Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Appleton, WI: $51.76

Avg. Paid

$51.76

Range

$15.87 – $1,091

Total Claims

230,945

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 Appleton, WI

Provider	Avg. Paid	Claims	Patients
Todd L Mcniesh 2500 E Capitol Dr Ste 1200	$20.53	12	12
Jessica Marie Biese 1818 N Meade St	$31.54	16	14
Mohamed Ragab Zakarya 1506 S Oneida St Ste 484	$261.27	19	13
Madhavi Reddy Cherukula 2600 S Heritage Woods Dr	$1,091	22	12
Stephen P. Taylor 1818 N Meade St	$57.61	71	39
Sreedevi Sreenarasimhaiah 2501 E Enterprise Ave	$27.18	79	67
Ryan J Wagner 2400 E Capitol Dr	$15.87	79	56
Steven R Hamel 3925 N Gateway Dr	$52.41	123	118
Jill M Haase 1506 S Oneida St	$26.72	175	160
Teagan Brunk 1506 S Oneida St	$58.92	181	165
Laurin A Bellg 2500 E Capitol Dr	$53.20	209	72
Jennifer Minor 1818 N Meade St	$180.99	241	163
Blake C Schanen 2575 E Evergreen Dr	$43.22	241	234
Jake E Kendall 2500 E Capitol Dr	$19.22	257	224
Katelyn Alissa Cropp 1506 S Oneida St	$70.79	309	286
Avery Allard 3925 N Gateway Dr	$41.56	355	313
Sarah L. Holets 1818 N Meade St	$24.13	540	480
Erica R Meyer 1818 N Meade St	$22.15	712	678
Cyril Walsh 1818 N Meade St	$21.73	718	696
Steven J Mcintyre 1818 N Meade St	$21.00	831	798
Hillary Marie Ahola-Jacques 3935 N Lightning Dr	$35.76	869	826
Kathryn Marie Dahlinger 247 S Nicolet Rd	$31.40	883	827
Elizabeth F Clark 1818 N Meade St	$17.75	1,181	1,075
Sharon Thorson 1818 N Meade St	$29.65	1,355	1,264
Tam M Diep 1818 N Meade St	$29.81	1,372	1,268
Gregory J Hunter 1818 N Meade St	$23.09	1,385	1,293
Julia Rose Tremillo 3925 N Gateway Dr	$27.33	1,480	1,254
Nicole Fields 2400 E Capitol Dr	$43.53	1,546	1,399
Sahar Ahmad 820 E Grant St	$103.25	1,611	612
Shannon I Pham 1506 S Oneida St	$37.06	2,113	1,744
Travis S.K. Scharschmidt 1506 S Oneida St	$29.69	2,210	1,827
Craig Quandt-Walle 1818 N Meade St	$22.10	2,260	2,157
Ashlee Q Hanford-Longsine 1506 S Oneida St	$33.60	2,502	2,125
Reece Edward Cooper 1818 N Meade St	$29.66	2,543	2,415
Sean R Mccloy 1818 N Meade St	$26.58	3,034	2,896
Lauren K Barlow 1506 S Oneida St	$32.94	3,151	2,779
Shae M Wheeler 1506 S Oneida St	$29.27	3,422	3,040
Ronald J Krajnik 3925 N Gateway Dr	$34.09	3,582	3,362
Nicholas R Bope 1506 S Oneida St	$31.30	4,291	3,677
Jojo Densel Hammond 1506 S Oneida St	$29.52	4,595	4,012
Jeremy Alan Pomplun 1506 S Oneida St	$27.82	4,803	4,239
Hannah M Davies 1506 S Oneida St	$29.11	4,808	4,335
Michael D Polka 1818 N Meade St	$27.98	5,094	4,795
Srikar Karanam 161 S Riverheath Way Ste 2600	$71.18	5,659	4,859
Jared Steven Zelinski 1506 S Oneida St	$140.50	6,871	6,447
Thedacare Regional Medical Center - Appleton, Inc. 1818 N Meade St	$53.73	62,262	53,818
Ascension Ne Wisconsin, Inc 1506 S Oneida St	$56.13	90,873	74,888

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 Appleton, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Appleton, WI is $51.76 per claim, based on 230,945 claims from 47 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 Appleton, WI?

There are 47 Medicaid providers offering Emergency Room Visit related services in Appleton, WI according to public payment data.

What is the price range for Emergency Room Visit in Appleton, WI?

Medicaid reimbursement for Emergency Room Visit in Appleton, WI ranges from $15.87 to $1,091 per claim, with an average of $51.76. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Appleton, WI: $51.76

Providers Offering Emergency Room Visit in Appleton, WI

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Appleton, WI

Blood Work & Lab Tests

Substance Abuse Treatment

Office Visit

Behavioral & Mental Health Therapy

Personal Care Services

Speech Therapy

Non-Emergency Medical Transportation

Psychiatric Evaluation