Average Medicaid Emergency Room Visit Payments in Rio Piedras, PR: $62.08
Avg. Paid
$62.08
Range
$2.08 – $316.88
Total Claims
16,784
Providers
20
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 Rio Piedras, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wilfredo Fuentes Lopez
371 Calle De Diego |
$49.87 | 5,939 | 5,180 |
|
Pedro Luis Rivera
Ave Munoz Rivera 1Sr Floorbld. Darlington |
$45.79 | 3,367 | 2,875 |
|
Rina Casasnovas-Rivera
65Th Inf. Ave. #126 |
$58.46 | 1,609 | 1,211 |
|
Recinto De Ciencias Medicas
Centro Comercial Reparto Metropolitano Suite 211 |
$108.76 | 1,373 | 1,013 |
|
Armando L Oliver
369 De Diego Avenue |
$66.80 | 1,347 | 1,044 |
|
Jessica Cotto Rosado
State Road 877 Km 1.6 |
$73.86 | 896 | 716 |
|
Juana I. Rivera-Vinas
Hospital Universitario De Adultos Mic |
$110.31 | 657 | 463 |
|
Glorydela Valle
Urb. La Cumbre Calle Caguas 380 |
$37.71 | 527 | 490 |
|
Leticia Maria Fontanez Rodriguez
Centro Medico |
$47.87 | 233 | 154 |
|
Manuel Javier Iglesias
Puerto Rico Medical Center |
$316.88 | 172 | 54 |
|
Joalex L Antongiorgi Torres
Psiquiatria Rcm |
$2.08 | 164 | 109 |
|
Juan C Aviles
Bo Monacillos |
$37.42 | 113 | 108 |
|
Pamela Silen - Rivera
Hospital Universitario De Adultos |
$71.03 | 105 | 80 |
|
Recinto De Ciencias Medicas
Hospital Universitario De Adultos Primer Piso |
$165.24 | 69 | 14 |
|
Recinto De Ciencias Medicas
Sala De Emergencia Hospital Pediatrico Universitario |
$54.61 | 61 | 58 |
|
Caleb E. Feliciano - Valls
Clinica De La Escuela De Medicina |
$26.00 | 52 | 41 |
|
Pablo Rodriguez-Ortiz
Centro De Trauma - Asem |
$58.45 | 40 | 13 |
|
Jorge V. Ortega - Gil
Ave Americo Miranda, Esq Centro Medico, Primer Piso |
$109.60 | 29 | 13 |
|
Antonio Manuel Otero Lopez
Clinica De La Escuela De Medicina |
$14.17 | 18 | 14 |
|
Edwin I Lugo Lugo
1 Carr 21 |
$13.85 | 13 | 13 |
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 Rio Piedras, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Rio Piedras, PR is $62.08 per claim, based on 16,784 claims from 20 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 Rio Piedras, PR?
There are 20 Medicaid providers offering Emergency Room Visit related services in Rio Piedras, PR according to public payment data.
What is the price range for Emergency Room Visit in Rio Piedras, PR?
Medicaid reimbursement for Emergency Room Visit in Rio Piedras, PR ranges from $2.08 to $316.88 per claim, with an average of $62.08. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Other Procedures in Rio Piedras, PR
Office Visit
Avg $26.03
187,350 claims
Eye Exam
Avg $50.16
32,274 claims
EKG / ECG (Electrocardiogram)
Avg $12.82
21,869 claims
Blood Work & Lab Tests
Avg $5.70
17,559 claims
Pathology & Lab Services
Avg $46.65
15,332 claims
Ultrasound
Avg $59.87
14,067 claims
Dental Cleaning & Exam
Avg $20.46
14,030 claims
Speech Therapy
Avg $48.74
11,435 claims