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 |
|---|---|---|---|
|
Emilie M Padfield
1220 Dewey Ave |
$13.51 | 13 | 12 |
|
Austin Thomas Walsh
10625 W North Ave Ste 101B |
$40.15 | 18 | 16 |
|
Olivia Cortez
10625 W North Ave Ste 101B |
$39.86 | 39 | 32 |
|
Lauren Holly Buczkowski
10625 W North Ave Ste 101B |
$47.95 | 55 | 43 |
|
James A Bockeloh
1155 N Mayfair Rd |
$37.96 | 109 | 105 |
|
Elizabeth Bisciglia
10625 W North Ave Ste 101B |
$71.04 | 137 | 128 |
|
Alice M. Held
10625 W North Ave Ste 101B |
$64.59 | 174 | 160 |
|
Danish S Siddiqui
8320 W Bluemound Rd |
$20.10 | 186 | 161 |
|
Demi Elisabeth Hagen
8915 W Connell Ave |
$36.84 | 231 | 214 |
|
Jose Jesus Santiago-Roque
10625 W North Ave Ste 101B |
$83.84 | 276 | 265 |
|
Angela M Paul
Medical College Of Wisconsin |
$29.41 | 318 | 285 |
|
Nicholas Gore
10625 W North Ave Ste 101B |
$62.30 | 332 | 308 |
|
Annaliese Marie Koller Shumate
1155 N Mayfair Rd |
$15.22 | 376 | 308 |
|
Mellisa Yu Koenings
1155 N Mayfair Rd |
$25.62 | 412 | 407 |
|
Haylie Brynne Hansen Nordquist
10625 W North Ave Ste 101B |
$63.65 | 454 | 422 |
|
Gabrielle Burns
10625 W North Ave Ste 101B |
$66.81 | 474 | 430 |
|
Alexandra Rae Cohen
10625 W North Ave Ste 102 |
$29.24 | 522 | 366 |
|
Kristin Margaret Gustavson
10625 W North Ave Ste 101B |
$72.24 | 625 | 572 |
|
Connor William Schulz
10625 W North Ave Ste 101B |
$53.90 | 824 | 743 |
|
Mallorie A Bergstrom
2727 N Mayfair Rd Ste I |
$42.48 | 825 | 782 |
|
Lei Lei
10625 W North Ave |
$41.17 | 853 | 782 |
|
Ashley J Midtling
201 N Mayfair Rd Ste 515 |
$50.84 | 858 | 813 |
|
Kelly Lawson
10625 W North Ave Ste 101B |
$54.29 | 886 | 802 |
|
Faustina Andreae
10625 W North Ave Ste 101B |
$59.94 | 903 | 815 |
|
Maxwell Joseph Nanes
1155 N Honey Creek Pkwy |
$29.84 | 927 | 787 |
|
Jacob Jodat
10625 W North Ave Ste 101B |
$51.18 | 1,061 | 976 |
|
Madeline Rose Levay
10625 W North Ave Ste 101B |
$61.60 | 1,088 | 996 |
|
Kyle Burt Seely
10625 W North Ave Ste 101B |
$47.34 | 1,175 | 1,058 |
|
Brenna Marie Tomczak
10625 W North Ave Ste 101B |
$47.05 | 1,216 | 1,086 |
|
Emily Rachel Rozin Bon
10625 W North Ave Ste 101B |
$46.92 | 1,367 | 1,250 |
|
Michael Patrick Reis
10625 W North Ave Ste 101B |
$53.05 | 1,392 | 1,239 |
|
Hailee Anna Friederick
10625 W North Ave Ste 101B |
$54.07 | 1,500 | 1,376 |
|
Joshua Gangl
10625 W North Ave Ste 102 |
$45.45 | 1,525 | 1,429 |
|
Samantha Elizabeth Fruehauf
10625 W North Ave |
$65.36 | 1,657 | 1,545 |
|
Michael Thomas Trainor
3289 N Mayfair Rd |
$73.94 | 1,662 | 1,421 |
|
Nicole Novak
10625 W North Ave |
$43.25 | 2,311 | 2,155 |
|
Michelle Ricci
10625 W North Ave Ste 102 |
$43.49 | 2,469 | 2,295 |
|
Kristin Marie Stoehr
3289 N Mayfair Rd |
$32.15 | 2,647 | 2,159 |
|
Claire M Brzeski
10625 W North Ave Ste 101B |
$32.12 | 3,248 | 2,936 |
|
Mohammed Ibbad Yousuf
10625 W North Ave Ste 101B |
$65.33 | 3,469 | 3,383 |
|
John Thomas Roddy
8701 W Watertown Plank Rd |
$43.95 | 3,712 | 1,493 |
|
William Michael Beer
10625 W North Ave Ste 102 |
$43.32 | 3,893 | 3,497 |
|
Reanne Parson Covey
10625 W North Ave |
$45.82 | 4,232 | 3,943 |
|
Matthew Mokrohisky
10625 W North Ave |
$40.75 | 4,849 | 4,386 |
|
Ryan A Schmidt
10625 W North Ave Ste 102 |
$44.75 | 5,111 | 4,513 |
|
Megan O Bedolla
10625 W North Ave Ste 102 |
$44.32 | 5,312 | 4,701 |
|
Robert Thomas Truppe
10625 W North Ave Ste 102 |
$39.29 | 6,003 | 5,320 |
|
Mollie Ritchie
10625 W North Ave |
$45.41 | 6,824 | 6,113 |
|
Yevgenia Shmelkova
10625 W North Ave Ste 102 |
$46.54 | 6,947 | 6,198 |
|
Sean Nolan
6567 Washington Cir |
$26.32 | 7,277 | 6,772 |
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