Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Guayama, PR: $64.35

Avg. Paid

$64.35

Range

$0.00 – $121.32

Total Claims

70,012

Providers

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 Guayama, PR

Provider	Avg. Paid	Claims	Patients
James M'Mbuka Ojago B-28 Calle # 1, Apt. # 3	$91.50	16,802	13,724
Dimara Vega Ortiz Estancias De Olimpo Calle A #1	$73.49	9,729	8,262
Ruben A Perez Ramirez Ave.Pedro Albizu Campos	$41.91	7,872	6,539
Cynthia Michelle Rodriguez Rivera Esquina Principal Urb La Hacienda Albizu Campos	$67.94	5,518	4,839
Luis Alberto Fuentes Hospital Cristo Redentor	$33.36	4,523	3,946
Jose V Rivera Irizarry 83 Calle Esteban B Cruz Ste 3	$66.56	3,568	2,903
Natalie Jeanette Fuster Solivan Hospital Menonita Guayama, Ave Pedro Albizu Campos	$38.61	3,365	2,986
Omar Gabriel Caro Feliz Urb Paseos Brisas Del Mar F 7	$76.70	2,607	2,179
Alex Ramon Sola Alicea Urb. La Hacienda Calle 53	$77.32	2,045	1,842
Ruben Armando Perez Calle 1 #8	$61.75	2,036	1,146
Jose Javier Rodriguez Fontanez Ave Pedro Albizu Campos	$37.91	1,951	1,592
Jeylin Rodriguez Fernandez Ave. Pedro Albizu Campos Urb. La Hacienda Guayama,	$57.69	1,854	1,425
Edwin Bannacek Lopez Calle Francisco G Bruno #48 Oeste Esquina San Antonio	$59.07	1,392	989
Robert Muns Sosa Ave.Albizu Campos Esquina La Hacienda	$28.79	1,313	1,168
Carlos Quinones Rampolla Ave Los Veteranos	$65.85	940	878
Karla M Mercado Pagan Ave Pedro Albizu Campos	$55.46	809	531
Harold William Bastian Vega El Legado Golf Resort	$60.10	613	559
Javier J Alicea Melendez Ave. Pedro Albizu Campos Urb. La Hacienda	$25.20	611	583
Pedro N Cadiz Miranda Urb El Dorado Calle Magnolia B7	$58.07	518	383
Angel M Quinones Rodriguez 3 Ave Los Veteranos	$25.06	254	229
Juan A Medina Ruiz Condominio Guamani Gardens Carr 179 H.0 Barrio Guamani	$32.18	234	214
Luis A. Lugo Rivera Urb. Rexamanor Calle 3 A21	$16.47	214	184
Juan Neftali Aulet Suite 1, Ave. Los Veteranos	$17.01	181	180
Mario R Fernandez Gonzalez 80 Calle 3 Sur	$55.19	162	150
Juan Jose Rivera Hospital Episcopal Cristo Redentor	$18.89	155	140
Alberto Corica Guinle Hospital Episcopal Cristo Redentor	$31.01	128	115
Jose Anglero Ramos 47 Calle Derkes W	$11.83	110	106
Joaquin Rafael Pales Aguilo Ave. Los Veteranos #3	$27.12	105	100
Luis Alberto Rodriguez Rivera Hospital Santa Rosa	$57.53	83	45
Jose Miguel Fors Carbonell Commerce Plaza	$26.90	73	73
Edgar Nicolas Colon De-Jesus Bo Olimpo C3 Num 732	$45.27	65	64
Integrate Community Health System Carr 54 Km 03 Ave Principal	$46.50	42	37
Jose G Rodriguez Martinez 48 Calle Francisco G Bruno W	$0.00	38	34
Lysander Borrero Ave. Ashfort-Urb. Gibraltar #1 Oficina-3(Bajos)	$16.36	33	31
Juan A Tosado Polanco Urb La Hacienda Avenida Albizu Campos	$6.55	29	28
Arnaldo Santiago Diaz Urb. La Plata Calle Jade D-35	$51.06	24	23
Angela M Miranda-Rivas 128 Calle Ashford S Ste 104	$121.32	16	14

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 Guayama, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Guayama, PR is $64.35 per claim, based on 70,012 claims from 37 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 Guayama, PR?

There are 37 Medicaid providers offering Emergency Room Visit related services in Guayama, PR according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Guayama, PR ranges from $0.00 to $121.32 per claim, with an average of $64.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Guayama, PR: $64.35

Providers Offering Emergency Room Visit in Guayama, PR

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Guayama, PR

Office Visit

Blood Work & Lab Tests

Eye Exam

Dental Cleaning & Exam

Urinalysis & Urine Tests

Physical Therapy

Psychiatric Evaluation

Ultrasound