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Emergency Department Visit for Problem That May Not Require Health Care Professi… Cost in Wisconsin
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 88 Wisconsin hospitals. CPT 99281. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $110
📉 Low $43.07
📈 High $436
🏥 88 hospitals
🏛️ 54 with insurance contracts
🇺🇸 Medicare $10.26
Hospital comparison — Wisconsin
Sorted by cash price (lowest first). Showing top 60 of 88 hospitals.
Billed more than $110 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Cigna | Molina | Humana | MultiPlan | First Health | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| EDGERTON HOSPITAL FULTON SQUARE CLINIC EDGERTON |
$43.07 | $60.00 | $55.00 | — | — | — | — | — | — |
| EDGERTON HOSPITAL WHITEWATER CLINIC SUITE C |
$43.07 | — | $55.00 | — | — | — | — | — | — |
| EDGERTON HOSPITAL MILTON CLINIC EDGERTON |
$43.07 | $60.00 | $55.00 | — | — | — | — | — | — |
| UNITYPOINT HEALTH MERITER MADISON |
$44.00 | $10.27 | — | $16.50 | — | $10.78 | — | — | — |
| AMERY HOSPITAL AMERY |
$45.36 | — | — | — | — | — | — | — | — |
| CHILDREN'S WISCONSIN FOX VALLEY HOSPITAL NEENAH |
$46.75 | $22.44 | $12.89 | $76.50 | $24.01 | — | $77.35 | — | $72.25 |
| MILWAUKEE CAMPUS-CHILDREN'S WISCONSIN MILWAUKEE |
$46.75 | $22.44 | $12.89 | $76.50 | $24.01 | — | $77.35 | — | $72.25 |
| OSCEOLA MEDICAL CENTER OSCEOLA |
$57.18 | $57.18 | $69.44 | — | — | $27.77 | — | — | — |
| AURORA MEDICAL CENTER SUMMIT SUMMIT |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA BAYCARE MEDICAL CENTER GREEN BAY |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA MEDICAL CENTER SHEBOYGAN SHEBOYGAN |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA MEDICAL CENTER BAY AREA MARINETTE |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA ST. LUKE'S SOUTH SHORE CUDAHY |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA SINAI MEDICAL CENTER MILWAUKEE |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA LAKELAND MEDICAL CENTER ELKHORN |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA MEDICAL CENTER WASHINGTON COUNTY HARTFORD |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA MEDICAL CENTER BURLINGTON BURLINGTON |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA MEDICAL CENTER OSHKOSH OSHKOSH |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA MEDICAL CENTER GRAFTON GRAFTON |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA WEST ALLIS MEDICAL CENTER WEST ALLIS |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA MEDICAL CENTER KENOSHA KENOSHA |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA MEDICAL CENTER MANITOWOC COUNTY TWO RIVERS |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA MEDICAL CENTER FOND DU LAC FOND DU LAC |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA ST LUKES MEDICAL CENTER MILWAUKEE |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| AURORA MEDICAL CENTER MOUNT PLEASANT MOUNT PLEASANT |
$62.50 | $105 | $103 | $106 | $403 | — | — | — | — |
| MENTAL HEALTH EMERGENCY CENTER MILWAUKEE |
$69.00 | $85.77 | — | — | $85.77 | $85.77 | — | — | — |
| HUDSON HOSPITAL HUDSON |
$76.69 | — | — | — | — | — | — | — | — |
| UW HEALTH AMERICAN FAMILY CHILDREN'S HOSPITAL HIGHLAND AVE MADISON |
$94.20 | — | — | — | — | — | — | — | — |
| FROEDTERT COMMUNITY HOSPITAL - PEWAUKEE PEWAUKEE |
$98.18 | $85.50 | — | $105 | $85.50 | $85.50 | $155 | $157 | $107 |
| FROEDTERT COMMUNITY HOSPITAL - NEW BERLIN NEW BERLIN |
$98.18 | $85.50 | — | $105 | $85.50 | $85.50 | $155 | $157 | $107 |
| FROEDTERT COMMUNITY HOSPITAL OAK CREEK OAK CREEK |
$98.18 | $85.50 | — | $105 | $85.50 | $85.50 | $155 | $157 | $107 |
| FROEDTERT COMMUNITY HOSPITAL - MEQUON MEQUON |
$98.18 | $85.50 | — | $105 | $85.50 | $85.50 | $155 | $157 | $107 |
| BURNETT MEDICAL CENTER GRANTSBURG |
$106 | — | — | — | — | — | — | — | — |
| ASPIRUS STEVENS POINT HOSPITAL STEVENS POINT |
$110 | $40.33 | $81.91 | $111 | — | — | — | — | — |
