Emergency Department Visit with High Level of Medical Decision Making Cost in Wisconsin
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 87 Wisconsin hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $913
📉 Low $44.00
📈 High $2,650
🏥 87 hospitals
🏛️ 58 with insurance contracts
🇺🇸 Medicare $159
Hospital comparison — Wisconsin
Sorted by cash price (lowest first). Showing top 60 of 87 hospitals.
Billed more than $913 for this? That gap is evidence.
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| Hospital | Cash | UHC | Cigna | Aetna | Molina | MultiPlan | Humana | First Health | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| UNITYPOINT HEALTH MERITER MADISON |
$44.00 | $158 | $16.50 | — | — | — | $166 | — | — |
| INDIANHEAD MEDICAL CENTER SHELL LAKE |
$167 | $75.00 | — | — | — | — | $90.00 | — | $89.00 |
| AURORA MEDICAL CENTER MANITOWOC COUNTY TWO RIVERS |
$335 | $564 | $567 | $553 | $2,344 | — | — | — | — |
| AURORA MEDICAL CENTER OSHKOSH OSHKOSH |
$345 | $581 | $584 | $570 | $2,344 | — | — | — | — |
| AURORA MEDICAL CENTER FOND DU LAC FOND DU LAC |
$345 | $581 | $584 | $570 | $2,344 | — | — | — | — |
| EDGERTON HOSPITAL MILTON CLINIC EDGERTON |
$347 | $60.00 | — | $55.00 | — | — | — | — | — |
| EDGERTON HOSPITAL WHITEWATER CLINIC SUITE C |
$358 | — | — | $55.00 | — | — | — | — | — |
| EDGERTON HOSPITAL FULTON SQUARE CLINIC EDGERTON |
$358 | $60.00 | — | $55.00 | — | — | — | — | — |
| AMERY HOSPITAL AMERY |
$374 | — | — | — | — | — | — | — | — |
| HUDSON HOSPITAL HUDSON |
$391 | — | — | — | — | — | — | — | — |
| OSCEOLA MEDICAL CENTER OSCEOLA |
$437 | $70.00 | — | $85.00 | — | — | $34.00 | — | — |
| AURORA MEDICAL CENTER BAY AREA MARINETTE |
$445 | $749 | $753 | $735 | $2,344 | — | — | — | — |
| AURORA BAYCARE MEDICAL CENTER GREEN BAY |
$452 | $762 | $766 | $748 | $2,344 | — | — | — | — |
| WESTFIELDS HOSPITAL NEW RICHMOND |
$472 | — | — | — | — | — | — | — | — |
| AURORA MEDICAL CENTER SHEBOYGAN SHEBOYGAN |
$478 | $804 | $808 | $789 | $2,344 | — | — | — | — |
| BURNETT MEDICAL CENTER GRANTSBURG |
$485 | — | — | — | — | — | — | — | — |
| SSM HEALTH WAUPUN MEMORIAL HOSPITAL WAUPUN |
$523 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. AGNES HOSPITAL - FOND DU LAC FOND DU LAC |
$523 | — | — | — | — | — | — | — | — |
| SSM HEALTH RIPON COMMUNITY HOSPITAL RIPON |
$523 | — | — | — | — | — | — | — | — |
| AURORA MEDICAL CENTER GRAFTON GRAFTON |
$565 | $951 | $956 | $933 | $2,344 | — | — | — | — |
| AURORA SINAI MEDICAL CENTER MILWAUKEE |
$575 | $968 | $973 | $950 | $2,344 | — | — | — | — |
| AURORA MEDICAL CENTER SUMMIT SUMMIT |
$585 | $985 | $990 | $966 | $2,344 | — | — | — | — |
| SAUK PRAIRIE HOSPITAL PRAIRIE DU SAC |
$589 | $160 | — | — | — | — | $160 | — | — |
| HOLY FAMILY MEMORIAL MANITOWOC |
$616 | $583 | $806 | — | $583 | $896 | $583 | $986 | $672 |
| HOWARD YOUNG MEDICAL CENTER WOODRUFF |
$617 | $66.18 | $857 | $157 | — | $854 | $155 | $829 | — |
| ASPIRUS STANLEY HOSPITAL STANLEY |
$617 | $79.42 | $857 | — | — | $706 | — | $769 | — |
| ASPIRUS LANGLADE HOSPITAL ANTIGO |
$617 | $79.42 | $883 | $141 | — | $100 | — | $829 | — |
| ASPIRUS EAGLE RIVER HOSPITAL EAGLE RIVER |
$617 | $66.18 | $857 | $157 | — | $774 | $155 | $854 | — |
| ASPIRUS TOMAHAWK HOSPITAL TOMAHAWK |
$617 | $158 | $883 | $157 | — | — | $155 | — | — |
| ASPIRUS MERRILL HOSPITAL MERRILL |
$617 | $59.56 | $857 | — | — | $304 | — | — | — |
| ASPIRUS DIVINE SAVIOR HOSPITAL PORTAGE |
$617 | $79.42 | $810 | $578 | — | $436 | $143 | $685 | — |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC MEDFORD |
$617 | $79.42 | $883 | — | — | $282 | $159 | — | — |
| ASPIRUS WISCONSIN RAPIDS HOSPITAL WISCONSIN RAPIDS |
$617 | $66.18 | $857 | $157 | — | $829 | $155 | $829 | — |
| ASPIRUS RHINELANDER HOSPITAL RHINELANDER |
$617 | $79.42 | $857 | $157 | — | $854 | $155 | $746 | — |
