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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Caguas, PR: $47.91

Avg. Paid

$47.91

Range

$0.00 – $2,191

Total Claims

266,962

Providers

88

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 Caguas, PR

Provider Avg. Paid Claims Patients
Jorge L Gutierrez

1074 Calle Guajataca

$45.28 135,328 99,683
Centro Medico Del Turabo Inc

Hima San Pablo Caguas

$26.23 28,433 26,275
Edwin Vazquez Ayala

Centro Ambulatorio Hima San Pablo

$31.71 8,361 7,481
Mayra Y. Cintron Nazario

Urb. Villa Del Rey ,Munoz Marin Ave.

$31.08 6,238 5,687
Jose Juan Castro Hernandez

882 Via Platanal

$29.13 5,849 5,251
Priscila M Cordero Fontanez

A28 San Pedro Estates

$95.27 5,171 4,580
Jose Miguel Rivera Velazquez

Plaza La Sierra Local #4 Carr. 172 Km. 20.3

$58.55 5,027 3,284
Victor H Cordero

74 Calle Saturno

$41.73 4,918 3,905
Glisette Rodriguez

1040 Calle Carite

$105.33 4,424 3,044
Edgar Rivera Munoz

D48 Calle 2

$32.17 4,414 4,022
Ilia Noemi Casanova Feliciano

100 Ave Luis Munoz Marin

$47.18 3,905 3,150
Axel Javier Ramos

Hacienda San Jose

$75.56 3,213 2,622
Lorna Elena Diaz Lozada

Ave Rafael Cordero Final Esquina Troche

$72.63 3,142 1,557
Shera Chacon Flores

100 Ave Luis Munoz Marin

$37.90 2,953 2,594
Jose Julio Perez Matamoros

Carr 172

$39.93 2,837 2,087
Roberto R. De Varona

M3 Calle Santa Maria

$40.92 2,627 2,364
Manuel Jose Ortiz Bustillo

Urb Mansines De Ciudad Jardin

$52.11 2,544 1,933
Jorge Lopez

Ave. Luis Munoz Marin

$38.01 2,295 2,100
Jose Manuel Ramos-Rodriguez

Plaza Del Carmen

$15.77 2,173 1,957
Jose Osvaldo Colon Maldonado

90-80 Luis Munoz Rivera

$48.91 2,148 2,060
Jonathan Lopez Medina

100 Ave Luis Munoz Marin

$53.08 1,897 1,743
Hiram Jose Maldonado Quintana

100 Ave Luis Munoz Marin

$183.81 1,697 326
Luis Daniel Ramos

Calle Camuy # 3

$46.59 1,643 1,370
Arnaldo A Nieves Ortiz

100 Ave Luis Munoz Marin

$21.85 1,624 1,514
Lilibeth Cruz Martinez

B 10 Paseo De La Palma Real

$59.02 1,621 1,494
Luz N Rios Burgos

Turabo Garden

$34.88 1,531 1,404
Corporacion De Salud Asegurada Por Nuestra Organizacion Solidaria, Inc

Avenida Rafael Cordero Esquina Troche

$33.42 1,458 1,361
Mildred Denise Quinones Pardo

Ave L Munoz Marin

$23.92 1,430 1,379
Carluis Torres Torres

152 Estancias Del Lago

$26.11 1,079 893
Francisco Manuel Estrada Fernandez

40 Calle Gardenia

$41.99 996 677
Arlene Reyes Roman

100 Ave Luis Munoz Marin

$33.70 937 743
Julio E Garcia

Ah10 Calle Quebec

$50.60 920 585
Gustavo J Gonzalez Astacio

40 Cond Caguas Tower Apt 1103

$163.43 904 238
Giovanni F Ramirez-Arroyo

201 Calle Gautier Benitez Ste 400

$57.46 838 650
Denise Gonzalez Santana

100 Ave Luis Munoz Marin

$2.85 799 690
Enrique M. Robles Garcia

Car 172 Caguas A Cidra

$69.13 792 752
Rafael Ufret-Perez

Hima Plaza I

$89.84 758 115
Fernando J. Ysern Borras

50 Ave Munoz Marin

$46.71 700 677
Alfredo Beauchamp

Degetau Ave. A17 San Alfonso

$58.45 616 502
Armando Opio Castillo

B25 Bonaparte

$45.15 577 437
Dania Ivelisse Leiva Solis

Hospital Menonita Caguas

$46.63 566 479
Arlene Maria Abreu Rivera

100 Ave Luis Munoz Marin

$56.43 539 514
Josue Orlando Valdes Delgado

Carr 172 Salida Caguas A Cidra

$54.52 484 471
Maria A Uzcategui

Calle Toledo 7B Terralinda

$152.16 477 174
Karina Ortiz Del Valle

Urb. Mariolga Calle San Francisco C18

$42.09 477 446
Frank Javier Valentin Silva

100 Ave Luis Munoz Marin

$60.82 463 412
Roberto Velez Bermudez

82 Calle Almacigos Ur Cautiva

$58.63 362 266
Saul Omar Santiago Rodriguez

4G33 Calle 3A

$162.90 326 220
Andrea M Nieves Ortiz

100 Ave Luis Munoz Marin

$85.93 324 109
Maridalia Montes Lopez

San Juan Bautista Medical Center

$38.47 306 228

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 Caguas, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Caguas, PR is $47.91 per claim, based on 266,962 claims from 88 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 Caguas, PR?

There are 88 Medicaid providers offering Emergency Room Visit related services in Caguas, PR according to public payment data.

What is the price range for Emergency Room Visit in Caguas, PR?

Medicaid reimbursement for Emergency Room Visit in Caguas, PR ranges from $0.00 to $2,191 per claim, with an average of $47.91. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Caguas, PR