Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in San Juan, PR: $66.54

Avg. Paid

$66.54

Range

$0.00 – $570.77

Total Claims

406,486

Providers

253

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 Juan, PR

Provider	Avg. Paid	Claims	Patients
Julio J Rodriguez Quinones University District Hospital	$106.44	43,219	39,924
Samuel Francisco Santos Tomassini Ave #200 Los Chalets	$28.88	37,595	29,475
Rebeca A Cuebas 1882 Calle San Joaquin	$62.99	15,311	14,121
Er Specialized Care Llc 715 Ave Ponce De Leon	$42.62	13,312	11,796
Beatriz Gonzalez-Bouza 267 Calle Sierra Morena	$88.90	9,720	8,951
Nannette M. Lugo-Amador University Of Puerto Rico Hospital Emerg Med. Dept.	$47.73	9,520	8,493
Julio A Ramos De Velasco Hopital Pavia	$54.87	8,872	7,023
Recinto De Ciencias Medicas Ave Americo Miranda Aptdo. 29134 Centro Medico De Pr	$32.78	8,694	7,939
Jorge Enrique Grovas Porrata Condominio Villa Caparra Executive 229 Carr 2	$34.11	8,661	7,280
Monica Rodriguez-De Jesus 381 Ave. Dona Felisa Rincon De Gautier	$69.78	8,028	6,654
Grupo Intensivo Pediatrico De San Juan 252 Calle San Jorge	$353.65	7,463	1,467
Frankie Alvarado 400 Ave Fd Roosevelt	$144.76	7,428	1,249
Jaime Pinero-Pares 364 Calle San Jorge	$116.25	6,663	6,496
Raphael Alexis Colon-Hernandez 550 Calle Elma	$73.26	6,487	5,543
Margarita Sofia Martino 400 Cordoba Park/Bo Tortugo St.	$60.67	5,559	4,917
Susana Ramirez C-20 Calle 2	$58.81	5,378	4,744
Manuel A. Morell-Castro 10 Calle Casia	$74.59	5,260	4,604
Pediatrix Medical Group Of Puerto Rico, P.S.C 1451 Ave Ashford	$55.79	5,238	4,600
Nicole Marie Rodriguez Perez 225 Calle Violeta	$53.00	5,050	3,421
Javier Cuevas Marrero 130 Ave Winston Churchill	$69.04	5,026	3,581
Melissa Santiago Garraton University District Hospital Puerto Rico Medical Center	$40.66	4,539	3,021
Rahadames Hernandez 371 Ave De Diego	$36.89	4,292	3,813
Carene A Oliveras Garcia University District Hospital	$63.59	4,200	2,077
St Gianna Pediatrics 312 Ave De Diego	$21.97	4,191	3,754
Carlos R Alvarez Hospital Ashford	$58.56	4,144	3,764
Yaimi Oller Mizrahi 1014 Calle 17 Se Metropolitano	$76.32	4,001	3,610
Martin L Ruiz 269 Calle Jilguero	$44.47	3,885	3,370
Maria D Diaz Cond Monteflores # 2007	$33.38	3,547	3,214
Agustin Jose Vidal-Rios Hospital Metropolitano De San Juan	$44.21	3,541	3,241
Daniel Roques Arroyo 62 Calle Orquidea	$35.29	3,519	3,298
Rafael Carrasquillo 282 Ave Pinero	$23.56	3,371	3,102
Eduardo Alemany Colom A11 Calle 1	$63.92	3,158	2,977
Grisel Marie Torres Tomassini Americo Salas Street	$39.37	3,089	2,791
Er Sunrise, Llc 400 Calle Calaf	$23.30	3,054	2,802
Nestor Rafael Gomez Pmb # 1 Calaf St. 400	$35.15	2,970	2,432
Carlos Rojas Carvajal 1785 Carr 21	$66.17	2,945	2,480
Adrian Ortiz Benitez C10 Calle B	$84.87	2,935	2,601
Olga M Lliteras Hospital Auxilio Mutuo	$44.76	2,923	2,460
Adriana M Garcia Martinez 1451 Ave Ashford	$94.91	2,888	2,461
Alejandro Mayobanex Marmolejo J1 5 Street Urb Hillside	$40.35	2,856	2,151
Ricardo Luis Garcia-De Jesus 252 Calle San Jorge	$275.26	2,666	494
Nadya Milagros Morales Lebron 1527 Ave Ponce De Leon # 5	$34.49	2,647	2,358
Pedro A Valentin Buscamper Carr 843 Km 9.3	$99.00	2,632	1,994
Elizabeth Ann Dallmayr C37 Calle Los Robles	$55.52	2,566	1,835
Alexander Rios University District Hospital	$66.41	2,558	2,485
Victor Francisco Rivera Beltran 455 Calle Lirio	$59.20	2,516	2,237
Ubaldo G Santiago Buono 1304 Wilson Street	$15.93	2,473	2,410
Cesar Omar Monsalve Rizo Rr 7 Box 386	$24.12	2,442	2,237
Miguel A. Roman-Diaz 909 Calle Alameda	$107.74	2,376	2,335
Anibal Sandoz Rivera Administracion De Servicios Medicos De Pr	$14.13	2,112	1,829

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 Juan, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in San Juan, PR is $66.54 per claim, based on 406,486 claims from 253 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 Juan, PR?

There are 253 Medicaid providers offering Emergency Room Visit related services in San Juan, PR according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in San Juan, PR ranges from $0.00 to $570.77 per claim, with an average of $66.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in San Juan, PR: $66.54

Providers Offering Emergency Room Visit in San Juan, PR

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in San Juan, PR

Office Visit

Blood Work & Lab Tests

Pathology & Lab Services

Dental Cleaning & Exam

X-Ray

Urinalysis & Urine Tests

Eye Exam

Psychiatric Evaluation