Average Medicaid Emergency Room Visit Payments in Racine, WI: $55.72
Avg. Paid
$55.72
Range
$8.27 – $57.83
Total Claims
205,431
Providers
9
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 Racine, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ascension All Saints Hospital, Inc
3801 Spring St |
$57.38 | 186,457 | 163,046 |
|
Jeffrey M Vanbendegom
3801 Spring St |
$24.92 | 5,191 | 4,609 |
|
Andrew Thomas Konicek
3801 Spring Street |
$37.77 | 4,453 | 4,070 |
|
Daniel A Teska
3805B Spring Street |
$57.83 | 4,201 | 3,957 |
|
Brian Michael Ames
3805B Spring St |
$40.38 | 2,604 | 2,447 |
|
Katelyn Curtis
3803 Spring St |
$49.94 | 1,157 | 1,054 |
|
Matthew T Czerniak
3801 Spring St |
$34.66 | 1,074 | 972 |
|
Ryan Beine
3801 Spring St |
$19.43 | 258 | 222 |
|
Daniel J Schnadt
2621 S Green Bay Rd |
$8.27 | 36 | 31 |
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 Racine, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Racine, WI is $55.72 per claim, based on 205,431 claims from 9 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 Racine, WI?
There are 9 Medicaid providers offering Emergency Room Visit related services in Racine, WI according to public payment data.
What is the price range for Emergency Room Visit in Racine, WI?
Medicaid reimbursement for Emergency Room Visit in Racine, WI ranges from $8.27 to $57.83 per claim, with an average of $55.72. 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 Racine, WI
Blood Work & Lab Tests
Avg $10.30
644,485 claims
Office Visit
Avg $39.50
493,194 claims
Physical Therapy
Avg $24.72
232,185 claims
Speech Therapy
Avg $12.59
193,369 claims
Urinalysis & Urine Tests
Avg $9.40
164,590 claims
Non-Emergency Medical Transportation
Avg $10.46
163,491 claims
Personal Care Services
Avg $20.59
151,984 claims
Dental Cleaning & Exam
Avg $27.10
140,599 claims