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
Edgard O Diaz 2213 Ponce By Pass	$23.25	12	12
Guillermo Bolanos 909 Ave Tito Castro Ste 723	$12.00	13	13
Astrid Krystal Crespo Santiago Urb. El Madrigal	$32.19	14	14
Jose Angel Rivera 8122 Calle Concordia	$15.00	15	15
Federico Alberto Corica 2435 Blvd Luis A Ferre	$32.00	17	16
Sindia Odette Alvarado Caraballo Metro Pavia Clinic - Ponce	$0.00	17	13
Tzeitel Bex Torres Cabrera Jardines Del Caribe Calle 29B Ab-6	$10.83	18	18
Mariana Isabel Rodriguez 917 Tito Castro Ave	$0.00	19	18
Brian Joel Torres Mercado 2213 Ponce Byp	$59.74	21	21
Eileen Natalie Guzman 388 Zona Ind Reparada 2	$59.55	27	25
Rafael Luis Santiago Los Almendros, 1404 German Rieckhoff	$15.12	30	25
Mariemma Mage Lopez Complejo Correccional Las Cucharas	$2.08	31	25
Karla Michelle Borrero Cuello 104 Victoria St Bertoly Suite 105-107	$0.00	31	29
Maylin Yeliksa Lopez-Cortes Ave. Tito Castro 917	$40.75	32	32
James Torres Pina Calle Acerola	$63.74	33	18
Sixto A Velez Natali 2213 Ponce Byp	$1.60	33	30
Zaskia Rodriguez Gonzalez 800 Avenida Tito Castro	$32.42	37	15
Jose Ruiz Ortiz Calle Jose Henna 7925	$42.02	37	15
Yolisa Ilein Suarez Ortiz 2095 Calle Motillo	$15.36	53	42
Javier Lillo 621 Calle Aceitillo	$37.02	55	29
Erick Manuel Rivera-Grana 91 Calle Un	$47.37	65	57
Ricardo Alexander Rivera Ortiz 3923 Calle Lucero	$62.79	67	44
Jorge L Guzman Villaronga Hospital Damas	$42.51	71	68
Neixa L Nazario Hospital Damas	$17.72	76	76
R S Medical Service Corp. Carretera 132 Km. 22.1 Bo Canas	$66.05	78	77
Giovanni Veloz Irizarry 917 Ave Tito Castro	$135.56	83	14
Miriam Rivera Mendoza 4712 Calle Turina	$67.21	84	65
Yalisse Linette Rodriguez Torres Valle Alto 1794 Llanura	$20.60	88	43
Pedro Santiago Rodriguez 2431 Blvd Luis A Ferre Edificio Porrata Pila Ste 101	$57.28	90	82
Dixie Caban - Acosta 917 Ave Tito Castro	$15.02	101	83
Victor A Berdecia Perez 2435 Ave Las Americas	$24.57	101	96
Rysienid Hernandez Rodriguez 917 Ave Tito Castro	$68.20	105	71
Isaac Omar Ruiz-Mercado 917 Ave Tito Castro	$18.90	111	93
Gerald Lee Marin Garcia 4289 Ave Constancia	$173.24	111	27
Nadya Noemi Rodriguez Rivera 2225 Ponce By Pass	$22.93	119	65
Carlos Alejandro Francisco Gonzalez Po Box 336810	$195.04	120	120
Jesus W Rodriguez Rodriguez Carretera 132 Km.22.1 Bo Canas	$2.44	131	119
Ismael Rosado Lopez 917 Ave Tito Castro	$70.79	134	117
Juan Alexis Velez Ocasio Jardines Del Caribe	$50.46	144	129
Gabriella Soler-Banchs 917 Ave Tito Castro	$114.30	151	148
Carlos Ernesto Marin Cortes Urbanizacion Rio Canas	$69.87	158	122
Waleska Torres Quiles Glenview Gardens Shopping Center Local #4	$15.69	159	137
Vivian Perez-Gomez Calle Guadalupe Final, Departamento De Emergencia	$18.04	180	140
Luis M Cintron 673 Calle Luis A Morales	$16.42	181	149
Janisse Rosario Quinones 917 Ave Tito Castro	$41.63	188	109
Jonathan Figueroa Jimenez 917 Ave Tito Castro	$57.24	194	135
Nelson Antonio Bassatt 2435 Blvd Luis A Ferre	$87.64	198	94
Ruben Carlos Banchs Seda 3201 Portales Del Monte	$16.21	205	179
Eddie Gabriel Rodriguez 917 Ave Tito Castro	$59.18	211	199
Aileen Rivera 917 Ave Tito Castro	$24.94	215	194

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