Average Medicaid Emergency Room Visit Payments in Mequon, WI: $45.05
Avg. Paid
$45.05
Range
$17.66 – $95.01
Total Claims
65,881
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 Mequon, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Columbia St Mary'S Hospital Ozaukee, Inc.
13111 N Port Washington Rd |
$37.76 | 11,781 | 10,097 |
|
Laura M Lee
13111 N Port Washington Rd |
$29.35 | 10,607 | 9,078 |
|
Robert Nicholaus Beyer
13111 N Port Washington Rd |
$95.01 | 8,891 | 8,544 |
|
Meghan M. Fabrizi
13111 N Port Washington Rd |
$35.77 | 6,727 | 5,980 |
|
Ross M Skizycki
13111 N Port Washington Rd |
$39.66 | 6,495 | 5,853 |
|
Julia Bachmaga
6425 W Mequon Rd |
$44.17 | 5,201 | 4,613 |
|
Froedtert Health Neighborhood Hospital, Llc
11421 N Pt Washington Rd |
$61.13 | 4,654 | 4,019 |
|
Victoria E Rizk
13111 N Port Washington Rd |
$38.10 | 3,371 | 3,055 |
|
Beth J Adams
13111 N Port Washington Rd |
$34.91 | 2,413 | 2,145 |
|
Philip W Diperna
13111 N Port Washington Rd |
$29.82 | 1,862 | 1,681 |
|
Dmitriy B Chester
1340 W Towne Square Rd Stop 5 |
$22.54 | 1,610 | 1,410 |
|
Samantha J Varney
12831 N Port Washington Rd |
$17.66 | 678 | 580 |
|
Jeffrey A Merlin
13111 N Port Washington Rd |
$27.67 | 622 | 602 |
|
Courtney B Richter
13111 N Port Washington Rd |
$18.87 | 348 | 286 |
|
Laura K Lofye
6425 W Mequon Rd |
$23.91 | 331 | 317 |
|
Howard J Croft
10556 N Port Washington Rd # 204 |
$19.62 | 230 | 188 |
|
Heidi N. Keller
6425 W Mequon Rd |
$20.22 | 43 | 41 |
|
Columbia St. Mary'S Hospital Milwaukee, Inc
13111 N Port Washington Rd |
$55.49 | 17 | 16 |
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 Mequon, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mequon, WI is $45.05 per claim, based on 65,881 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 Mequon, WI?
There are 18 Medicaid providers offering Emergency Room Visit related services in Mequon, WI according to public payment data.
What is the price range for Emergency Room Visit in Mequon, WI?
Medicaid reimbursement for Emergency Room Visit in Mequon, WI ranges from $17.66 to $95.01 per claim, with an average of $45.05. 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 Mequon, WI
X-Ray
Avg $5.30
171,858 claims
Office Visit
Avg $37.82
82,716 claims
CT Scan (Computed Tomography)
Avg $39.38
64,944 claims
Substance Abuse Treatment
Avg $12.05
62,271 claims
Blood Work & Lab Tests
Avg $12.02
46,707 claims
Physical Therapy
Avg $21.08
35,729 claims
Psychiatric Evaluation
Avg $54.35
29,114 claims
EKG / ECG (Electrocardiogram)
Avg $4.77
26,060 claims