Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Sheboygan, WI: $52.42

Avg. Paid

$52.42

Range

$12.67 – $226.02

Total Claims

144,586

Providers

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 Sheboygan, WI

Provider	Avg. Paid	Claims	Patients
Aurora Health Care Central, Inc. 3400 Union Ave	$58.57	57,025	49,387
St. Nicholas Hospital-Sisters Of The Third Order Of St Francis 3100 Superior Ave	$50.57	32,228	27,593
Nour Sinno 2629 N 7Th St	$57.33	6,500	6,178
Max Jason Geers 3400 Union Ave	$31.13	6,276	5,587
Rizwan Loya 3400 Union Ave	$27.17	4,616	4,269
Gregory Conrad Thompson 3100 Superior Ave	$32.39	4,019	3,447
Dina Bruce 2629 N 7Th St	$33.82	3,810	3,562
Scott A Kunkel 2629 N 7Th St	$111.55	3,792	3,697
Jesse Michael Justus 3400 Union Ave	$38.16	3,271	3,042
Paul Andrew Knapp 3400 Union Ave	$36.17	3,211	2,986
Andrew M Thorson 3400 Union Ave	$42.67	3,210	2,963
Carissa Tyo 3400 Union Ave	$122.97	3,005	2,660
John Longano 3100 Superior Ave	$39.01	2,355	1,910
Tyler Beranek 3400 Union Ave	$32.74	2,334	2,176
Kaitlin M Nawa 3400 Union Ave	$32.26	2,254	2,076
Kalyn M Harker 3400 Union Ave	$59.12	1,304	1,226
Sarah Kessenich 2629 N 7Th St	$29.65	1,011	940
Kate M Ratajczak 1703 N Taylor Dr	$32.00	983	923
Daniel Kopatich 3400 Union Ave	$34.60	798	751
Shuaib Raza 3400 Union Ave	$25.59	759	658
Charles R Strancke 2629 N 7Th St	$28.38	595	566
David P Dielentheis 2414 Kohler Memorial Dr	$19.77	288	243
Erin Mcglynn 3400 Union Ave	$29.04	270	247
Carolyn Peters 3400 Union Ave	$22.22	250	232
Abigail Rose Demaster 3400 Union Ave	$22.37	134	124
Ahmed Numaan 2414 Kohler Memorial Dr	$12.67	104	80
Matthew Patrick Murphy 3400 Union Ave	$90.74	94	84
Nebiyu Y Biru 3400 Union Ave	$94.35	74	41
Kayla L Tilkens 2414 Kohler Memorial Dr	$226.02	16	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 Sheboygan, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sheboygan, WI is $52.42 per claim, based on 144,586 claims from 29 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 Sheboygan, WI?

There are 29 Medicaid providers offering Emergency Room Visit related services in Sheboygan, WI according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Sheboygan, WI ranges from $12.67 to $226.02 per claim, with an average of $52.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Sheboygan, WI: $52.42

Providers Offering Emergency Room Visit in Sheboygan, WI

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Sheboygan, WI

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Office Visit

Personal Care Services

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Home Health Visit