Average Medicaid Emergency Room Visit Payments in Mount Pleasant, WI: $52.13
Avg. Paid
$52.13
Range
$16.82 – $123.15
Total Claims
61,592
Providers
21
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 Mount Pleasant, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Matthew John Clark
3801 Spring St |
$95.54 | 8,016 | 6,962 |
|
Chelsea Faye Filter
3801 Spring St |
$38.16 | 7,425 | 6,749 |
|
Adrian Kenneth Stull
13250 Washington Ave |
$44.51 | 6,772 | 6,066 |
|
Rachael Kozinski
3801 Spring St |
$35.39 | 6,700 | 6,123 |
|
Alissa Marie Mcmahon
1447 Windsor Way Unit 3 |
$53.71 | 4,978 | 4,893 |
|
Joseph Thomas Humphrey
3801 Spring St |
$40.92 | 4,870 | 4,443 |
|
Angela K Gleisner
8400 Washington Ave |
$43.62 | 3,575 | 3,258 |
|
Joshua Delarosa
3801 Spring St |
$45.29 | 2,783 | 2,602 |
|
Evan Jacob Clark
13250 Washington Ave |
$123.15 | 2,713 | 2,573 |
|
Suhas Channappa
13250 Washington Ave |
$30.23 | 2,711 | 2,507 |
|
Caitlin N Carlson
3801 Spring St |
$44.28 | 2,671 | 2,440 |
|
Rochelle F Hass
8400 Washington Ave |
$26.00 | 1,948 | 1,721 |
|
Maria Gomez
13250 Washington Ave |
$37.87 | 1,881 | 1,673 |
|
Margaret Ann Rynkiewicz
13250 Washington Ave |
$54.37 | 1,281 | 1,166 |
|
Jill Koch Wanggaard
8400 Washington Ave |
$53.49 | 1,034 | 952 |
|
Samantha Doty
3801 Spring St |
$38.14 | 843 | 806 |
|
John Paul Korducki
13250 Washington Ave |
$35.88 | 480 | 445 |
|
Lauren Messier
13250 Washington Ave |
$16.82 | 385 | 347 |
|
Megan Dowd
3801 Spring St |
$98.25 | 296 | 280 |
|
Jonathan Rathod
3803 Spring St |
$41.29 | 162 | 57 |
|
Michael G Manske
8400 Washington Ave |
$19.87 | 68 | 64 |
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 Mount Pleasant, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mount Pleasant, WI is $52.13 per claim, based on 61,592 claims from 21 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 Mount Pleasant, WI?
There are 21 Medicaid providers offering Emergency Room Visit related services in Mount Pleasant, WI according to public payment data.
What is the price range for Emergency Room Visit in Mount Pleasant, WI?
Medicaid reimbursement for Emergency Room Visit in Mount Pleasant, WI ranges from $16.82 to $123.15 per claim, with an average of $52.13. 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
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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 Mount Pleasant, WI
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Avg $38.42
251,161 claims
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Avg $11.81
221,842 claims
Office Visit
Avg $34.63
182,605 claims
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Avg $29.11
144,689 claims
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Avg $41.05
124,087 claims
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Avg $79.47
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Avg $44.78
27,847 claims
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Avg $4.76
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