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.

📊 Median $602 📉 Low $44.00 📈 High $1,767 🏥 87 hospitals 🏛️ 58 with insurance contracts 🇺🇸 Medicare $110

Hospital comparison — Wisconsin

Sorted by cash price (lowest first). Showing top 60 of 87 hospitals.

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HospitalCashUHCCignaAetnaMultiPlanMolinaHumanaFirst HealthHealth 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
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99284, 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: $834 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $602 for this?

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.

Emergency department visit with moderate 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 99284 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.