Average Medicaid Emergency Room Visit Payments in Santurce, PR: $72.24
Avg. Paid
$72.24
Range
$8.29 – $109.62
Total Claims
7,293
Providers
12
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 Santurce, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose L Martinez
Calle San Rafael 253 |
$109.62 | 2,812 | 1,630 |
|
Roberto A Menjivar
Doctors' Center Hospital |
$36.51 | 1,151 | 856 |
|
Ghp C.S.P.
258 Calle San Jorge |
$62.00 | 790 | 713 |
|
Juan Garcia
Hospital Pavia |
$74.16 | 543 | 431 |
|
Jeremias A Atencio
107 Calle Santa Cecilia |
$8.29 | 519 | 440 |
|
Mayra Enid Caceres
1462 Calle Augusto Rodriguez |
$51.07 | 415 | 345 |
|
Jose Rafael Pesquera-Garcia
Santurce Medical Mall Suite #309-310 |
$35.93 | 329 | 292 |
|
Gaspar Fuentes
257 Calle Colton |
$71.62 | 253 | 240 |
|
Jose Manuel Gomez Vazquez
Santurce Medical Mall |
$67.69 | 243 | 146 |
|
Lin Margaret Chu Joy Davila
1519 Ave Ponce De Leon Ste 1105 |
$77.15 | 163 | 136 |
|
Juan Enrique Perez-Monte
Edificio Betancourt Suite 302 |
$41.24 | 61 | 61 |
|
Efrain Vazquez Luna
Pavia Medical Plaza 611 |
$26.57 | 14 | 12 |
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 Santurce, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Santurce, PR is $72.24 per claim, based on 7,293 claims from 12 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 Santurce, PR?
There are 12 Medicaid providers offering Emergency Room Visit related services in Santurce, PR according to public payment data.
What is the price range for Emergency Room Visit in Santurce, PR?
Medicaid reimbursement for Emergency Room Visit in Santurce, PR ranges from $8.29 to $109.62 per claim, with an average of $72.24. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
4,694,783 claims · 272 providers
Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
4,304,161 claims · 851 providers
Indianapolis, IN
Avg $116.65
4,172,341 claims · 898 providers
New York, NY
Avg $130.02
3,905,512 claims · 1591 providers
Columbus, OH
Avg $98.63
3,813,295 claims · 929 providers
Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Santurce, PR
Office Visit
Avg $24.67
154,499 claims
X-Ray
Avg $7.20
36,956 claims
Blood Work & Lab Tests
Avg $8.41
27,797 claims
Speech Therapy
Avg $62.11
23,536 claims
Eye Exam
Avg $33.32
21,572 claims
Dental Cleaning & Exam
Avg $19.57
13,333 claims
CT Scan (Computed Tomography)
Avg $80.81
11,292 claims
Ultrasound
Avg $53.26
8,771 claims