Average Medicaid Emergency Room Visit Payments in Oshkosh, WI: $55.31
Avg. Paid
$55.31
Range
$20.19 – $168.62
Total Claims
124,172
Providers
32
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 Oshkosh, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aurora Medical Center Of Oshkosh, Inc
855 N Westhaven Dr |
$59.45 | 62,944 | 54,612 |
|
Ascension Ne Wisconsin, Inc
500 S Oakwood Rd |
$55.95 | 23,324 | 19,359 |
|
Craig Truman Brewster
855 N Westhaven Dr |
$168.62 | 3,215 | 2,920 |
|
Christopher C Thompson
855 N Westhaven Dr |
$29.35 | 3,167 | 2,813 |
|
Kevin L Polglaze
855 N Westhaven Dr |
$30.08 | 2,740 | 2,449 |
|
Zechariah David Spychalla
855 N Westhaven Dr |
$33.12 | 2,573 | 2,437 |
|
Benjamin Genesis M Bautista
855 N Westhaven Dr |
$38.63 | 2,554 | 2,202 |
|
Daniel Gale
855 N Westhaven Dr |
$32.81 | 2,369 | 2,221 |
|
Mercy Medical Center Of Oshkosh, Inc.
500 S Oakwood Rd |
$57.32 | 2,232 | 1,979 |
|
Mark R Evans
855 N Westhaven Dr |
$23.40 | 2,137 | 1,815 |
|
Daniel Hafner
855 N Westhaven Dr |
$22.62 | 1,972 | 1,659 |
|
Paul Stephen Strait
855 N Westhaven Dr |
$102.07 | 1,552 | 1,457 |
|
Christopher Doyel Chancey
855 N Westhaven Dr |
$36.40 | 1,549 | 1,441 |
|
Jason Landon Garrow
2400 Witzel Ave Ste A |
$22.05 | 1,526 | 1,340 |
|
Cassandra Rohan
2700 W 9Th Ave Ste 101A |
$34.65 | 1,435 | 1,299 |
|
Jeremy S Wells
855 N Westhaven Dr |
$28.49 | 1,391 | 1,235 |
|
Erich R Weidenbener
855 N Westhaven Dr |
$49.40 | 1,329 | 1,171 |
|
Kenneth Thomson
855 N Westhaven Dr |
$58.18 | 1,140 | 1,030 |
|
Holly Anne Ray
855 N Westhaven Dr |
$20.19 | 1,001 | 821 |
|
Jane E Reid
855 N Westhaven Dr |
$25.63 | 707 | 652 |
|
Ngassa A Mssika
855 N Westhaven Dr |
$29.64 | 659 | 606 |
|
Lucas G Hechimovich
855 N Westhaven Dr |
$28.75 | 657 | 617 |
|
Tyler J Veling
855 N Westhaven Dr |
$27.07 | 474 | 439 |
|
Janu Patel
1855 S Koeller St |
$32.30 | 435 | 410 |
|
Hannah G Parsons
855 N Westhaven Dr |
$34.54 | 218 | 194 |
|
Jamie D Vandenheuvel
855 N Westhaven Dr |
$35.68 | 201 | 181 |
|
Connor J Medbery
855 N Westhaven Dr |
$40.57 | 173 | 147 |
|
William Howard Nebus
2700 W 9Th Ave |
$63.41 | 148 | 136 |
|
Ahmed U Otokiti
855 N Westhaven Dr |
$59.66 | 131 | 125 |
|
Hannah Johnshoy
855 N Westhaven Dr |
$33.85 | 102 | 96 |
|
Zachary Strobel
855 N Westhaven Dr |
$30.79 | 64 | 63 |
|
Joel A. Mccauley
855 N Westhaven Dr |
$35.30 | 53 | 13 |
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 Oshkosh, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Oshkosh, WI is $55.31 per claim, based on 124,172 claims from 32 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 Oshkosh, WI?
There are 32 Medicaid providers offering Emergency Room Visit related services in Oshkosh, WI according to public payment data.
What is the price range for Emergency Room Visit in Oshkosh, WI?
Medicaid reimbursement for Emergency Room Visit in Oshkosh, WI ranges from $20.19 to $168.62 per claim, with an average of $55.31. 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 Oshkosh, WI
Substance Abuse Treatment
Avg $9.72
342,304 claims
Personal Care Services
Avg $7.20
305,174 claims
Home Health Visit
Avg $46.95
302,423 claims
Office Visit
Avg $34.26
251,844 claims
Blood Work & Lab Tests
Avg $9.80
189,043 claims
Physical Therapy
Avg $22.47
139,479 claims
Behavioral & Mental Health Therapy
Avg $79.13
123,240 claims
Speech Therapy
Avg $11.73
122,194 claims