Average Medicaid Emergency Room Visit Payments in Madison, WI: $59.96
Avg. Paid
$59.96
Range
$9.09 – $346.16
Total Claims
734,593
Providers
263
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 Madison, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of Wisconsin Hospitals And Clinics Authority
600 Highland Ave |
$56.69 | 144,573 | 128,358 |
|
Meriter Hospital, Inc.
202 S Park St |
$55.59 | 109,561 | 93,775 |
|
Ssm Health Care Of Wisconsin, Inc.
700 S. Park St. |
$62.06 | 83,218 | 72,795 |
|
Matthew O'Connor
Uw Hospitals And Clinics |
$120.10 | 22,037 | 18,747 |
|
Nicholas Wilkie
Uw Hospital And Clinics |
$79.23 | 10,729 | 10,137 |
|
Adam C. Hanson
202 S Park St |
$23.27 | 10,303 | 8,749 |
|
Kyle Andrew Schoppel
600 Highland Ave |
$126.23 | 8,693 | 8,293 |
|
Paul Berman
202 S Park St |
$23.13 | 7,666 | 6,747 |
|
Christine J Butts
600 Highland Ave |
$159.64 | 7,575 | 6,575 |
|
John Meister
Uw Hospital And Clinics |
$27.79 | 6,913 | 6,444 |
|
Sarah Rauch Heiser
202 South Park Street |
$25.63 | 6,891 | 6,156 |
|
Paul Kilton Hick
202 S Park St |
$23.62 | 6,428 | 5,625 |
|
Maureen C Payant Mckenna
3033 Irvington Way |
$68.62 | 6,275 | 5,618 |
|
Jesus Trevino
600 Highland Ave |
$91.05 | 6,222 | 5,801 |
|
Brian Paul Jennett
600 Highland Ave |
$120.90 | 6,014 | 5,828 |
|
Theresa Kinney Payant Mckenna
3033 Irvington Way |
$65.58 | 5,714 | 5,199 |
|
Jordan Carl Imoehl
600 Highland Ave |
$116.17 | 5,623 | 5,351 |
|
John Davis
Uw Hospital And Clinics |
$157.97 | 5,602 | 5,484 |
|
Nicholas Lepa
2550 University Ave |
$98.70 | 5,493 | 5,203 |
|
Nestor S Rodriguez
Uw Hospital And Clinics |
$21.53 | 5,348 | 4,580 |
|
Maria V Ruiz
202 S Park St |
$23.19 | 5,180 | 4,563 |
|
Michael Kim
600 Highland Ave |
$42.27 | 5,150 | 4,941 |
|
Michael P Ejercito
202 S Park St |
$24.70 | 4,903 | 4,320 |
|
Matthew A Szadkowski
Uw Hospital And Clinics |
$112.70 | 4,662 | 4,522 |
|
Sabina Modelska
600 Highland Ave |
$57.01 | 4,659 | 3,640 |
|
Scott M Harbick
600 Highland Ave |
$39.95 | 4,500 | 3,947 |
|
Brian T. Veit
202 S Park St |
$24.10 | 4,488 | 3,940 |
|
Gregory S Rebella
600 Highland Ave |
$41.70 | 4,373 | 4,171 |
|
Michael Ryan
600 Highland Ave |
$122.69 | 4,303 | 4,269 |
|
Jon Dirk Van Roo
700 S Park St |
$26.88 | 4,060 | 3,734 |
|
Sara Kaebisch
750 Highland Ave |
$50.10 | 4,026 | 3,732 |
|
Christian J Rickman
707 S Mills St |
$27.41 | 3,910 | 3,593 |
|
Ilan D. Kolkowitz
214 S Randall Ave |
$74.78 | 3,816 | 3,691 |
|
Matthew Lochen
700 S. Park Street |
$27.74 | 3,774 | 3,452 |
|
Matthew Patrick Lazio
700 S Park St |
$33.12 | 3,513 | 3,165 |
|
Nicholas A Kuehnel
600 Highland Ave |
$36.68 | 3,494 | 3,361 |
|
Andrew Fischer Dean
600 Highland Ave |
$25.40 | 3,443 | 3,211 |
|
Jamie Rae Santistevan
600 Highland Ave |
$156.19 | 3,439 | 3,401 |
|
Irene Hurst
600 Highland Ave |
$78.54 | 3,221 | 3,097 |
|
Shane Burton Allen
700 S Park St |
$29.09 | 3,203 | 2,949 |
|
Shera Alayna Teitge
700 S Park St |
$26.21 | 3,153 | 2,889 |
|
Kyle A Desimone
600 Highland Ave |
$44.34 | 3,112 | 2,907 |
|
Tyson O Bryant
707 S Mills St |
$28.25 | 3,111 | 2,848 |
|
Maria Analisa Sandoval
600 Highland Ave |
$160.59 | 3,074 | 3,039 |
|
Megan Marie Hannemann
Uw Hospitals And Clinics |
$31.12 | 2,908 | 2,687 |
|
Scott A. Meskin
202 S Park St |
$24.16 | 2,900 | 2,427 |
|
Justin Paul Purnell
619 N Segoe Rd Apt 509 |
$72.55 | 2,899 | 2,701 |
|
Gerard S Doyle
600 Highland Ave |
$83.07 | 2,898 | 2,678 |
|
Ryan J Thompson
600 Highland Ave |
$26.21 | 2,879 | 2,704 |
|
Michael Berkenbush
600 Highland Ave |
$62.04 | 2,866 | 2,711 |
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 Madison, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Madison, WI is $59.96 per claim, based on 734,593 claims from 263 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 Madison, WI?
There are 263 Medicaid providers offering Emergency Room Visit related services in Madison, WI according to public payment data.
What is the price range for Emergency Room Visit in Madison, WI?
Medicaid reimbursement for Emergency Room Visit in Madison, WI ranges from $9.09 to $346.16 per claim, with an average of $59.96. 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 Madison, WI
Substance Abuse Treatment
Avg $12.67
1,509,772 claims
Behavioral & Mental Health Therapy
Avg $110.40
1,504,873 claims
Office Visit
Avg $49.22
1,187,844 claims
Blood Work & Lab Tests
Avg $11.76
1,154,690 claims
X-Ray
Avg $5.48
502,669 claims
Physical Therapy
Avg $19.46
343,028 claims
EKG / ECG (Electrocardiogram)
Avg $5.11
290,457 claims
Dental Cleaning & Exam
Avg $17.30
243,954 claims