Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Guaynabo, PR: $74.74

Avg. Paid

$74.74

Range

$0.11 – $113.64

Total Claims

60,878

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 Guaynabo, PR

Provider	Avg. Paid	Claims	Patients
Osvaldo Niebla Diaz 112 Acuarela. Quintavalle	$86.93	34,765	22,963
William J Velasco Perez Pmb 206	$79.02	8,477	7,148
Francisco F Serrano 15 Ave Esmeralda	$25.50	3,201	3,062
Benny Nieves-Matias Carr. 199, Km 1.2	$48.61	2,786	2,413
Victor J Rivera Cruz 5 Calle Amatista	$113.64	2,054	1,965
Victor M Ramos Condominio Valles De Torrimar 12-307	$74.55	1,694	1,256
Carlos A Sosa Condominio Torre Los Frailes 2080	$15.65	1,170	1,139
Verushka Vera Arroyo 1 Ave Albolote Ste 302	$44.00	778	451
Ileana Rivera Guaynabo Medical Mall	$26.72	690	645
Gerald C Mazo B9 Calle Isabel La Catolica	$54.43	658	466
Maria L Miranda Cruz Urb Tintillo Gardens	$42.71	599	450
Gladys Vanessa Ortiz Figueroa 100 Calle Marginal Apt 376	$40.97	514	385
Mirta G Vasquez Salcido Cond Torre De San Miguel	$21.44	481	436
Fabian Aurignac 2056 Calle Turquesa	$19.34	430	336
Jose F Mariani 28 Calle Sonata	$15.52	282	250
Gabriela Irene D'Atri Bosch 140 Ave Las Cumbres	$57.14	242	210
Alenis Alejandro Escribano 107 Calle Princesa Cristina	$44.47	238	208
Sharlene Alick Ortiz 1500 Carr 19 Apt F301	$40.02	232	181
Carlos Alberto Beauchamp Iglesias Av. Las Cumbres	$51.41	227	220
Pediatrix Caribbean Llc Metro Office Park # 6 St 1	$0.11	223	217
Ivan Jose Cortes 44 Calle Carazo	$98.61	194	183
Juan Carlos Malpica-Santiago 101 Ave San Patricio	$40.87	152	32
Marcos Andre Crespo Martinez Qq11 Calle Gea	$71.80	151	139
Vanessa Solis Perez Metro Office Park 6 Suite 202 Street 2	$44.41	147	103
Jose Antonio Matos Negron Carr 199 Km 1.2 Av Las Cumbres	$21.21	129	96
Osvaly Gregorio Lizardo Urb. Bello Monte Calle 13 F 21	$42.12	74	41
Orlando M Leon Santiago C6 Calle Yagrumo	$51.41	66	49
Provider Network Solutions Of Puerto Rico Llc 140 Ave Las Cumbres	$4.69	64	63
Eliseo Sanchez Cond. Saint Moritz	$54.97	36	19
Ramon Ochoa-Salcedo O7 Calle Las Aguilas	$47.94	35	28
Msa Corp. B2 Dr. Ramos Mimoso Street	$44.78	27	26
Joel A. Cardona Ruiz 76 Calle Union Edificio Jaime Rodriguez	$37.15	26	26
Municipio Autonomo De Guaynabo Las Cumbres Avenue, 199 Street	$14.29	21	21
Jose Francisco Campos Edif. Sprint Metro Office Park	$86.11	15	12

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 Guaynabo, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Guaynabo, PR is $74.74 per claim, based on 60,878 claims from 34 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 Guaynabo, PR?

There are 34 Medicaid providers offering Emergency Room Visit related services in Guaynabo, PR according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Guaynabo, PR ranges from $0.11 to $113.64 per claim, with an average of $74.74. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Guaynabo, PR: $74.74

Providers Offering Emergency Room Visit in Guaynabo, PR

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Guaynabo, PR

Non-Emergency Medical Transportation

Office Visit

Dental Cleaning & Exam

Ambulance Transport

Blood Work & Lab Tests

X-Ray

Speech Therapy

Eye Exam