Average Medicaid Emergency Room Visit Payments in Vega Baja, PR: $28.42
Avg. Paid
$28.42
Range
$0.00 – $63.44
Total Claims
6,874
Providers
14
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 Vega Baja, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Issa Mahmud
Hospital Wilma N Vazquez |
$18.01 | 2,017 | 1,522 |
|
Jaime L. Rodriguez-Portela
780 Calle Arrayadosandemtrio |
$19.26 | 1,444 | 1,076 |
|
Ubaldo Medina
Carretera Numero 2 Km. 40.2 |
$31.67 | 1,059 | 925 |
|
Edgar A. Nevarez-Sostre
Carretera #2 Km. 4 Hct. 40 |
$32.27 | 1,006 | 947 |
|
Roig Health Care Management, Llc.
81 Calle Paseo |
$63.44 | 876 | 817 |
|
Arlene Yolanda Torres Montesinos
E12 Calle 3 Urbanizacion Brasilia |
$12.90 | 199 | 186 |
|
Nestor Amaury Perez Arroyo
66 Ensanche Silva |
$11.20 | 113 | 109 |
|
Angel Tomas Torres Sanchez
618 Calle Asis |
$52.52 | 41 | 16 |
|
Aitza Reyes Seda
Hospital Wilma Vazquez |
$44.46 | 32 | 25 |
|
Evaristo Jaime Medina-Cucurella
Hospital Wilma Vazquez |
$55.88 | 23 | 13 |
|
Milagros Torres
Carr 2 Km 39.5 Bo Algarrobo |
$46.67 | 18 | 14 |
|
Juan De La Cruz
Carr 2 Km. 39.5 |
$0.00 | 17 | 17 |
|
Erick Alberto Casanova
34 Calle Jose Julian Acosta |
$0.00 | 16 | 16 |
|
Juan Angel De La Rosa
Urb. Camino Del Sol |
$10.58 | 13 | 13 |
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 Vega Baja, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Vega Baja, PR is $28.42 per claim, based on 6,874 claims from 14 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 Vega Baja, PR?
There are 14 Medicaid providers offering Emergency Room Visit related services in Vega Baja, PR according to public payment data.
What is the price range for Emergency Room Visit in Vega Baja, PR?
Medicaid reimbursement for Emergency Room Visit in Vega Baja, PR ranges from $0.00 to $63.44 per claim, with an average of $28.42. 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
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Vega Baja, PR
Blood Work & Lab Tests
Avg $9.26
447,872 claims
Office Visit
Avg $5.95
186,988 claims
Dental Cleaning & Exam
Avg $20.56
152,220 claims
Urinalysis & Urine Tests
Avg $3.62
93,966 claims
Vaccines & Immunizations
Avg $5.78
34,790 claims
Dental Filling
Avg $35.94
28,372 claims
Ultrasound
Avg $64.18
28,024 claims
X-Ray
Avg $17.06
25,583 claims