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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Monroe, WI: $50.82

Avg. Paid

$50.82

Range

$24.02 – $67.47

Total Claims

28,482

Providers

15

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 Monroe, WI

Provider Avg. Paid Claims Patients
The Monroe Clinic, Inc.

515 22Nd Ave

 $49.85 23,642 19,946
Michael Kai-Hua Yeh

515 22Nd Ave

 $67.47 2,736 2,716
Justin Avigliano

515 22Nd Ave

 $55.12 386 359
Mark Hovland

515 22Nd Ave

 $33.47 354 282
Matthew M Michalski

515 22Nd Ave

 $34.77 353 293
Alysse E. Hoover

Monroe Clinic

 $35.89 312 268
David L Rebedew

515 22Nd Ave

 $43.53 307 261
Lubna Hashmi

515 22Nd Ave

 $40.63 139 114
Jacob Becker

515 22Nd Ave

 $39.57 83 60
Jack G Barkin

515 22Nd Ave

 $37.60 40 39
Michael Falahat

515 22Nd Ave

 $33.07 36 33
Natalie L. Seibert

515 22Nd Ave

 $25.97 32 28
Terrell Messerly

515 22Nd Ave

 $27.66 28 27
Zachary Allan Coffman

515 22Nd Ave

 $24.02 19 15
Darren J Pipp

515 22Nd Ave

 $38.39 15 15

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 Monroe, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Monroe, WI is $50.82 per claim, based on 28,482 claims from 15 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 Monroe, WI?

There are 15 Medicaid providers offering Emergency Room Visit related services in Monroe, WI according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Monroe, WI ranges from $24.02 to $67.47 per claim, with an average of $50.82. 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 Monroe, WI

Office Visit

Avg $36.04

74,968 claims

Personal Care Services

Avg $7.36

68,695 claims

Blood Work & Lab Tests

Avg $6.35

66,503 claims

Behavioral & Mental Health Therapy

Avg $86.16

43,416 claims

Physical Therapy

Avg $21.58

40,384 claims

Speech Therapy

Avg $12.17

21,758 claims

Chiropractic Care

Avg $14.18

19,129 claims

Non-Emergency Medical Transportation

Avg $10.14

15,332 claims