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 |
|---|---|---|---|
|
Centro Medico Del Turabo Inc
100 Luis Munoz Marin Ave |
$15.00 | 12 | 12 |
|
Marvin Matta Rivera
Urb. Bairoa, Calle Santa Maria L 6 |
$36.12 | 13 | 13 |
|
Wilson Omar Molina Vazquez
3 Sec. Calle J Ri - 8 |
$15.54 | 14 | 12 |
|
Emilio Encarnacion - Melendez
Plaza Del Carmen #24 |
$0.00 | 15 | 15 |
|
Olga P Lagrandier Gomez
Urb Villa Del Rey Calle Pino #20-22 |
$111.61 | 18 | 16 |
|
Jorge Luis Cordero
Hima- San Pablo, Munoz Marin Ave. |
$12.29 | 21 | 15 |
|
Julio Cesar Rodriguez-Colon
100 Ave Luis Munoz Marin |
$190.70 | 27 | 27 |
|
Roberto Serrano
A5 Calle Campeche |
$26.05 | 28 | 28 |
|
Cyndia Rodriguez Negron
V43 Ave Luis Munoz Marin |
$15.00 | 31 | 31 |
|
Migna Arroyo
46 Calle Topacio |
$51.06 | 32 | 32 |
|
Edwin B Betancourt Ortiz
Mansiones De Ciudad Jardin |
$54.23 | 37 | 25 |
|
Centro Medico Del Turabo, Inc
100 Ave Luis Munoz Marin |
$78.07 | 39 | 37 |
|
David Acevedo
Plaza Del Carmen Mall # 24 |
$45.81 | 45 | 45 |
|
Manuel H. Rivera
Carr #1 Km 26.9 Bo. Rio Canas Sect. La Changa |
$10.27 | 45 | 42 |
|
Josue M Alicea Abreu
Po Box 9809 |
$8.52 | 54 | 54 |
|
Antonio Lozada
227 Caguas Real |
$82.01 | 59 | 54 |
|
Luis R Canetti
San Juan Bautista Medical Center |
$35.00 | 65 | 62 |
|
Ulises Lisandro Nobo
Ave Luis Munoz Marin Hima San Pablo |
$189.13 | 69 | 68 |
|
Alberto Enrique Frias
Avenida Luis Muoz Marin, # 80 |
$46.63 | 70 | 69 |
|
Victor Manuel Aquino Jose
100 Ave Luis Munoz Marin |
$117.37 | 79 | 57 |
|
Andres Sastre Fuente
100 Ave Luis Munoz Marin |
$64.66 | 88 | 58 |
|
Monica S Santos
Urb. Los Angeles |
$38.14 | 97 | 78 |
|
Daniel Miguel Reyes De Jesus
Hospital Menonita Caguas |
$204.95 | 98 | 46 |
|
Mario Edsiquio Sanchez Del Campo
Ave. Luis Munoz Marin |
$20.04 | 102 | 92 |
|
Nicole Marie Bisono Diaz
Urb. Mariolga 100 |
$121.32 | 105 | 12 |
|
Zulma Fernandez Villaronga
Mariolga |
$14.89 | 126 | 120 |
|
Kenneth Willard Brewster
Plaza Del Carmen Mall # 24 Carr 172 |
$44.90 | 132 | 123 |
|
Carlos E Vallejo-Bennett
Ave. Luis Munoz Marin |
$35.74 | 136 | 119 |
|
Luis A Jimenez Reyes
100 Ave Luis Munoz Marin Ste 305 |
$211.18 | 163 | 81 |
|
Ivonne Trujillo-Esquilin
Avenida Degetau D8 |
$20.53 | 201 | 186 |
|
Bryan A Santiago Diaz
2.8 Carr 189 |
$92.59 | 202 | 145 |
|
Alexis Pereira-Marrero
6 St K-1 Bonneville Gardens |
$14.93 | 214 | 189 |
|
Michelle M Vizcarrondo
Luis Munoz Marin Ave |
$2,191 | 216 | 185 |
|
Rosangela L Fernandez Medero
100 Ave Luis Munoz Marin |
$145.35 | 216 | 49 |
|
Carlos Ruben Garcia Flores
River Glance De Caguas |
$32.72 | 224 | 182 |
|
Jose Luis Ayala Rivera
Hima San Pablo |
$75.11 | 226 | 207 |
|
Hector Alejandro Cordero
Calle Degetau |
$1.37 | 244 | 238 |
|
Ada N Ortiz Santiago
Avenue Munoz Marin |
$13.84 | 258 | 256 |
|
Maridalia Montes Lopez
San Juan Bautista Medical Center |
$38.47 | 306 | 228 |
|
Andrea M Nieves Ortiz
100 Ave Luis Munoz Marin |
$85.93 | 324 | 109 |
|
Saul Omar Santiago Rodriguez
4G33 Calle 3A |
$162.90 | 326 | 220 |
|
Roberto Velez Bermudez
82 Calle Almacigos Ur Cautiva |
$58.63 | 362 | 266 |
|
Frank Javier Valentin Silva
100 Ave Luis Munoz Marin |
$60.82 | 463 | 412 |
|
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 |
|
Josue Orlando Valdes Delgado
Carr 172 Salida Caguas A Cidra |
$54.52 | 484 | 471 |
|
Arlene Maria Abreu Rivera
100 Ave Luis Munoz Marin |
$56.43 | 539 | 514 |
|
Dania Ivelisse Leiva Solis
Hospital Menonita Caguas |
$46.63 | 566 | 479 |
|
Armando Opio Castillo
B25 Bonaparte |
$45.15 | 577 | 437 |
|
Alfredo Beauchamp
Degetau Ave. A17 San Alfonso |
$58.45 | 616 | 502 |
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
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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