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
Raul Rosario Rosario Barrio Correa	$124.06	12	12
Juan Ricardo Barron 252 Calle San Jorge Ste 406	$141.45	12	12
Grupo Radiologico Dr Javier Javier Anton Ave. Pineiro Esq.Vallejo #1 Rio Piedras	$31.00	12	12
Michelle Ileana Surillo-Gonzalez 10 Calle Casia	$15.35	13	13
Ivan Perez Dieppa San Juan City Hospital	$16.28	13	12
Cdt Dr. Jose S. Belaval 2018 Ave. Borinquen Esquina Calle Nin Bo Obrero	$4.62	13	13
Lourdes Lopez San Rafael Medical Pavilion	$13.14	13	13
Cdt Dr. Arnaldo J Garcia Calle Flor Antillana Residencial Luis Llorens Torres	$0.00	13	12
Karla M. Vargas Reyes Carretera Num. 21, U-34	$61.30	14	12
Heidy Lyz Garcia Centro Medico De Puerto Rico	$72.18	14	14
Mariam Sofia Vila-Delgado 1114 Ave Jesus T Pinero	$41.38	15	15
Recinto De Ciencias Medicas Centro Medico De Pr	$12.85	15	13
Tiana Aponte Aponte 10 Calle Casia	$8.21	17	12
Alexandra Marie Fernandez-De Thomas Carr 22 Barrio Monacillos Hospital Oncologico	$0.00	17	16
Centro Radiologico Dr. Enrique Koppish Ave Barbosa #404 Esq Sicilia	$41.03	17	16
Juan Miguel Garcia Puebla Puerto Rico Medical Center	$92.41	17	16
Carlos Alberto Calisto-Perez 832 Calle Carmen Sanabria	$15.00	17	17
Manuel Eduardo Abraham Gonzalez Calle Loiza #1854, Altos Farmacia Americana	$47.51	18	14
Carlos M. Alvarado Hernandez 1036 Calle 11 Se	$28.07	18	17
Recinto De Ciencias Medicas Centro Medico De Pr Edif. Principal	$54.64	21	19
Edgardo Luis Gonzalez S7-12 Calle 6	$12.71	24	24
Ramon F Grillo Morales 1700 Calle Santa Agueda	$33.95	29	26
Indira Nahir Allende Diaz 1200 Cond Vista Verde	$7.77	29	25
Francisco J Otero Lopez Ortopedia Rcm	$14.33	29	25
Kelma Yadith Ruiz 690 Calle Washington Urb La Cumbre	$97.04	30	20
Gerry Caussade 1107 Calle William Jones	$1.67	30	30
Adria Teresa Diaz Gierbolini Urb. La Riviera Calle 3 Se #1051 Cond Medical Center	$31.14	31	24
Ruben A D'Acosta Lugo 1451 Ashford Avenue	$16.58	31	25
Nargies Annette Licha Soler Puerto Rico Medical Center	$51.06	32	32
Grupo Radiologico Dr Lopez Antogiorgi Calle 25 Ne # 333 Puerto Nuevo	$15.00	32	30
Karla Melissa Torres Torres 405 Juan B Rodriguez	$71.30	32	12
Limary Cordero Rivera Hpm Foundation Inc	$54.77	33	17
Cristina Maria Joy-Perez Centro De Trauma Asem	$11.75	33	14
Pablo Vladimir Marrero Ave Ponce De Leon #1507	$12.79	34	29
Ediel J Varela Deliz Santurce Medical Mall	$20.54	34	31
Jose A Rodriguez-Velez Carretera 21	$0.00	36	35
Raymond A Sepulveda L4 Calle Clavel	$55.17	36	29
Martin Iglesias 112 Calle Arzuaga	$0.26	38	26
Jaime Gabriel Rodriguez V3-46 Calle Sandalio Alonso	$13.98	44	41
Sylvia Monserrate Nunez Fidalgo 900 Calle Cerra	$11.25	44	44
Liz Adairis Ciuro Vazquez 550 Sergio Cuevas Bustamante	$0.00	45	44
Augusto Cesar Burgos Gandia 763 Calle Diana	$10.22	45	44
Aurea N Soto Acevedo Calle Arzuaga #112 Rio Piedras	$62.15	47	41
Humberto M. Guzman-Perez 1357 Ashford Ave.	$12.86	49	45
Stephanie Marie Segura-Abreu Calle Sergio Cuevas Bustamante #550, Hato Rey	$55.68	50	27
Alex M Acosta-Miranda Department Of Urology A-971	$53.21	56	51
Cesar F Cortes-Cardona University Of Puerto Rico	$44.23	59	53
Blas C Arroyo Marrero Milaville 134 Moradilla	$14.10	60	53
Cesar Perez-Machado 844 Road Cupey Bajo	$51.06	61	61
Frances M Franceschi Nazario #29 Washigton Street	$201.06	62	41

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

Emergency Room Visit in Other Cities

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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