| ASPIRUS RHINELANDER HOSPITAL RHINELANDER |
$110 | $10.56 | $81.91 | — | — | $10.35 | — | — | — |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC MEDFORD |
$110 | — | — | — | — | — | — | — | — |
| ASPIRUS PLOVER HOSPITAL STEVENS POINT |
$110 | $50.20 | $82.27 | — | — | — | — | — | — |
| HOWARD YOUNG MEDICAL CENTER WOODRUFF |
$110 | — | $81.91 | — | — | — | — | — | — |
| ASPIRUS EAGLE RIVER HOSPITAL EAGLE RIVER |
$110 | — | — | — | — | — | — | — | — |
| ASPIRUS TOMAHAWK HOSPITAL TOMAHAWK |
$110 | — | — | — | — | — | — | — | — |
| ASPIRUS MERRILL HOSPITAL MERRILL |
$110 | $44.05 | — | — | — | — | — | — | — |
| ASPIRUS DIVINE SAVIOR HOSPITAL PORTAGE |
$110 | — | $81.91 | — | — | — | — | — | — |
| ASPIRUS WAUSAU HOSPITAL WAUSAU |
$110 | $10.27 | $82.27 | — | — | — | — | — | — |
| ASPIRUS LANGLADE HOSPITAL ANTIGO |
$110 | — | — | — | — | — | — | — | — |
| ASPIRUS STANLEY HOSPITAL STANLEY |
$110 | — | — | — | — | — | — | — | — |
| ASPIRUS WISCONSIN RAPIDS HOSPITAL WISCONSIN RAPIDS |
$110 | — | $81.91 | — | — | — | — | — | — |
| ASCENSION CALUMET HOSPITAL CHILTON |
$111 | $444 | — | — | — | — | — | — | — |
| FROEDTERT WEST BEND HOSPITAL WEST BEND |
$116 | $69.30 | $87.21 | $200 | $85.50 | $85.50 | $183 | $185 | $1,085 |
| FROEDTERT MENOMONEE FALLS HOSPITAL MENOMONEE FALLS |
$116 | $69.30 | $87.21 | $185 | — | $85.50 | $183 | $185 | $327 |
| HOLY FAMILY MEMORIAL MANITOWOC |
$116 | $83.74 | — | $151 | $83.74 | $83.74 | $168 | $185 | $126 |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER WALWORTH LAKE GENEVA |
$123 | — | — | — | — | — | — | — | — |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER - JANESVILLE JANESVILLE |
$126 | — | $84.94 | — | — | — | — | — | — |
| HSHS ST. MARY'S HOSPITAL GREEN BAY |
$137 | $82.34 | $82.34 | $145 | $82.34 | $82.34 | $174 | $197 | $207 |
| HSHS ST. VINCENT'S HOSPITAL GREEN BAY |
$137 | $81.91 | $81.91 | $145 | $81.91 | $81.91 | $174 | $197 | $207 |
| HSHS ST. NICHOLAS HOSPITAL SHEBOYGAN |
$137 | $82.46 | $82.46 | $145 | $82.46 | $82.46 | $174 | $197 | $207 |
| HSHS ST CLARE MEMORIAL HOSPITAL OCONTO FALLS |
$141 | $51.12 | $51.12 | $133 | $51.12 | $51.12 | $190 | $202 | $213 |
| SAUK PRAIRIE HOSPITAL PRAIRIE DU SAC |
$146 | $10.39 | — | — | — | $10.39 | — | — | — |
| WESTFIELDS HOSPITAL NEW RICHMOND |
$149 | — | — | — | — | — | — | — | — |
| RICHLAND HOSPITAL CLINIC RICHLAND CENTER |
$159 | $11.80 | $169 | $169 | — | $11.80 | — | — | — |
| INDIANHEAD MEDICAL CENTER SHELL LAKE |
$168 | $75.00 | — | — | — | $90.00 | — | — | $89.00 |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99281, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $183 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $110 for this?
That is the median of what the 88 Wisconsin hospitals above publish for Emergency department visit for problem that may not require health care professi… — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99281 in Wisconsin, Medicare reimburses about $10.26 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Wisconsin range from $43.07 to $436 — that means hospital cash prices are typically 10.8x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit for problem that may not require health care professi… cost in Wisconsin?
- Cash prices for emergency department visit for problem that may not require health care professi… (CPT 99281) in Wisconsin range from $43.07 to $436, with a median of $110. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit for problem that may not require health care professi… in Wisconsin?
- The cheapest Wisconsin hospital published cash price for this procedure is $43.07. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit for problem that may not require health care professi… in nearby states
Other procedures in Wisconsin
Methodology. Cash prices and insurance-negotiated rates published by each Wisconsin facility under federal price transparency rules (45 CFR § 180). CPT code 99281 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.