Average Medicaid Emergency Room Visit Payments in Bayamon, PR: $52.66
Avg. Paid
$52.66
Range
$0.00 – $337.39
Total Claims
130,431
Providers
78
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 Bayamon, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose A Colon-Grau
100 Ave. Laurel |
$60.94 | 31,534 | 24,956 |
|
Eliezer Roberto Silva
J23 Ave Betances |
$58.52 | 12,809 | 10,085 |
|
Departamento De Salud
#100 Avenida Laurel |
$0.48 | 11,593 | 9,723 |
|
Abel Valle Medina
24 Calle 2A |
$37.45 | 7,295 | 6,486 |
|
Vinicio A Almonte-Duran
Sta Cruz #70 |
$47.74 | 5,596 | 4,031 |
|
Noel Silva
Ave. Betances J-23 Ofic. H |
$68.45 | 5,494 | 3,931 |
|
Coralys Melendez Lebron
C10 Camino De Lirios |
$76.85 | 5,008 | 4,346 |
|
Jcg Medical Emergency Services Psc
Hospital Dr Ramon Ruiz Arnau |
$88.34 | 4,713 | 4,414 |
|
Francisco Gutierrez Colon
E8 Calle Margarita |
$97.44 | 4,553 | 2,849 |
|
Luisa Marrero Santiago
Urb Miraflores, 33-15, Calle 42-A |
$29.59 | 4,152 | 3,846 |
|
Emergenciologos Para Puerto Rico,Csp
Urb Santa Rosa 20St. |
$38.72 | 3,130 | 2,812 |
|
Daisy Marrero Santiago
33-15, Calle 42-A Urb. Miraflores, |
$28.05 | 2,941 | 2,711 |
|
Noel Osvaldo Ortiz Rodiguez
J23 Ave Betances Urb Hermanas Davilas |
$62.46 | 2,882 | 2,519 |
|
Joselin Martinez
Ma47 Paseo Del Monte |
$31.70 | 2,615 | 2,389 |
|
Pierre Sherley Dimanche
63-31 Calle 52 |
$86.22 | 2,596 | 2,022 |
|
Merardo Antonio Becerra
1700 Calle Federico Montilla S |
$129.74 | 1,952 | 1,547 |
|
Carmen Mabel Lebron Gonzalez
#70 Urb Santa Cruz |
$51.52 | 1,497 | 1,225 |
|
Ricardo Omar Diaz Irizarry
Urb. Lomas Verdes |
$18.49 | 1,407 | 954 |
|
Nestor Luis Carmona-Torres
1845 Carr 2 Ste 304 |
$34.39 | 1,157 | 977 |
|
Jose M Acosta-Fernandez
At6 Calle Rio Orocovis |
$55.25 | 1,125 | 754 |
|
Juster Manuel Torres
Al21 Calle 30 |
$29.26 | 1,060 | 1,000 |
|
Cesar Rafael Rivera Reveron
O29 Calle 19 |
$31.09 | 806 | 779 |
|
Miguel Angel Marrero
100 Ave Laurel |
$75.64 | 777 | 590 |
|
Manuel Alejandro Morales-Maldonado
15 St. R-7 Urb. Bayamon Gardens |
$11.65 | 757 | 730 |
|
Guillermo M. Martorell Millan
70 Calle Santa Cruz |
$15.06 | 751 | 684 |
|
Carlos M Santiago
300 Ave Laurel # 100 |
$65.64 | 691 | 658 |
|
Jessica Marie Barrios-Ramos
Carr #167 Marginal Forest Hills |
$6.14 | 687 | 591 |
|
Juan C Zequeira Diaz
Carr #2, Km 11.7 |
$87.47 | 636 | 635 |
|
Joaly Santana Reyes
Calle Rio Guavate Ad-22 Rio Hondo Ii |
$31.89 | 605 | 463 |
|
Rachelly Abreu
Urb. Rexville Calle 61 As# 3 |
$50.04 | 582 | 406 |
|
Daniella Maria Santiago-Haddock
Km 11.7 Pr-2 |
$72.53 | 561 | 459 |
|
Anibal Miguel Marin-Rivera
Urb Rio Hondo 2 Calle Rio Jajome Ak-16 |
$87.39 | 547 | 354 |
|
Helga Soe Rodriguez
70 Cll Santa Cruz |
$59.82 | 492 | 305 |
|
Leanis Arias
Hospital San Pablo |
$26.71 | 486 | 437 |
|
Luis Alberto Colon
Urb. Hemanas Davila, Calle J 9 |
$81.05 | 481 | 293 |
|
Luis J Cruz Rivera
100 Ave Laurel |
$46.92 | 478 | 392 |
|
Alex Torres Mercado
M9 Calle 19 Jardines De Caparra |
$49.84 | 475 | 389 |
|
Francisco Menendez Diaz
70 Calle Santa Cruz |
$64.32 | 458 | 331 |
|
Nicolle Spence
70 Calle Santa Cruz |
$39.66 | 376 | 308 |
|
Luis Rosario-Vargas
Calle I #49 |
$14.12 | 354 | 291 |
|
Jose M. Cantellops
65 Calle Santa Cruz |
$6.64 | 340 | 329 |
|
Miguel F. Agrait Gonzalez
Bayamon Medical Center Emergency Department |
$82.01 | 338 | 316 |
|
Damaris A Silva Santana
Oficina Medica Dra Damaris A Silva Santana |
$13.40 | 307 | 281 |
|
Jorannie Cruz
Calle B # 34 |
$11.78 | 282 | 267 |
|
Javier Gascot
Rr 4 Box 3296 |
$50.44 | 258 | 171 |
|
Walmarie Velez Rodriguez
Doctors Center Hospital |
$77.78 | 227 | 114 |
|
Omar Berrios Torres
Urb Santa Elena |
$46.39 | 207 | 193 |
|
Eduardo Ivan Torres
Calle I #49 |
$14.78 | 204 | 184 |
|
Lilliam I. Monllor
Ext. Villa Rica J8 Calle 9 |
$29.71 | 200 | 96 |
|
Mariana Mercader Perez
73 Edificio Medico Santa Cruz |
$162.05 | 184 | 38 |
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 Bayamon, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Bayamon, PR is $52.66 per claim, based on 130,431 claims from 78 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 Bayamon, PR?
There are 78 Medicaid providers offering Emergency Room Visit related services in Bayamon, PR according to public payment data.
What is the price range for Emergency Room Visit in Bayamon, PR?
Medicaid reimbursement for Emergency Room Visit in Bayamon, PR ranges from $0.00 to $337.39 per claim, with an average of $52.66. 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 Bayamon, PR
Office Visit
Avg $18.30
1,369,233 claims
Blood Work & Lab Tests
Avg $10.90
880,654 claims
Dental Cleaning & Exam
Avg $20.42
320,813 claims
Urinalysis & Urine Tests
Avg $3.85
212,403 claims
Eye Exam
Avg $30.22
176,798 claims
Vaccines & Immunizations
Avg $7.38
172,718 claims
X-Ray
Avg $8.69
124,303 claims
Psychiatric Evaluation
Avg $5.48
117,045 claims