Average Medicaid Emergency Room Visit Payments in Waupaca, WI: $112.77
Avg. Paid
$112.77
Range
$19.21 – $168.75
Total Claims
68,035
Providers
23
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 Waupaca, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thedacare Medical Center - Waupaca, Inc.
800 Riverside Dr |
$168.75 | 31,710 | 25,772 |
|
Christina Lynne Nussbaum
800 Riverside Dr |
$94.99 | 7,255 | 6,352 |
|
Amy T Kenworthy
800 Riverside Dr |
$90.92 | 5,527 | 5,261 |
|
Magdy Eskander
800 Riverside Dr |
$93.84 | 3,567 | 3,364 |
|
Charles D Washington
800 Riverside Dr |
$30.43 | 3,434 | 3,072 |
|
Isaac A Troiano
800 Riverside Dr |
$40.37 | 2,501 | 2,272 |
|
Matthew Paul Nelson
800 Riverside Dr |
$42.24 | 2,359 | 1,837 |
|
Jamie Lynn Schneider
800 Riverside Dr |
$48.75 | 2,167 | 1,974 |
|
Matheen Ahmad Mohabbat
800 Riverside Dr |
$82.59 | 1,904 | 1,846 |
|
Michael Andrew Ward
800 Riverside Dr |
$20.92 | 1,567 | 1,514 |
|
Dennis D Ford
800 Riverside Dr |
$29.81 | 1,034 | 963 |
|
Aaron D. Reineking
800 Riverside Dr |
$26.38 | 896 | 834 |
|
Logan Robert Gorges
800 Riverside Dr |
$40.85 | 679 | 630 |
|
Gert Hasselhof
N2437 E Miner Dr |
$44.16 | 662 | 570 |
|
Robin Purdy
800 Riverside Dr |
$28.13 | 651 | 601 |
|
Spencer Wolf Greaves
800 Riverside Dr |
$33.77 | 646 | 546 |
|
Nathan Michael Larsen
800 Riverside Dr |
$27.98 | 510 | 479 |
|
Lana L Sanders
800 Riverside Dr |
$29.46 | 265 | 254 |
|
Ryan D Nadboralski
800 Riverside Dr |
$25.99 | 254 | 234 |
|
Jennifer Marie Bahr
800 Riverside Dr |
$33.09 | 209 | 196 |
|
Francesca L Detrana
800 Riverside Dr |
$31.57 | 135 | 134 |
|
Jessica Lynn Kennedy
800 Riverside Dr |
$29.26 | 76 | 70 |
|
Dale T Bertram
611 Honey Bear Ct |
$19.21 | 27 | 25 |
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 Waupaca, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Waupaca, WI is $112.77 per claim, based on 68,035 claims from 23 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 Waupaca, WI?
There are 23 Medicaid providers offering Emergency Room Visit related services in Waupaca, WI according to public payment data.
What is the price range for Emergency Room Visit in Waupaca, WI?
Medicaid reimbursement for Emergency Room Visit in Waupaca, WI ranges from $19.21 to $168.75 per claim, with an average of $112.77. 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 Waupaca, WI
Blood Work & Lab Tests
Avg $6.28
123,498 claims
Behavioral & Mental Health Therapy
Avg $134.91
45,792 claims
Office Visit
Avg $36.82
42,717 claims
Speech Therapy
Avg $11.51
36,731 claims
Personal Care Services
Avg $33.69
28,329 claims
Physical Therapy
Avg $17.95
26,120 claims
Urinalysis & Urine Tests
Avg $3.65
18,331 claims
Non-Emergency Medical Transportation
Avg $10.97
14,815 claims