Average Medicaid Emergency Room Visit Payments in Wauwatosa, WI: $43.46
Avg. Paid
$43.46
Range
$13.51 – $83.84
Total Claims
125,870
Providers
54
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 Wauwatosa, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Trent Kapla
10625 W North Ave |
$40.83 | 9,695 | 8,743 |
|
Chloe Stady
10625 W North Ave |
$40.55 | 8,266 | 7,393 |
|
Katherine Townsend
10625 W North Ave Ste 102 |
$39.57 | 7,674 | 6,859 |
|
Eric Kortbein
10625 W North Ave Ste 102 |
$38.82 | 7,461 | 6,730 |
|
Sean Nolan
6567 Washington Cir |
$26.32 | 7,277 | 6,772 |
|
Yevgenia Shmelkova
10625 W North Ave Ste 102 |
$46.54 | 6,947 | 6,198 |
|
Mollie Ritchie
10625 W North Ave |
$45.41 | 6,824 | 6,113 |
|
Robert Thomas Truppe
10625 W North Ave Ste 102 |
$39.29 | 6,003 | 5,320 |
|
Megan O Bedolla
10625 W North Ave Ste 102 |
$44.32 | 5,312 | 4,701 |
|
Ryan A Schmidt
10625 W North Ave Ste 102 |
$44.75 | 5,111 | 4,513 |
|
Matthew Mokrohisky
10625 W North Ave |
$40.75 | 4,849 | 4,386 |
|
Reanne Parson Covey
10625 W North Ave |
$45.82 | 4,232 | 3,943 |
|
William Michael Beer
10625 W North Ave Ste 102 |
$43.32 | 3,893 | 3,497 |
|
John Thomas Roddy
8701 W Watertown Plank Rd |
$43.95 | 3,712 | 1,493 |
|
Mohammed Ibbad Yousuf
10625 W North Ave Ste 101B |
$65.33 | 3,469 | 3,383 |
|
Claire M Brzeski
10625 W North Ave Ste 101B |
$32.12 | 3,248 | 2,936 |
|
Kristin Marie Stoehr
3289 N Mayfair Rd |
$32.15 | 2,647 | 2,159 |
|
Michelle Ricci
10625 W North Ave Ste 102 |
$43.49 | 2,469 | 2,295 |
|
Nicole Novak
10625 W North Ave |
$43.25 | 2,311 | 2,155 |
|
Michael Thomas Trainor
3289 N Mayfair Rd |
$73.94 | 1,662 | 1,421 |
|
Samantha Elizabeth Fruehauf
10625 W North Ave |
$65.36 | 1,657 | 1,545 |
|
Joshua Gangl
10625 W North Ave Ste 102 |
$45.45 | 1,525 | 1,429 |
|
Hailee Anna Friederick
10625 W North Ave Ste 101B |
$54.07 | 1,500 | 1,376 |
|
Michael Patrick Reis
10625 W North Ave Ste 101B |
$53.05 | 1,392 | 1,239 |
|
Emily Rachel Rozin Bon
10625 W North Ave Ste 101B |
$46.92 | 1,367 | 1,250 |
|
Brenna Marie Tomczak
10625 W North Ave Ste 101B |
$47.05 | 1,216 | 1,086 |
|
Kyle Burt Seely
10625 W North Ave Ste 101B |
$47.34 | 1,175 | 1,058 |
|
Madeline Rose Levay
10625 W North Ave Ste 101B |
$61.60 | 1,088 | 996 |
|
Jacob Jodat
10625 W North Ave Ste 101B |
$51.18 | 1,061 | 976 |
|
Maxwell Joseph Nanes
1155 N Honey Creek Pkwy |
$29.84 | 927 | 787 |
|
Faustina Andreae
10625 W North Ave Ste 101B |
$59.94 | 903 | 815 |
|
Kelly Lawson
10625 W North Ave Ste 101B |
$54.29 | 886 | 802 |
|
Ashley J Midtling
201 N Mayfair Rd Ste 515 |
$50.84 | 858 | 813 |
|
Lei Lei
10625 W North Ave |
$41.17 | 853 | 782 |
|
Mallorie A Bergstrom
2727 N Mayfair Rd Ste I |
$42.48 | 825 | 782 |
|
Connor William Schulz
10625 W North Ave Ste 101B |
$53.90 | 824 | 743 |
|
Kristin Margaret Gustavson
10625 W North Ave Ste 101B |
$72.24 | 625 | 572 |
|
Alexandra Rae Cohen
10625 W North Ave Ste 102 |
$29.24 | 522 | 366 |
|
Gabrielle Burns
10625 W North Ave Ste 101B |
$66.81 | 474 | 430 |
|
Haylie Brynne Hansen Nordquist
10625 W North Ave Ste 101B |
$63.65 | 454 | 422 |
|
Mellisa Yu Koenings
1155 N Mayfair Rd |
$25.62 | 412 | 407 |
|
Annaliese Marie Koller Shumate
1155 N Mayfair Rd |
$15.22 | 376 | 308 |
|
Nicholas Gore
10625 W North Ave Ste 101B |
$62.30 | 332 | 308 |
|
Angela M Paul
Medical College Of Wisconsin |
$29.41 | 318 | 285 |
|
Jose Jesus Santiago-Roque
10625 W North Ave Ste 101B |
$83.84 | 276 | 265 |
|
Demi Elisabeth Hagen
8915 W Connell Ave |
$36.84 | 231 | 214 |
|
Danish S Siddiqui
8320 W Bluemound Rd |
$20.10 | 186 | 161 |
|
Alice M. Held
10625 W North Ave Ste 101B |
$64.59 | 174 | 160 |
|
Elizabeth Bisciglia
10625 W North Ave Ste 101B |
$71.04 | 137 | 128 |
|
James A Bockeloh
1155 N Mayfair Rd |
$37.96 | 109 | 105 |
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 Wauwatosa, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Wauwatosa, WI is $43.46 per claim, based on 125,870 claims from 54 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 Wauwatosa, WI?
There are 54 Medicaid providers offering Emergency Room Visit related services in Wauwatosa, WI according to public payment data.
What is the price range for Emergency Room Visit in Wauwatosa, WI?
Medicaid reimbursement for Emergency Room Visit in Wauwatosa, WI ranges from $13.51 to $83.84 per claim, with an average of $43.46. 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 Wauwatosa, WI
Office Visit
Avg $34.81
306,279 claims
Psychiatric Evaluation
Avg $78.17
211,256 claims
Behavioral & Mental Health Therapy
Avg $162.47
142,204 claims
Personal Care Services
Avg $42.40
102,563 claims
Home Health Visit
Avg $38.70
72,726 claims
Blood Work & Lab Tests
Avg $15.29
56,735 claims
Tooth Extraction
Avg $76.84
52,748 claims
Physical Therapy
Avg $17.15
45,528 claims