Average Medicaid Emergency Room Visit Payments in Aguadilla, PR: $45.91
Avg. Paid
$45.91
Range
$0.00 – $100.21
Total Claims
48,037
Providers
19
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 Aguadilla, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gerardo Ortiz Hernandez
5 Urb Vista Alegre |
$45.50 | 17,914 | 15,702 |
|
Joel Josue Lopez-Vega
Carr 110 Km 3.6 Bo. Arenales Sector La Charca |
$46.51 | 8,863 | 6,283 |
|
Michael A Caban Soto
107 Calle N |
$62.22 | 7,894 | 6,550 |
|
Bernie Rodriguez-Malpica
180-B Belt Rd Ramey Base |
$27.24 | 4,193 | 3,751 |
|
Carlos Ronald Pedraza Gonzalez
Carr 2 Km 141.1 Ave Severiano Cuevas |
$68.78 | 2,272 | 1,916 |
|
Fernando Ramos Landing
2053 Ave Pedro Albizu Campos |
$47.23 | 1,650 | 1,503 |
|
Mario Garcia
Urb. Villa Alegria |
$1.32 | 1,455 | 1,389 |
|
Michelle Fuentes
Hc 2 Box 20576 |
$6.37 | 1,139 | 1,016 |
|
Nesjuan Faelio Cardona
Hospital Buen Samaritano |
$36.40 | 805 | 752 |
|
Gilmar Gonzalez Romero
Carretera 111 Km.2.4 |
$59.98 | 628 | 467 |
|
Jonathan Emmanuel Ayala Pagan
Avenida Severiano Cuevas #18 Int |
$91.91 | 262 | 232 |
|
Wilfredo Alonso
Lobby Buen Samaritano |
$11.24 | 230 | 196 |
|
Alexis Soto Hernandez
Carr 2 Km 141.1 Ave. Severiano Cuevas 18 |
$39.70 | 218 | 158 |
|
Integrate Community Health System
Barrio Camaseyes |
$41.46 | 181 | 177 |
|
Luis Ramon Saavedra Roman
190B Calle Ne |
$100.21 | 145 | 139 |
|
Aguadilla Medical Services, Inc.
2 Ave Victoria |
$17.60 | 66 | 65 |
|
Enid M. Ramirez
130 Calle D |
$30.70 | 62 | 43 |
|
Gustavo F. Garcia Morell
Paseo Del Parque # 20 Camaseyes |
$44.44 | 44 | 33 |
|
Ivette Maria Perez
113 Jard De Aguadilla |
$0.00 | 16 | 15 |
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 Aguadilla, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Aguadilla, PR is $45.91 per claim, based on 48,037 claims from 19 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 Aguadilla, PR?
There are 19 Medicaid providers offering Emergency Room Visit related services in Aguadilla, PR according to public payment data.
What is the price range for Emergency Room Visit in Aguadilla, PR?
Medicaid reimbursement for Emergency Room Visit in Aguadilla, PR ranges from $0.00 to $100.21 per claim, with an average of $45.91. 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 Aguadilla, PR
Office Visit
Avg $15.14
309,311 claims
Blood Work & Lab Tests
Avg $9.84
268,591 claims
Dental Cleaning & Exam
Avg $20.32
87,769 claims
Urinalysis & Urine Tests
Avg $3.65
55,958 claims
Pathology & Lab Services
Avg $74.79
51,076 claims
Vaccines & Immunizations
Avg $4.47
49,248 claims
Eye Exam
Avg $39.23
41,322 claims
Psychiatric Evaluation
Avg $4.36
30,750 claims