Average Medicaid Emergency Room Visit Payments in Menomonee Falls, WI: $53.39
Avg. Paid
$53.39
Range
$14.53 – $88.19
Total Claims
119,875
Providers
22
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 Menomonee Falls, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kerry Lee Mattingly
W180N7950 Town Hall Rd |
$23.11 | 14 | 13 |
|
Roderick Scott Brodhead
W129N7055 Northfield Dr |
$18.68 | 15 | 14 |
|
Nirav Patel
N84W16889 Menomonee Ave |
$14.53 | 28 | 18 |
|
Todd Hirschtritt
W129N7055 Northfield Dr |
$53.85 | 48 | 12 |
|
James David Nencka
N84W16889 Menomonee Ave |
$44.83 | 123 | 108 |
|
Lindsey D Baldwin
W180N8085 Town Hall Rd Dept Of |
$20.21 | 147 | 124 |
|
Christopher R Mayer
N84W16889 Menomonee Ave |
$17.80 | 221 | 204 |
|
Kelsey Kalemba
N84W16889 Menomonee Ave |
$20.49 | 268 | 244 |
|
Luke V Desjarlais
N84W16889 Menomonee Ave |
$20.49 | 946 | 841 |
|
Kelly Plagemann
W129N7055 Northfield Dr |
$21.97 | 1,073 | 973 |
|
Lian H Mleziva
W180N8085 Town Hall Rd |
$34.20 | 1,440 | 1,379 |
|
Erik J Amoroso
W180N8085 Town Hall Rd |
$23.66 | 1,464 | 1,360 |
|
Robert John Rogers
W180N8085 Town Hall Rd |
$23.27 | 2,544 | 2,363 |
|
Mark W Semrad
W180N8085 Town Hall Rd |
$24.48 | 2,575 | 2,384 |
|
Dennis W Shepherd
W180N8085 Town Hall Rd |
$24.91 | 2,914 | 2,675 |
|
Anne Mutitu
W180N8085 Town Hall Rd |
$33.32 | 3,660 | 3,268 |
|
Cameron Anniece Tull
W129N7055 Northfield Dr |
$45.95 | 3,880 | 3,574 |
|
Fahad M Iqbal
W180N8085 Town Hall Rd |
$28.81 | 5,164 | 4,385 |
|
Elizabeth E Boziel
N84W16889 Menomonee Ave |
$42.45 | 5,992 | 5,362 |
|
Airron Lamar Richardson
W180N8085 Town Hall Rd |
$88.19 | 16,424 | 13,746 |
|
Ascension Wisconsin Emerus Menomonee Falls, Llc
N88 W14275 Main Street |
$64.24 | 17,699 | 16,030 |
|
Community Memorial Hospital Of Menomonee Falls Inc
W180N8085 Town Hall Rd |
$51.99 | 53,236 | 46,091 |
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 Menomonee Falls, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Menomonee Falls, WI is $53.39 per claim, based on 119,875 claims from 22 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 Menomonee Falls, WI?
There are 22 Medicaid providers offering Emergency Room Visit related services in Menomonee Falls, WI according to public payment data.
What is the price range for Emergency Room Visit in Menomonee Falls, WI?
Medicaid reimbursement for Emergency Room Visit in Menomonee Falls, WI ranges from $14.53 to $88.19 per claim, with an average of $53.39. 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 Menomonee Falls, WI
Blood Work & Lab Tests
Avg $10.38
161,439 claims
Office Visit
Avg $34.92
98,190 claims
Personal Care Services
Avg $11.90
57,871 claims
Physical Therapy
Avg $15.38
54,799 claims
X-Ray
Avg $7.13
53,325 claims
Urinalysis & Urine Tests
Avg $5.24
46,046 claims
EKG / ECG (Electrocardiogram)
Avg $4.75
38,694 claims
CT Scan (Computed Tomography)
Avg $54.25
34,078 claims