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Based on public Medicaid payment data.

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
Joel A. Mccauley

855 N Westhaven Dr

 $35.30 53 13
Zachary Strobel

855 N Westhaven Dr

 $30.79 64 63
Hannah Johnshoy

855 N Westhaven Dr

 $33.85 102 96
Ahmed U Otokiti

855 N Westhaven Dr

 $59.66 131 125
William Howard Nebus

2700 W 9Th Ave

 $63.41 148 136
Connor J Medbery

855 N Westhaven Dr

 $40.57 173 147
Jamie D Vandenheuvel

855 N Westhaven Dr

 $35.68 201 181
Hannah G Parsons

855 N Westhaven Dr

 $34.54 218 194
Janu Patel

1855 S Koeller St

 $32.30 435 410
Tyler J Veling

855 N Westhaven Dr

 $27.07 474 439
Lucas G Hechimovich

855 N Westhaven Dr

 $28.75 657 617
Ngassa A Mssika

855 N Westhaven Dr

 $29.64 659 606
Jane E Reid

855 N Westhaven Dr

 $25.63 707 652
Holly Anne Ray

855 N Westhaven Dr

 $20.19 1,001 821
Kenneth Thomson

855 N Westhaven Dr

 $58.18 1,140 1,030
Erich R Weidenbener

855 N Westhaven Dr

 $49.40 1,329 1,171
Jeremy S Wells

855 N Westhaven Dr

 $28.49 1,391 1,235
Cassandra Rohan

2700 W 9Th Ave Ste 101A

 $34.65 1,435 1,299
Jason Landon Garrow

2400 Witzel Ave Ste A

 $22.05 1,526 1,340
Christopher Doyel Chancey

855 N Westhaven Dr

 $36.40 1,549 1,441
Paul Stephen Strait

855 N Westhaven Dr

 $102.07 1,552 1,457
Daniel Hafner

855 N Westhaven Dr

 $22.62 1,972 1,659
Mark R Evans

855 N Westhaven Dr

 $23.40 2,137 1,815
Mercy Medical Center Of Oshkosh, Inc.

500 S Oakwood Rd

 $57.32 2,232 1,979
Daniel Gale

855 N Westhaven Dr

 $32.81 2,369 2,221
Benjamin Genesis M Bautista

855 N Westhaven Dr

 $38.63 2,554 2,202
Zechariah David Spychalla

855 N Westhaven Dr

 $33.12 2,573 2,437
Kevin L Polglaze

855 N Westhaven Dr

 $30.08 2,740 2,449
Christopher C Thompson

855 N Westhaven Dr

 $29.35 3,167 2,813
Craig Truman Brewster

855 N Westhaven Dr

 $168.62 3,215 2,920
Ascension Ne Wisconsin, Inc

500 S Oakwood Rd

 $55.95 23,324 19,359
Aurora Medical Center Of Oshkosh, Inc

855 N Westhaven Dr

 $59.45 62,944 54,612

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