Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Janesville, WI: $56.21

Avg. Paid

$56.21

Range

$9.96 – $114.43

Total Claims

261,364

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 Janesville, WI

Provider	Avg. Paid	Claims	Patients
Mercy Health System Corporation 1000 Mineral Point Ave	$53.73	85,865	72,765
Ssm Health Care Of Wisconsin, Inc. 3400 E Racine St	$58.49	47,430	41,647
Shane M Durkes 849 Kellogg Ave	$97.39	25,791	24,172
Eric Lombardi 1000 Mineral Point Ave	$108.34	14,084	11,733
Karl A Nibbelink 1000 Mineral Point Ave	$24.12	7,620	6,668
Bryan Kenneth Tepper 1000 Mineral Point Ave	$23.72	5,776	4,849
Benjamin M Ho 1446 N Randall Ave	$25.98	4,592	4,272
Benjamin H Kartman 1000 Mineral Point Ave	$22.71	4,409	4,121
Tracy M. Bishop 1000 Mineral Point Ave	$63.96	4,343	3,864
Rachel Diane Allen 1000 Mineral Point Ave	$72.56	4,080	2,971
Christopher M. Koenig 1000 Mineral Point Ave	$23.30	3,974	3,728
Jeffrey R. Nichols 1000 Mineral Point Ave	$23.54	3,317	3,113
Giuseppe A Altamore 1000 Mineral Point Ave	$23.51	3,289	3,074
Margaret Kathryn Johnson 1000 Mineral Point Ave	$24.50	3,141	2,654
Mehreen S Rathore 1000 Mineral Point Ave	$29.65	2,664	2,505
Valerie Ann Lecomte 1000 Mineral Point Ave	$80.18	2,622	2,476
Kevin J Dardis 1000 Mineral Point Ave	$23.33	2,590	2,403
Tyler John Runde 1000 Mineral Point Ave	$24.05	2,578	2,427
Ryan H Holzhauer 1000 Mineral Point Ave	$106.84	2,574	2,451
Weafue Ahmed Saab 1000 Mineral Point Ave	$52.70	2,506	2,328
Matthew D. Tyl 1000 Mineral Point Ave	$23.05	2,404	2,220
Lawrence L Neuman 1000 Mineral Point Ave	$21.09	2,069	1,884
Matthew D Streckert 5000 Mineral Point Ave	$66.09	2,043	1,931
Katherine D. Ketterhagen 3200 E Racine St	$19.24	2,034	1,856
Christopher Lee Wistrom 1000 Mineral Point Ave	$22.34	2,024	1,914
Glenn J Milos 1000 Mineral Point Ave	$24.64	1,956	1,816
Aaron Taylor 1000 Mineral Point Ave	$22.76	1,834	1,745
Michael V Coogan 1000 Mineral Point Ave	$21.78	1,535	1,421
Martin Fedko 1000 Mineral Point Ave	$114.43	1,386	1,232
Yone Amuka 1000 Mineral Point Ave	$22.31	1,208	1,100
Eric William Snell 1000 Mineral Point Ave	$25.70	1,162	1,064
Anna Frishman 1446 N Randall Ave	$29.82	1,129	1,022
Jennifer J Gibson Chambers 1000 Mineral Point Ave	$55.52	1,119	1,064
Jessica Leigh Miller 1000 Mineral Point Ave	$30.78	826	765
Naveed Bari 1000 Mineral Point Ave	$108.96	592	343
Michelle B Esch 3200 E Racine St	$19.69	574	531
Kathleen Helen Miller Mercy Health And Trauma Center	$29.44	480	447
Sean William Marquis 1000 Mineral Point Ave	$25.77	418	397
Christopher Watson 2718 Affirmed Dr	$18.37	397	328
Franz A. Keilhauer 1000 Mineral Point Ave	$36.57	308	258
Muhammad B Alkhan 1000 Mineral Point Ave	$42.87	306	90
Joseph George Kovacic 1000 Mineral Point Ave	$26.99	297	284
Jacob Ginglen 1000 Mineral Point Ave	$37.57	276	264
Ahmed Muhammad S Ghadai 1000 Mineral Point Ave	$108.06	252	111
James G. Fitzgibbon 1010 N Washington St	$15.79	250	227
William Joseph Kinderknecht 1000 Mineral Point Ave	$93.31	224	199
John A Culp 1446 N Randall Ave	$21.90	202	168
Lynn M Johnston 1000 Mineral Point Ave	$24.32	190	161
Christine E Langemo 3400 E Racine St	$35.19	189	183
Frank D Brodkey 1000 Mineral Point Ave	$43.96	184	66

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 Janesville, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Janesville, WI is $56.21 per claim, based on 261,364 claims from 55 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 Janesville, WI?

There are 55 Medicaid providers offering Emergency Room Visit related services in Janesville, WI according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Janesville, WI ranges from $9.96 to $114.43 per claim, with an average of $56.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Janesville, WI: $56.21

Providers Offering Emergency Room Visit in Janesville, WI

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Janesville, WI

Non-Emergency Medical Transportation

Blood Work & Lab Tests

Ambulance Transport

Office Visit

Behavioral & Mental Health Therapy

Personal Care Services

Dental Cleaning & Exam

Urinalysis & Urine Tests