Average Medicaid Emergency Room Visit Payments in Waukesha, WI: $47.70
Avg. Paid
$47.70
Range
$17.46 – $330.03
Total Claims
106,864
Providers
21
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 Waukesha, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prohealth Waukesha Memorial Hospital, Inc.
725 American Ave |
$50.66 | 78,335 | 65,375 |
|
Matthew Ryan Deluhery
725 American Ave |
$34.60 | 4,508 | 3,923 |
|
Ascension Wisconsin Emerus Menomonee Falls, Llc
2325 Fox Run Blvd |
$59.76 | 3,895 | 3,470 |
|
Alan Michael Abdulla
725 American Ave Ste 5 |
$32.09 | 3,122 | 2,675 |
|
Andrew James Szymanski
725 American Ave Ste 5 |
$33.81 | 3,022 | 2,628 |
|
Michael J Berger
725 American Ave |
$29.97 | 2,166 | 1,815 |
|
Christine Rose Hull Nolen
210 Nw Barstow St |
$30.86 | 2,132 | 1,832 |
|
Grant W Moehring
725 American Ave |
$28.58 | 1,572 | 1,301 |
|
Jennifer Quick Grieve
725 American Ave |
$29.99 | 1,568 | 1,316 |
|
Ally E Esch
725 American Ave Ste 5 |
$31.21 | 1,452 | 1,221 |
|
Frank S Szatkowski
725 American Ave |
$30.75 | 1,436 | 1,223 |
|
Thomas Jeffrey Johnson
725 American Ave Ste 5 |
$34.15 | 1,145 | 995 |
|
Jennifer Lynn Hohl
725 American Ave |
$100.36 | 1,114 | 1,077 |
|
Brian L Huckstorf
725 American Ave |
$30.49 | 534 | 469 |
|
Mark A Schultz
725 American Ave |
$29.49 | 171 | 133 |
|
Kirstin M Certalic
2315 E Moreland Blvd |
$57.37 | 164 | 163 |
|
Hannah Banfield
721 American Ave |
$17.46 | 159 | 139 |
|
Natalie Winterle
725 American Ave |
$37.50 | 130 | 124 |
|
Kelly Ann Fisher
725 American Ave |
$28.62 | 127 | 109 |
|
Prachi Avinash Pophali
725 American Ave |
$330.03 | 94 | 71 |
|
Jennifer L Van Matre-Wattles
W231N1440 Corporate Ct |
$65.92 | 18 | 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 Waukesha, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Waukesha, WI is $47.70 per claim, based on 106,864 claims from 21 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 Waukesha, WI?
There are 21 Medicaid providers offering Emergency Room Visit related services in Waukesha, WI according to public payment data.
What is the price range for Emergency Room Visit in Waukesha, WI?
Medicaid reimbursement for Emergency Room Visit in Waukesha, WI ranges from $17.46 to $330.03 per claim, with an average of $47.70. 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 Waukesha, WI
Substance Abuse Treatment
Avg $11.31
490,331 claims
Blood Work & Lab Tests
Avg $7.92
467,756 claims
Office Visit
Avg $31.79
258,119 claims
Behavioral & Mental Health Therapy
Avg $72.59
211,193 claims
Case Management Services
Avg $64.96
203,991 claims
Personal Care Services
Avg $7.67
135,851 claims
Psychiatric Evaluation
Avg $46.69
133,861 claims
Physical Therapy
Avg $20.76
115,395 claims