Average Medicaid Emergency Room Visit Payments in Tomah, WI: $149.87
Avg. Paid
$149.87
Range
$17.20 – $170.52
Total Claims
43,221
Providers
11
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 Tomah, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tomah Memorial Hospital Inc
501 Gopher Dr |
$170.52 | 37,004 | 30,160 |
|
Michelle M Masters
501 Gopher Dr |
$23.14 | 1,576 | 1,466 |
|
Adam J Haggerty
321 Butts Ave |
$47.65 | 1,159 | 1,025 |
|
Laura J Miller
501 Gopher Dr |
$22.20 | 1,026 | 959 |
|
Sharel A Martin
325 Butts Ave |
$21.26 | 954 | 879 |
|
Cassie Sullivan
501 Gopher Dr |
$23.45 | 667 | 618 |
|
Agnieszka Dendura
501 Gopher Dr |
$22.70 | 320 | 299 |
|
Ashlie Lynn Dushek
505 Gopher Dr |
$17.20 | 241 | 232 |
|
Rachel Ann Robarge
1330 N Superior Ave |
$21.83 | 133 | 122 |
|
Kelly S Thayer
501 Gopher Dr |
$21.12 | 88 | 85 |
|
Gerald Dennis Fushianes
501 Gopher Dr |
$20.05 | 53 | 46 |
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 Tomah, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Tomah, WI is $149.87 per claim, based on 43,221 claims from 11 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 Tomah, WI?
There are 11 Medicaid providers offering Emergency Room Visit related services in Tomah, WI according to public payment data.
What is the price range for Emergency Room Visit in Tomah, WI?
Medicaid reimbursement for Emergency Room Visit in Tomah, WI ranges from $17.20 to $170.52 per claim, with an average of $149.87. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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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 Tomah, WI
Office Visit
Avg $73.15
63,863 claims
Speech Therapy
Avg $10.46
46,635 claims
Blood Work & Lab Tests
Avg $5.90
43,155 claims
Physical Therapy
Avg $23.74
25,979 claims
Personal Care Services
Avg $17.29
25,842 claims
Non-Emergency Medical Transportation
Avg $10.90
25,798 claims
Urinalysis & Urine Tests
Avg $4.68
14,654 claims
Chiropractic Care
Avg $21.14
13,531 claims