Average Medicaid Emergency Room Visit Payments in Grafton, WI: $48.62
Avg. Paid
$48.62
Range
$18.50 – $566.82
Total Claims
34,000
Providers
18
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 Grafton, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aurora Medical Center Grafton, Llc
975 Port Washington Road |
$54.82 | 24,991 | 22,282 |
|
Rajeev K Seth
975 Port Washington Rd |
$34.05 | 1,633 | 1,523 |
|
Aaron Michael Ginster
975 Port Washington Rd |
$40.78 | 1,560 | 1,461 |
|
Leah M Sternat
215 Washington St |
$18.50 | 1,270 | 1,189 |
|
Kelly E Miller
975 Port Washington Rd |
$22.71 | 1,256 | 1,149 |
|
Kristina H Elfe
975 Port Washington Rd |
$28.39 | 1,054 | 934 |
|
Laura Mckinnis
1505 Wisconsin Ave Ste 150 |
$22.98 | 665 | 605 |
|
Bjorn Stephen Schweinsberg
975 Port Washington Rd |
$31.27 | 373 | 339 |
|
Lester Ferra
975 Port Washington Rd |
$38.46 | 256 | 240 |
|
Lubomyr Domashevsky
975 Port Washington Rd |
$33.35 | 235 | 222 |
|
Christopher G Kelley
975 Port Washington Rd |
$24.27 | 223 | 205 |
|
Pamela J Krol
975 Port Washington Rd |
$31.42 | 199 | 189 |
|
Laura A. Ripple
975 Port Washington Rd |
$26.85 | 166 | 151 |
|
Phawanjit Kaur Demos
975 Port Washington Rd |
$33.86 | 51 | 51 |
|
Samantha Lynn Mcgreer Winstead
2061 Cheyenne Ct |
$566.82 | 30 | 30 |
|
Jacob Byron Cihla
975 Port Washington Rd |
$90.82 | 13 | 13 |
|
Carmen Kober Glime
975 Port Washington Rd |
$23.67 | 13 | 13 |
|
Lauren S Lopez
975 Port Washington Rd |
$66.88 | 12 | 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 Grafton, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Grafton, WI is $48.62 per claim, based on 34,000 claims from 18 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 Grafton, WI?
There are 18 Medicaid providers offering Emergency Room Visit related services in Grafton, WI according to public payment data.
What is the price range for Emergency Room Visit in Grafton, WI?
Medicaid reimbursement for Emergency Room Visit in Grafton, WI ranges from $18.50 to $566.82 per claim, with an average of $48.62. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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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 Grafton, WI
Physical Therapy
Avg $25.75
105,022 claims
Personal Care Services
Avg $10.31
59,752 claims
Blood Work & Lab Tests
Avg $10.07
54,807 claims
Office Visit
Avg $32.48
39,810 claims
Psychiatric Evaluation
Avg $35.02
31,271 claims
Speech Therapy
Avg $12.82
22,542 claims
Prescription Medications
Avg $0.18
17,144 claims
Non-Emergency Medical Transportation
Avg $10.03
14,227 claims