Emergency Department Visit with Moderate 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 99284. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Wisconsin
Sorted by cash price (lowest first). Showing top 60 of 87 hospitals.
| Hospital | Cash | UHC | Cigna | Aetna | MultiPlan | Molina | Humana | First Health | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| UNITYPOINT HEALTH MERITER MADISON |
$44.00 | $109 | $16.50 | — | — | — | $115 | — | — |
| EDGERTON HOSPITAL FULTON SQUARE CLINIC EDGERTON |
$174 | $60.00 | — | $55.00 | — | — | — | — | — |
| EDGERTON HOSPITAL WHITEWATER CLINIC SUITE C |
$174 | — | — | $55.00 | — | — | — | — | — |
| EDGERTON HOSPITAL MILTON CLINIC EDGERTON |
$236 | $60.00 | — | $55.00 | — | — | — | — | — |
| HUDSON HOSPITAL HUDSON |
$254 | — | — | — | — | — | — | — | — |
| AMERY HOSPITAL AMERY |
$254 | — | — | — | — | — | — | — | — |
| AURORA MEDICAL CENTER MANITOWOC COUNTY TWO RIVERS |
$272 | $459 | $461 | $450 | — | $2,344 | — | — | — |
| AURORA MEDICAL CENTER OSHKOSH OSHKOSH |
$282 | $476 | $478 | $467 | — | $2,344 | — | — | — |
| AURORA MEDICAL CENTER FOND DU LAC FOND DU LAC |
$282 | $476 | $478 | $467 | — | $2,344 | — | — | — |
| OSCEOLA MEDICAL CENTER OSCEOLA |
$295 | $70.00 | — | $85.00 | — | — | $34.00 | — | — |
| WESTFIELDS HOSPITAL NEW RICHMOND |
$326 | — | — | — | — | — | — | — | — |
| SSM HEALTH RIPON COMMUNITY HOSPITAL RIPON |
$358 | — | — | — | — | — | — | — | — |
| SSM HEALTH WAUPUN MEMORIAL HOSPITAL WAUPUN |
$358 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. AGNES HOSPITAL - FOND DU LAC FOND DU LAC |
$358 | — | — | — | — | — | — | — | — |
| BURNETT MEDICAL CENTER GRANTSBURG |
$369 | — | — | — | — | — | — | — | — |
| AURORA MEDICAL CENTER BAY AREA MARINETTE |
$380 | $640 | $643 | $628 | — | $2,344 | — | — | — |
| AURORA BAYCARE MEDICAL CENTER GREEN BAY |
$392 | $661 | $664 | $648 | — | $2,344 | — | — | — |
| AURORA MEDICAL CENTER SHEBOYGAN SHEBOYGAN |
$415 | $699 | $702 | $686 | — | $2,344 | — | — | — |
| ASPIRUS PLOVER HOSPITAL STEVENS POINT |
$437 | $45.63 | $606 | $108 | $150 | — | $107 | $587 | — |
| ASPIRUS MERRILL HOSPITAL MERRILL |
$437 | $45.63 | $606 | — | $485 | — | — | $219 | — |
| ASPIRUS DIVINE SAVIOR HOSPITAL PORTAGE |
$437 | $54.76 | $574 | $405 | $57.54 | — | $93.49 | $238 | — |
| ASPIRUS WISCONSIN RAPIDS HOSPITAL WISCONSIN RAPIDS |
$437 | $45.63 | $606 | $94.89 | $587 | — | $106 | $587 | — |
| ASPIRUS EAGLE RIVER HOSPITAL EAGLE RIVER |
$437 | $45.63 | $606 | $108 | $501 | — | $107 | $605 | — |
| ASPIRUS RHINELANDER HOSPITAL RHINELANDER |
$437 | $54.76 | $606 | $108 | $587 | — | $107 | $587 | — |
| ASPIRUS STANLEY HOSPITAL STANLEY |
$437 | $54.76 | $606 | — | $587 | — | — | $587 | — |
| ASPIRUS LANGLADE HOSPITAL ANTIGO |
$437 | $54.76 | $606 | — | $410 | — | $107 | $544 | — |
| ASPIRUS TOMAHAWK HOSPITAL TOMAHAWK |
$437 | $54.76 | $500 | $108 | $294 | — | $107 | $587 | — |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC MEDFORD |
$437 | $54.76 | $606 | — | $150 | — | — | $357 | — |
| ASPIRUS WAUSAU HOSPITAL WAUSAU |
$437 | $45.63 | $606 | $108 | $267 | — | $107 | $587 | — |
| ASPIRUS STEVENS POINT HOSPITAL STEVENS POINT |
$437 | $45.63 | $606 | $108 | $587 | — | $107 | $587 | — |
| HOWARD YOUNG MEDICAL CENTER WOODRUFF |
$437 | $45.63 | $606 | $108 | $605 | — | $107 | $587 | — |
| SAUK PRAIRIE HOSPITAL PRAIRIE DU SAC |
$437 | $110 | — | — | — | — | $110 | — | — |
| AURORA MEDICAL CENTER GRAFTON GRAFTON |
$505 | $850 | $854 | $834 | — | $2,344 | — | — | — |
