Average Medicaid Emergency Room Visit Payments in Cayey, PR: $41.31
Avg. Paid
$41.31
Range
$0.00 – $194.96
Total Claims
13,955
Providers
31
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 Cayey, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gladys Mercedes Vazquez
Carr 14 Bo Rincon Lomg |
$37.24 | 2,399 | 1,778 |
|
Luis Roberto Colon Ferreira
174 Calle Luis Barreras S |
$12.78 | 1,173 | 739 |
|
Carlos A Quiles Aponte
Ave Antonio R Barcelo # Km716 |
$23.36 | 1,062 | 980 |
|
Yaritza Gloriana Suarez Rodriguez
64 Calle Jose Celso Barbosa S |
$36.04 | 1,014 | 781 |
|
Maridoli Caceres Kianes
Urb Estancias De Monte Rio |
$39.21 | 1,002 | 844 |
|
Luis Manuel Lopez Baquero
Urb El Torito Calle 6 D 32 |
$56.87 | 964 | 898 |
|
Wilberto Carlos Santiago
153 Ave Jose De Diego E |
$36.68 | 896 | 746 |
|
Jose Orlando Rivera Rivera
Carr 14 |
$42.99 | 714 | 513 |
|
Biomaris Medina-Rivera
Road 14 Km. 72.2 Bo. Rincon Sector Lomas |
$143.21 | 620 | 230 |
|
Victor Silva
Calle Jose De Diego #53 |
$30.89 | 604 | 469 |
|
Leonora Marie Ortiz Bonilla
Road 14 Bo. Rincon Sector Lomas |
$47.47 | 514 | 320 |
|
Zwinda I Aponte
Cdt Mariano Rivera Cayey |
$65.60 | 483 | 455 |
|
Juan A Benitez Santana
174 Calle Luis Barreras S |
$11.64 | 446 | 344 |
|
Victor Manuel Hernandez Flores
Street 14 Bo. Rincon Sector Lomas |
$35.30 | 443 | 374 |
|
Jose Efrain Santiago Santiago
170 Ave Munoz Rivera S |
$28.97 | 276 | 242 |
|
Louis A Ruiz Gonzalez
Bo. Rincon Sector Lomas Carr14 |
$37.97 | 266 | 162 |
|
Caroline Ortiz
Miguel De Muesas Ave |
$53.82 | 211 | 190 |
|
Carolina Sanchez Diaz
174 Luis Barrera S |
$57.79 | 126 | 67 |
|
Gobierno Municipal De Cayey
174 Calle Luis Barreras S |
$0.00 | 92 | 69 |
|
Ivan Fernando Irizarry Rodriguez
Edificio Profesional Hospital Menonita Cayey |
$79.25 | 91 | 87 |
|
Samuel Vazquez
23 Heraclio Mendoza Street |
$54.95 | 90 | 64 |
|
Mayra Velez Rivera
Hospital Menonita Cayey Carr 14 Km 72.0 Bo Rincon |
$40.00 | 85 | 12 |
|
Edward A. Gomez-Torres
Carr 14 Interior Km 0.3 |
$26.26 | 62 | 44 |
|
Intermedic Medical Services Psc
Bo Rincon Sector Lomas |
$0.25 | 59 | 36 |
|
Gerson E. Alvarez
Carr 14 Km 72.2 Bo Sector Lomas |
$17.72 | 57 | 57 |
|
Luis Fontan Lasanta
Road 14 Km 72.0 Bo Rincon Sec Lomas |
$194.96 | 49 | 12 |
|
Intellimed, Psc
Hospital Menonita Carr #14 |
$46.50 | 46 | 42 |
|
Hospital Menonita De Cayey
Rinco Interior 14St |
$48.84 | 39 | 27 |
|
Gaspar R Garcia
Bo Rincon Sect Las Lomas Carr 14 Km 72.2 |
$7.45 | 36 | 12 |
|
Hospital Menonita De Cayey
Barrio Rincon |
$0.00 | 21 | 20 |
|
Ferdinand C. Menendez Morales
174 Calle Luis Barreras S |
$0.00 | 15 | 13 |
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 Cayey, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Cayey, PR is $41.31 per claim, based on 13,955 claims from 31 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 Cayey, PR?
There are 31 Medicaid providers offering Emergency Room Visit related services in Cayey, PR according to public payment data.
What is the price range for Emergency Room Visit in Cayey, PR?
Medicaid reimbursement for Emergency Room Visit in Cayey, PR ranges from $0.00 to $194.96 per claim, with an average of $41.31. 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 Cayey, PR
Office Visit
Avg $24.55
290,420 claims
Blood Work & Lab Tests
Avg $10.68
239,693 claims
X-Ray
Avg $6.65
86,059 claims
Dental Cleaning & Exam
Avg $20.72
72,462 claims
Urinalysis & Urine Tests
Avg $3.72
54,572 claims
Physical Therapy
Avg $19.81
38,824 claims
Vaccines & Immunizations
Avg $6.11
36,153 claims
Eye Exam
Avg $24.72
33,924 claims