Average Medicaid Emergency Room Visit Payments in Stevens Point, WI: $50.53
Avg. Paid
$50.53
Range
$16.74 – $117.44
Total Claims
88,359
Providers
20
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 Stevens Point, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aspirus Stevens Point Hospital & Clinics, Inc.
900 Illinois Ave |
$47.42 | 35,429 | 30,065 |
|
Ethan M Ross
4100 State Highway 66 |
$83.85 | 13,687 | 11,796 |
|
Aspirus Wausau Hospital, Inc.
5409 Vern Holmes Dr |
$59.00 | 12,311 | 10,632 |
|
Marcie A Navratil
900 Illinois Ave |
$26.06 | 5,050 | 4,680 |
|
Daniel Stephen Judd
900 Illinois Ave |
$36.24 | 4,983 | 4,615 |
|
David A Kuphal
900 Illinois Ave |
$23.07 | 3,605 | 3,218 |
|
Kevin Richard Whitney
4100 State Highway 66 |
$18.57 | 2,496 | 2,307 |
|
Christopher Bender
4100 State Highway 66 |
$27.39 | 2,425 | 2,219 |
|
Timothy Vayder
900 Illinois Ave |
$26.79 | 1,720 | 1,568 |
|
Mchs Hospitals Inc
4100 State Highway 66 |
$57.29 | 1,675 | 1,399 |
|
Michael Eng
900 Illinois Ave |
$28.69 | 1,675 | 1,533 |
|
Trina M Daniels
900 Illinois Ave |
$26.86 | 1,366 | 1,237 |
|
Don L Custodio
4100 State Highway 66 |
$117.44 | 1,256 | 1,104 |
|
Evelyn Moore Mills
900 Illinois Ave |
$43.46 | 206 | 203 |
|
Emmanuel K Lonsdorfer
900 Illinois Ave |
$61.16 | 181 | 177 |
|
Rebecca Jorgensen
5409 Vern Holmes Dr |
$26.25 | 168 | 152 |
|
Barbara J Torgerson
900 Illinois Avenue |
$16.74 | 70 | 66 |
|
Diane L Reetz
900 Illinois Ave |
$53.15 | 27 | 26 |
|
Emily M Gunn
900 Illinois Ave |
$18.90 | 17 | 15 |
|
Mariam M Ibdaiwi
4100 State Highway 66 |
$35.29 | 12 | 12 |
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 Stevens Point, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Stevens Point, WI is $50.53 per claim, based on 88,359 claims from 20 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 Stevens Point, WI?
There are 20 Medicaid providers offering Emergency Room Visit related services in Stevens Point, WI according to public payment data.
What is the price range for Emergency Room Visit in Stevens Point, WI?
Medicaid reimbursement for Emergency Room Visit in Stevens Point, WI ranges from $16.74 to $117.44 per claim, with an average of $50.53. 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 Stevens Point, WI
Blood Work & Lab Tests
Avg $9.43
217,270 claims
Behavioral & Mental Health Therapy
Avg $106.11
160,260 claims
Office Visit
Avg $40.10
155,372 claims
Personal Care Services
Avg $10.14
146,430 claims
Speech Therapy
Avg $10.51
82,272 claims
Physical Therapy
Avg $7.77
73,121 claims
Non-Emergency Medical Transportation
Avg $30.16
63,076 claims
Psychiatric Evaluation
Avg $55.43
50,190 claims