	453
Antonio Jose Ferriol 4131 Calle Aurora	$57.28	449	321
Jennifer Timothee-Oliveras 917 Ave Tito Castro	$67.30	448	433
Carlos F Garcia-Gubern 917 Ave Tito Castro	$19.06	441	372
Luis Angel Rentas Leon 909 Ave Tito Castro Ste 712	$40.05	437	270
Lilliana Mercedes Colon-Comas 917 Avenida Tito Castro	$55.04	431	367
Karol Aponte 101 Calle Mayor	$54.50	381	258
Rosana Hernandez Pacheco Hcda La Matilde 5184 Calle Trapiche	$43.09	363	279
Araceli Rodriguez Soto 105 Edificio Paseo La Princesa	$52.88	344	194
Metro Pavia Healthcare Centers Inc Calle Marina 38	$27.88	341	323
Christian Enrique Torres Rivera 807 Calle Virgilio Biaggi	$29.57	326	260
Tatiana Nunez 917 Ave Tito Castro	$93.96	315	282
Milagros N. Diaz Burgos 917 Ave Tito Castro	$29.39	307	282
Alvin David Balay-Gonzalez 2431 Blvd Luis A Ferre	$13.51	286	245
Luis A Quinones Calle 35 Gg28 Urb Jardines Del Caribe	$21.53	267	222

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 Ponce, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Ponce, PR is $84.18 per claim, based on 162,937 claims from 106 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 Ponce, PR?

There are 106 Medicaid providers offering Emergency Room Visit related services in Ponce, PR according to public payment data.

What is the price range for Emergency Room Visit in Ponce, PR?

Medicaid reimbursement for Emergency Room Visit in Ponce, PR ranges from $0.00 to $340.17 per claim, with an average of $84.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Ponce, PR: $84.18

Providers Offering Emergency Room Visit in Ponce, PR

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

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Other Procedures in Ponce, PR

Office Visit

Blood Work & Lab Tests

Vaccines & Immunizations

Urinalysis & Urine Tests

Dental Cleaning & Exam

Psychiatric Evaluation

Speech Therapy

Pathology & Lab Services