Average Medicaid Emergency Room Visit Payments in Mayaguez, PR: $68.86
Avg. Paid
$68.86
Range
$0.00 – $199.01
Total Claims
69,247
Providers
33
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 Mayaguez, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Milton D Carrero
55-N Dr Basora St, |
$47.33 | 25,297 | 14,266 |
|
Carmen I Lugo Ramirez
Carr 349 Km 2.7 |
$2.72 | 14,407 | 8,038 |
|
Betzaida Gonzalez Valentin
528 Villa Fontana |
$199.01 | 12,428 | 12,015 |
|
Javier Antonio Navarro Morales
6 Villa Del Capitan |
$80.93 | 5,142 | 4,480 |
|
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc
Ave Hostos |
$47.94 | 2,645 | 2,249 |
|
Moises Florian Ortiz
312 Calle Vista Bahia |
$63.28 | 1,367 | 903 |
|
Vicente V Nazario Laracuente
Paseo Los Robles Calle Ramon Quiles 1307 |
$19.62 | 1,106 | 980 |
|
Cynthia I Miguel
Bellas Lomas |
$53.19 | 939 | 821 |
|
Michelle M Hoyos Iglesias
807 Quintas De Santa Maria Miradero |
$50.02 | 747 | 519 |
|
Moises Omar Ramirez Vega
606 Calle Pedro A De Alarcon |
$108.12 | 698 | 607 |
|
Dimary Ortiz Mendez
740 Ave. Hostos , Ste. 311, Cond. Medical Center Plaza |
$30.56 | 669 | 563 |
|
Vivian A Justiniano Santiago
Tenerife 68 Sultana |
$7.34 | 548 | 491 |
|
Juan M Colon Rivera
410 Ave Hostos |
$41.16 | 420 | 408 |
|
Aaron A Hernandez Ramirez
Road 349 Km 2.7 |
$198.87 | 375 | 259 |
|
Normando G Duran Guzman
16W Calle De Diego |
$111.21 | 325 | 285 |
|
Omar Rivera-Rivera
349 Ave Hostos |
$77.45 | 300 | 169 |
|
Hector Roman Mercado Ramirez
247 Villa Tuli |
$35.78 | 290 | 276 |
|
Maria J Polanco
Calle Post 18 Norte |
$0.00 | 240 | 217 |
|
Carmen Torres Mercado
106 Street Km 2 |
$2.29 | 210 | 193 |
|
Carlos L Negron-Nazario
Mayaguez Medical Center, Pr-2 |
$83.43 | 146 | 105 |
|
Maitessu Adilen Rivera Nin
565 Sect Pitillo |
$30.39 | 146 | 96 |
|
Juan R Diaz Troche
Calle Pablo Maiz 13 |
$20.10 | 134 | 117 |
|
Lizmary Vazquez
79 Ave Efrain Rivera |
$54.67 | 127 | 82 |
|
Yaret S Roldan Acevedo
15 Calle Dr Basora N |
$42.27 | 100 | 73 |
|
Manuel Jose Rodriguez
63 Mendez Vigo E |
$132.39 | 63 | 56 |
|
Liev Cepero Hernandez
Edif 101, Mendez Vigo, Suite 201 |
$58.27 | 62 | 41 |
|
Francheska Lee Rodriguez Vega
15 Calle Dr Basora N |
$64.47 | 61 | 41 |
|
Jesus A. Romero Perez
5 Calle Pablo Maiz |
$9.81 | 54 | 54 |
|
Keddie Sanchez Lamboy
Perea Hospital |
$43.37 | 52 | 37 |
|
Aramis Alexis Martinez
369 Calle Balboa |
$92.41 | 50 | 25 |
|
Ernesto Luis Cruz
Carretbra #2 Ave |
$20.21 | 46 | 43 |
|
Karlo Ruben Perez Santiago
712 Calle Flamboyan |
$40.48 | 32 | 27 |
|
Isabel Maria Becerra Roman
Calle Dr Basora 55N Suite 210 |
$92.41 | 21 | 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 Mayaguez, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mayaguez, PR is $68.86 per claim, based on 69,247 claims from 33 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 Mayaguez, PR?
There are 33 Medicaid providers offering Emergency Room Visit related services in Mayaguez, PR according to public payment data.
What is the price range for Emergency Room Visit in Mayaguez, PR?
Medicaid reimbursement for Emergency Room Visit in Mayaguez, PR ranges from $0.00 to $199.01 per claim, with an average of $68.86. 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 Mayaguez, PR
Office Visit
Avg $16.67
1,006,098 claims
Blood Work & Lab Tests
Avg $9.77
582,157 claims
Dental Cleaning & Exam
Avg $20.53
219,672 claims
Eye Exam
Avg $34.47
178,699 claims
Vaccines & Immunizations
Avg $6.43
147,854 claims
Urinalysis & Urine Tests
Avg $3.37
124,617 claims
Psychiatric Evaluation
Avg $5.38
89,354 claims
X-Ray
Avg $10.92
86,223 claims