Average Medicaid Emergency Room Visit Payments in Wausau, WI: $47.55
Avg. Paid
$47.55
Range
$15.75 – $160.80
Total Claims
118,931
Providers
24
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 Wausau, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael A Umland
212 Sturgeon Eddy Rd |
$20.92 | 14 | 12 |
|
Kathy Lynne Obermann
2400 Pine Ridge Blvd |
$22.33 | 16 | 15 |
|
Danylo Zorin
500 Wind Ridge Dr |
$93.21 | 22 | 13 |
|
Corrine Blumling Miller
2400 Pine Ridge Blvd |
$72.91 | 28 | 14 |
|
Robin K. Henley
2727 Plaza Dr |
$53.37 | 32 | 27 |
|
Melissa Lynn Leopold
425 Pine Ridge Blvd Ste 220A |
$37.75 | 45 | 41 |
|
Aspirus Wausau Hospital, Inc
333 Pine Ridge Blvd |
$79.30 | 111 | 104 |
|
Jacob Joseph Dirkman
333 Pine Ridge Blvd |
$15.75 | 268 | 234 |
|
Julie H Luks
333 Pine Ridge Blvd |
$31.89 | 348 | 312 |
|
Glenn B Burt
1901 Westwood Center Blvd |
$33.56 | 348 | 307 |
|
Andrew John Miller
1521 Lakeview Ave |
$85.01 | 353 | 351 |
|
Paul Joseph Chestovich
2400 Pine Ridge Blvd |
$160.80 | 448 | 125 |
|
Belal Sayed Afridi
333 Pine Ridge Blvd |
$77.14 | 1,015 | 1,004 |
|
Margaret Louise Hujet
500 Wind Ridge Dr |
$31.54 | 1,757 | 1,559 |
|
Joshua Gross
333 Pine Ridge Blvd |
$28.02 | 2,107 | 1,589 |
|
Thomas A Koepke
333 Pine Ridge Blvd |
$37.25 | 2,191 | 2,034 |
|
Stewart Michael Wente
333 Pine Ridge Blvd |
$34.77 | 3,145 | 2,884 |
|
Paul Gill
333 Pine Ridge Blvd |
$34.51 | 4,405 | 4,110 |
|
Winston D Ryan
333 Pine Ridge Blvd |
$37.07 | 5,622 | 5,274 |
|
Shanna L Paul
333 Pine Ridge Blvd |
$37.29 | 5,653 | 5,236 |
|
Andrew Joseph Stoltze
333 Pine Ridge Blvd |
$39.59 | 6,196 | 5,739 |
|
Gregory Obst
333 Pine Ridge Blvd |
$41.94 | 6,531 | 6,044 |
|
Thomas L Nielsen
333 Pine Ridge Blvd |
$39.28 | 7,245 | 6,709 |
|
Aspirus Wausau Hospital, Inc
333 Pine Ridge Blvd |
$52.80 | 71,031 | 61,744 |
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 Wausau, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Wausau, WI is $47.55 per claim, based on 118,931 claims from 24 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 Wausau, WI?
There are 24 Medicaid providers offering Emergency Room Visit related services in Wausau, WI according to public payment data.
What is the price range for Emergency Room Visit in Wausau, WI?
Medicaid reimbursement for Emergency Room Visit in Wausau, WI ranges from $15.75 to $160.80 per claim, with an average of $47.55. 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 Wausau, WI
Behavioral & Mental Health Therapy
Avg $108.56
685,809 claims
Substance Abuse Treatment
Avg $12.84
545,752 claims
Blood Work & Lab Tests
Avg $8.21
282,160 claims
Office Visit
Avg $35.51
242,386 claims
Dental Cleaning & Exam
Avg $34.47
137,544 claims
Psychiatric Evaluation
Avg $67.61
110,291 claims
Chiropractic Care
Avg $18.62
101,312 claims
Speech Therapy
Avg $13.71
87,327 claims