Based on public Medicaid payment data.

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
Terrance E Donnal 1821 S Stoughton Rd	$9.09	12	12
John Bolinger Ester 700 S Park St	$23.33	12	12
Erin J Werner 600 Highland Ave	$54.16	12	12
Cally M Dwyer 700 S Park St	$20.11	12	12
Ryan D Luellwitz 20 S Park St	$22.98	12	12
Steven Michael Ewer 600 Highland Ave	$55.85	13	13
Anna Heid 600 Highland Ave	$43.48	13	13
Jakob J. Olson 1211 Fish Hatchery Rd	$133.89	14	14
Omar S Waqhar 5401 Quarry Park Rd	$25.29	14	13
Jeffrey Landen Beczkiewicz 600 Highland Ave	$22.05	14	13
Chloe Bea Faga 700 S Park St	$13.79	15	14
James G Berbee 3534 Lake Mendota Dr	$11.94	16	13
Brian Beardsley 202 S Park St	$17.17	17	16
Joseph Shervey 600 Highland Ave	$60.78	22	21
Katie Sue Coenen 600 Highland Ave	$22.59	22	18
Chad E Schneider 202 So Park St	$131.19	22	12
Chris Konstantinou 600 Highland Ave	$46.02	28	27
Robert J Smith 7102 Mineral Point Rd	$103.14	28	24
Sara Gerlach 700 S Park St	$23.87	31	30
Lauren Elizabeth Schultz 600 Highland Ave	$35.24	31	31
Matthew K Ronck 700 S Park St Ste A	$14.35	31	12
Sarah Soderberg 600 Highland Ave	$42.13	32	31
Piotr J Wojdyla 700 S Park St Ste A	$70.62	32	13
Tomas A Romero Garcia 600 Highland Ave	$16.06	33	33
Pedro R Hernandez Acosta 700 S Park St	$36.46	34	12
Kraig Squires 202 S Park St	$15.15	36	31
Justin N Tawil 600 Highland Ave	$37.41	39	14
Laura Ashley Galliher 1821 S Stoughton Rd	$38.21	42	40
Kevin T Wyne 600 Highland Ave	$23.33	43	43
Baher N Habeeb 700 S Park St	$30.33	44	12
Farhat A Khan 6315 Odana Rd	$32.50	47	42
Jesse Carlo Conterato 600 Highland Ave	$32.03	49	46
Mark Diaz 77 S Oakbridge Ct Apt 105	$20.72	50	49
Joe R Peterson 1821 S Stoughton Rd	$45.50	51	46
Steven Jacobson 707 S Mills St	$31.84	56	55
Joanne G. Martin-Koob 600 Highland Ave	$20.64	58	53
Mckenzie Crowder 700 S Park St	$23.04	62	56
William Taylor Alward 202 S Park St	$38.99	64	24
Yunis Mayasi 600 Highland Ave	$346.16	64	27
Majid Afshar 600 Highland Ave	$64.44	67	29
Eric R Leiendecker 600 Highland Ave	$71.31	70	27
Tajah Tubbs 600 Highland Ave	$115.05	70	70
Miranda Kathryn Zuhlke 700 S Park St	$22.02	73	70
Bradley Glazier 1221 John Q Hammons Drive	$42.63	73	68
Kelly M Beier 752 N High Point Rd	$43.07	74	68
Jacqueline Christianson 1673 Norman Way	$24.63	75	55
Megan Elizabeth Crass 333 E Campus Mall	$77.45	78	77
Steven M Indra 700 S Park St	$26.19	79	71
Laurie N Rice 700 S Park St	$51.95	81	37
Jeffrey John Pothof 600 Highland Ave	$31.42	83	78

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.

Average Medicaid Emergency Room Visit Payments in Madison, WI: $59.96

Providers Offering Emergency Room Visit in Madison, WI

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Madison, WI

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X-Ray

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EKG / ECG (Electrocardiogram)

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