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
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 Caguas, PR
Blood Work & Lab Tests
Avg $11.44
2,098,760 claims
Office Visit
Avg $21.20
1,042,078 claims
Urinalysis & Urine Tests
Avg $3.91
476,787 claims
Dental Cleaning & Exam
Avg $21.93
267,151 claims
Speech Therapy
Avg $48.16
215,812 claims
X-Ray
Avg $13.75
162,747 claims
Eye Exam
Avg $35.93
153,676 claims
Ultrasound
Avg $75.63
147,542 claims