| ASPIRUS WAUSAU HOSPITAL WAUSAU |
$617 | $66.18 | $857 | $157 | — | $706 | $155 | $746 | — |
| ASPIRUS STEVENS POINT HOSPITAL STEVENS POINT |
$617 | $66.18 | $883 | $157 | — | $829 | $155 | $829 | — |
| ASPIRUS PLOVER HOSPITAL STEVENS POINT |
$617 | $66.18 | $857 | $157 | — | $663 | $155 | $829 | — |
| AURORA MEDICAL CENTER MOUNT PLEASANT MOUNT PLEASANT |
$675 | $1,137 | $1,142 | $1,115 | $2,344 | — | — | — | — |
| AURORA LAKELAND MEDICAL CENTER ELKHORN |
$675 | $1,137 | $1,142 | $1,115 | $2,344 | — | — | — | — |
| AURORA MEDICAL CENTER KENOSHA KENOSHA |
$675 | $1,137 | $1,142 | $1,115 | $2,344 | — | — | — | — |
| AURORA WEST ALLIS MEDICAL CENTER WEST ALLIS |
$730 | $1,229 | $1,235 | $1,206 | $2,344 | — | — | — | — |
| HSHS ST CLARE MEMORIAL HOSPITAL OCONTO FALLS |
$788 | $287 | $746 | $287 | $287 | $1,063 | $287 | $1,134 | $1,194 |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER - JANESVILLE JANESVILLE |
$874 | — | — | $600 | — | — | — | — | — |
| BLACK RIVER MEMORIAL HOSPITAL BLACK RIVER FALLS |
$913 | — | — | — | — | — | — | — | — |
| AURORA MEDICAL CENTER BURLINGTON BURLINGTON |
$920 | $1,549 | $1,557 | $1,520 | $2,344 | — | — | — | — |
| FROEDTERT COMMUNITY HOSPITAL OAK CREEK OAK CREEK |
$951 | $595 | $1,015 | — | $595 | $1,504 | $595 | $1,522 | $1,037 |
| FROEDTERT COMMUNITY HOSPITAL - MEQUON MEQUON |
$951 | $595 | $1,015 | — | $595 | $1,504 | $595 | $1,522 | $1,037 |
| FROEDTERT COMMUNITY HOSPITAL - NEW BERLIN NEW BERLIN |
$951 | $595 | $1,015 | — | $595 | $1,504 | $595 | $1,522 | $1,037 |
| FROEDTERT COMMUNITY HOSPITAL - PEWAUKEE PEWAUKEE |
$951 | $595 | $1,015 | — | $595 | $1,504 | $595 | $1,522 | $1,037 |
| ASCENSION CALUMET HOSPITAL CHILTON |
$964 | $3,173 | — | — | — | — | — | — | — |
| FROEDTERT HOSPITAL MILWAUKEE |
$982 | $623 | $1,393 | $635 | $623 | $1,429 | $623 | $1,545 | $4,683 |
| MAYO CLINIC HEALTH SYSTEM RED CEDAR MENOMONIE |
$1,078 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM OAKRIDGE OSSEO PO BOX 70 |
$1,078 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM NORTHLAND BARRON |
$1,078 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY BLOOMER |
$1,078 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM EAU CLAIRE EAU CLAIRE |
$1,078 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM FRANCISCAN MEDICAL CENTER LA CROSSE LA CROSSE |
$1,107 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM FRANCISCAN HEALTHCARE SPARTA SPARTA |
$1,107 | — | — | — | — | — | — | — | — |
| FROEDTERT MENOMONEE FALLS HOSPITAL MENOMONEE FALLS |
$1,119 | $595 | $1,790 | $607 | — | $1,770 | $595 | $1,790 | $4,397 |
| FROEDTERT WEST BEND HOSPITAL WEST BEND |
$1,119 | $595 | $1,932 | $607 | $595 | $1,770 | $595 | $1,790 | $5,152 |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, 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: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $913 for this?
That is the median of what the 87 Wisconsin hospitals above publish for Emergency department visit with high level of medical decision making — 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 99285 in Wisconsin, Medicare reimburses about $159 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Wisconsin range from $44.00 to $2,650 — that means hospital cash prices are typically 5.7x 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 with high level of medical decision making cost in Wisconsin?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Wisconsin range from $44.00 to $2,650, with a median of $913. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Wisconsin?
- The cheapest Wisconsin hospital published cash price for this procedure is $44.00. 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 with high level of medical decision making 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 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.