| AURORA SINAI MEDICAL CENTER MILWAUKEE |
$515 | $867 | $871 | $851 | — | $2,344 | — | — | — |
| AURORA MEDICAL CENTER SUMMIT SUMMIT |
$525 | $884 | $888 | $867 | — | $2,344 | — | — | — |
| HSHS ST CLARE MEMORIAL HOSPITAL OCONTO FALLS |
$539 | $196 | $510 | $196 | $726 | $196 | $196 | $775 | $816 |
| AURORA MEDICAL CENTER MOUNT PLEASANT MOUNT PLEASANT |
$595 | $1,002 | $1,007 | $983 | — | $2,344 | — | — | — |
| AURORA MEDICAL CENTER BURLINGTON BURLINGTON |
$595 | $1,002 | $1,007 | $983 | — | $2,344 | — | — | — |
| AURORA MEDICAL CENTER KENOSHA KENOSHA |
$595 | $1,002 | $1,007 | $983 | — | $2,344 | — | — | — |
| AURORA LAKELAND MEDICAL CENTER ELKHORN |
$595 | $1,002 | $1,007 | $983 | — | $2,344 | — | — | — |
| HOLY FAMILY MEMORIAL MANITOWOC |
$601 | $405 | $787 | — | $874 | $405 | $405 | $962 | $656 |
| MAYO CLINIC HEALTH SYSTEM EAU CLAIRE EAU CLAIRE |
$602 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM RED CEDAR MENOMONIE |
$602 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY BLOOMER |
$602 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM OAKRIDGE OSSEO PO BOX 70 |
$602 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM NORTHLAND BARRON |
$602 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM FRANCISCAN MEDICAL CENTER LA CROSSE LA CROSSE |
$618 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM FRANCISCAN HEALTHCARE SPARTA SPARTA |
$618 | — | — | — | — | — | — | — | — |
| ASCENSION CALUMET HOSPITAL CHILTON |
$656 | $2,246 | — | — | — | — | — | — | — |
| FROEDTERT COMMUNITY HOSPITAL - MEQUON MEQUON |
$673 | $413 | $718 | — | $1,064 | $413 | $413 | $1,076 | $734 |
| FROEDTERT COMMUNITY HOSPITAL OAK CREEK OAK CREEK |
$673 | $413 | $718 | — | $1,064 | $413 | $413 | $1,076 | $734 |
| FROEDTERT COMMUNITY HOSPITAL - PEWAUKEE PEWAUKEE |
$673 | $413 | $718 | — | $1,064 | $413 | $413 | $1,076 | $734 |
| FROEDTERT COMMUNITY HOSPITAL - NEW BERLIN NEW BERLIN |
$673 | $413 | $718 | — | $1,064 | $413 | $413 | $1,076 | $734 |
| AURORA WEST ALLIS MEDICAL CENTER WEST ALLIS |
$675 | $1,137 | $1,142 | $1,115 | — | $2,344 | — | — | — |
| FROEDTERT PLEASANT PRARIE HOSPITAL PLEASANT PRAIRIE |
$710 | — | — | — | — | — | — | — | — |
| FROEDTERT HOSPITAL MILWAUKEE |
$711 | $433 | $1,008 | $441 | $1,034 | $433 | $433 | $1,118 | $2,979 |
| INDIANHEAD MEDICAL CENTER SHELL LAKE |
$728 | $75.00 | — | — | — | — | $90.00 | — | $89.00 |
| BLACK RIVER MEMORIAL HOSPITAL BLACK RIVER FALLS |
$731 | — | — | — | — | — | — | — | — |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER - JANESVILLE JANESVILLE |
$768 | — | — | $420 | — | — | — | — | — |
| FROEDTERT MENOMONEE FALLS HOSPITAL MENOMONEE FALLS |
$791 | $413 | $1,266 | $422 | $1,252 | — | $413 | $1,266 | $2,898 |
That is the median of what the 87 Wisconsin hospitals above publish for Emergency department visit with moderate 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 99284 in Wisconsin, Medicare reimburses about $110 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 $1,767 — that means hospital cash prices are typically 5.5x 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 moderate level of medical decision making cost in Wisconsin?
- Cash prices for emergency department visit with moderate level of medical decision making (CPT 99284) in Wisconsin range from $44.00 to $1,767, with a median of $602. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with moderate 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.