Average Medicaid Emergency Room Visit Payments in San German, PR: $53.03
Avg. Paid
$53.03
Range
$0.00 – $123.63
Total Claims
1,384
Providers
13
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 San German, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maileen Lugo
Calle Irma |
$41.50 | 421 | 328 |
|
Maria E. Gonzalez Marques
Urb. El Convento Calle2, B-30 |
$42.89 | 232 | 137 |
|
Giselle Suarez Irizarry
112 Univ Interamericana Ave |
$123.63 | 185 | 179 |
|
Gabriel A Fernandez Palmer
Carr 102 Km 28.2 Int Barrio Maresua |
$52.83 | 163 | 101 |
|
Jan Luis Ramirez Mercado
Urb. Mansiones De San German D5 Calle 4 |
$67.73 | 64 | 56 |
|
Gabriel Rivera Sepulveda
Car #2 Km 167.2 Bo. Duey Bajo Sector Nazario |
$25.94 | 57 | 28 |
|
Samuel Fontanet Perez
Carr. #2 Km 173.4 |
$55.64 | 54 | 43 |
|
Ricardo Javier Guerrero
12 C Nestor Torres |
$15.12 | 47 | 35 |
|
Jose V Carrillo
Carr 2 Km 173 4 |
$11.43 | 42 | 40 |
|
Daniel Serrano Chervony
8 Calle Javilla |
$14.26 | 35 | 32 |
|
Julio Cesar Campis Candelario
Las Quintas Calle Noruega B7 |
$0.00 | 32 | 29 |
|
Southwest Health Corp.
8 Calle Javilla |
$38.02 | 28 | 28 |
|
Walesca Quinones
17 Calle El Rey |
$121.32 | 24 | 24 |
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 San German, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in San German, PR is $53.03 per claim, based on 1,384 claims from 13 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 San German, PR?
There are 13 Medicaid providers offering Emergency Room Visit related services in San German, PR according to public payment data.
What is the price range for Emergency Room Visit in San German, PR?
Medicaid reimbursement for Emergency Room Visit in San German, PR ranges from $0.00 to $123.63 per claim, with an average of $53.03. 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 San German, PR
Office Visit
Avg $13.92
303,617 claims
Blood Work & Lab Tests
Avg $9.18
154,460 claims
Eye Exam
Avg $36.51
89,423 claims
Vaccines & Immunizations
Avg $6.57
77,821 claims
X-Ray
Avg $7.87
69,487 claims
Dental Cleaning & Exam
Avg $20.11
62,720 claims
Urinalysis & Urine Tests
Avg $3.58
32,288 claims
Ultrasound
Avg $43.10
25,434 claims