Average Medicaid Emergency Room Visit Payments in Fond Du Lac, WI: $46.88
Avg. Paid
$46.88
Range
$20.70 – $137.26
Total Claims
110,069
Providers
26
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 Fond Du Lac, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kimberly Moldenhauer
23 W Scott St |
$46.16 | 15 | 15 |
|
Karen L Meyer
420 E Division St |
$23.58 | 20 | 14 |
|
Tristan Pitt
430 E Division St |
$27.64 | 33 | 31 |
|
Lisette C Brown
421 Camelot Dr |
$33.48 | 73 | 71 |
|
David C. Beringer
430 E Division St |
$29.82 | 100 | 96 |
|
Mitchell Louis Judge Li
420 E Division St |
$137.26 | 305 | 287 |
|
Jaclyn R Monteverde
430 E Division St |
$29.68 | 644 | 599 |
|
John Snellgrove
430 E Division St |
$34.44 | 708 | 629 |
|
Janet M Drummond
420 E Division St |
$38.53 | 986 | 814 |
|
David P Matthews
145 N Main St |
$27.11 | 1,121 | 961 |
|
Matthew Murphy
430 E Division St |
$29.09 | 1,189 | 1,066 |
|
Mark S Kermgard
145 N Main St |
$30.28 | 1,214 | 1,126 |
|
Sela Sherr
430 E Division St |
$29.35 | 1,314 | 1,176 |
|
Joseph Jon Deboer
430 E Division St |
$34.50 | 1,364 | 1,246 |
|
Michael J Grahl
430 E Division St |
$30.39 | 1,655 | 1,483 |
|
Amanda K Kane
430 E Division St |
$26.99 | 1,988 | 1,823 |
|
Cynthia Nicole Wittwer
430 E Division St |
$27.04 | 2,228 | 2,054 |
|
Marianna V Sieracki
430 E Division St |
$27.68 | 2,279 | 2,090 |
|
Erin C. Rottier
430 E Division St |
$20.70 | 2,351 | 2,228 |
|
Adriane Janet Leonard
430 E Division St |
$26.43 | 2,353 | 2,175 |
|
Michelle C Pesek-Mccoy
430 E Division St |
$31.63 | 2,363 | 2,155 |
|
Nicole K Stuckart
430 E Division St |
$25.51 | 2,616 | 2,401 |
|
Clifton A Robinson
210 Wisconsin American Dr |
$38.39 | 3,381 | 2,956 |
|
Julie A Vajda
430 E Division St |
$32.33 | 4,063 | 3,582 |
|
Scott Blanton Bennion
430 E Division St |
$100.38 | 4,262 | 3,829 |
|
Agnesian Healthcare, Inc
430 E Division St |
$51.41 | 71,444 | 60,769 |
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 Fond Du Lac, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Fond Du Lac, WI is $46.88 per claim, based on 110,069 claims from 26 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 Fond Du Lac, WI?
There are 26 Medicaid providers offering Emergency Room Visit related services in Fond Du Lac, WI according to public payment data.
What is the price range for Emergency Room Visit in Fond Du Lac, WI?
Medicaid reimbursement for Emergency Room Visit in Fond Du Lac, WI ranges from $20.70 to $137.26 per claim, with an average of $46.88. 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
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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 Fond Du Lac, WI
Substance Abuse Treatment
Avg $10.48
448,434 claims
Blood Work & Lab Tests
Avg $8.83
327,918 claims
Office Visit
Avg $30.99
187,764 claims
Physical Therapy
Avg $17.98
104,978 claims
Case Management Services
Avg $237.57
102,660 claims
Personal Care Services
Avg $7.13
98,362 claims
Speech Therapy
Avg $11.33
84,147 claims
Psychiatric Evaluation
Avg $35.02
76,059 claims