Average Medicaid Emergency Room Visit Payments in Burlington, WI: $48.14
Avg. Paid
$48.14
Range
$22.55 – $84.06
Total Claims
61,331
Providers
23
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 Burlington, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aurora Health Care Southern Lakes, Inc.
252 Mchenry St |
$55.28 | 23,840 | 21,315 |
|
Robert Garretto
252 Mchenry St |
$60.52 | 6,654 | 5,879 |
|
Daniel Joseph Wright
252 Mchenry St |
$33.36 | 4,839 | 4,246 |
|
Susan M Barr
248 Mchenry St |
$35.30 | 3,724 | 3,512 |
|
Julie A Klein
248 Mchenry St |
$84.06 | 3,168 | 3,048 |
|
Emily Margaret Gilanyi
709 Spring Valley Rd |
$37.31 | 2,864 | 2,495 |
|
Andrew Lawrence Ricci
252 Mchenry St |
$38.56 | 2,768 | 2,402 |
|
Brittany L Porter
252 Mchenry St |
$28.90 | 2,220 | 2,079 |
|
Mark A Philips
252 Mchenry St |
$31.19 | 1,905 | 1,797 |
|
Leilani Gruezo Luell
248 Mchenry St |
$62.87 | 1,590 | 1,327 |
|
Paige Marsin-Kostishak Hansen
252 Mchenry St |
$28.27 | 1,365 | 1,279 |
|
Matthew A Nerland
252 Mchenry St |
$39.64 | 1,113 | 1,061 |
|
James Pavlich Pavlich
252 Mchenry St |
$30.45 | 1,018 | 973 |
|
Jeffrey C Grzelka
252 Mchenry St |
$27.74 | 937 | 885 |
|
Natalie A Miller
252 Mchenry St |
$27.12 | 845 | 813 |
|
Erin Grinhaug
252 Mchenry St |
$28.95 | 824 | 776 |
|
Brittni Cera Peach
252 Mchenry St |
$30.87 | 471 | 449 |
|
Kora Lane Adam
248 Mchenry St |
$33.79 | 293 | 273 |
|
Brett Keith Fulleylove-Krause
252 Mchenry St |
$30.04 | 284 | 271 |
|
Laura E Schemm
709 Spring Valley Rd |
$23.79 | 252 | 239 |
|
Dana L Emery
252 Mchenry St |
$29.98 | 182 | 174 |
|
Fouad Jamal-Ul Husnain
116 N Dodge St Ste 1 |
$31.15 | 99 | 25 |
|
James L Waller
709 Spring Valley Rd |
$22.55 | 76 | 73 |
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 Burlington, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Burlington, WI is $48.14 per claim, based on 61,331 claims from 23 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 Burlington, WI?
There are 23 Medicaid providers offering Emergency Room Visit related services in Burlington, WI according to public payment data.
What is the price range for Emergency Room Visit in Burlington, WI?
Medicaid reimbursement for Emergency Room Visit in Burlington, WI ranges from $22.55 to $84.06 per claim, with an average of $48.14. 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 Burlington, WI
Office Visit
Avg $33.95
85,505 claims
Chiropractic Care
Avg $19.43
48,691 claims
Psychiatric Evaluation
Avg $52.67
47,559 claims
Physical Therapy
Avg $24.82
41,223 claims
Blood Work & Lab Tests
Avg $12.32
37,292 claims
Substance Abuse Treatment
Avg $12.61
26,449 claims
Personal Care Services
Avg $13.92
21,798 claims
Speech Therapy
Avg $10.80
20,802 claims