Average Medicaid Emergency Room Visit Payments in Sabana Grande, PR: $41.89
Avg. Paid
$41.89
Range
$10.21 – $121.32
Total Claims
1,562
Providers
7
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 Sabana Grande, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Victor Manuel Rodriguez Perez
Calle Angel M Quinones |
$30.66 | 751 | 700 |
|
Gabriel A Velez Lugo
150 Calle Jobos |
$49.12 | 404 | 395 |
|
Guillermo Serrano
Hc 10 Box 8724 |
$76.24 | 179 | 129 |
|
Juan Miguel Barrientos-Gayoso
22 Calle Betances |
$10.21 | 102 | 96 |
|
Sibel N Pabon Reyes
35 Calle Angel G Martinez |
$51.35 | 97 | 88 |
|
Municipio De Sabana Grande
Carr. 102 Km 39.1 |
$79.33 | 15 | 12 |
|
Edwin Casiano
Hospital Municipal Sabana Grande |
$121.32 | 14 | 14 |
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 Sabana Grande, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sabana Grande, PR is $41.89 per claim, based on 1,562 claims from 7 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 Sabana Grande, PR?
There are 7 Medicaid providers offering Emergency Room Visit related services in Sabana Grande, PR according to public payment data.
What is the price range for Emergency Room Visit in Sabana Grande, PR?
Medicaid reimbursement for Emergency Room Visit in Sabana Grande, PR ranges from $10.21 to $121.32 per claim, with an average of $41.89. 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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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 Sabana Grande, PR
Office Visit
Avg $14.75
127,382 claims
Blood Work & Lab Tests
Avg $10.10
89,685 claims
Vaccines & Immunizations
Avg $4.32
73,066 claims
Physical Therapy
Avg $11.64
32,468 claims
Dental Cleaning & Exam
Avg $19.27
24,441 claims
Urinalysis & Urine Tests
Avg $3.10
24,394 claims
Psychiatric Evaluation
Avg $7.25
15,562 claims
EKG / ECG (Electrocardiogram)
Avg $20.85
4,971 claims