Doctor visits and therapy CPT 99281 Outpatient

Level 1 ER visit cost in Appleton, WI

In Appleton, WI, 4 hospitals list a cash price for emergency room visit, level 1 of 5, minor problem that may not need a doctor: from $36.40 to $111.15, with a median of $44.99. The lowest listed price is at ThedaCare Regional Medical Center-Appleton and 1 other hospital — $8.59 less than the median here. Across Wisconsin, the median is $110.50 at 78 hospitals.

Cash prices at 4 facilities across 2 cities for code 99281, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$36.40ThedaCare Regional Medical Center-Appleton + 1 more
Median$44.99half pay less
Highest$111.15in this market
Difference3.1×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Appleton, WI.

median
Lowest $36.40Highest $263.34

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
ThedaCare Regional Medical Center-Appleton lowest Appleton, WI · (920) 731-4101 HC Prof ER - Level I $36.40 $65.00 $29.90–$81.84 44% —
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ThedaCare Regional Medical Center-Appleton lowest Appleton, WI HC Prof ER - Level I $36.40 $65.00 $29.90–$81.84 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI EMERGENCY DEPT VISIT,LEVEL I $49.28 $88.00 $180.00–$503.00 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 EMERGENCY DEPT VISIT,LEVEL I $49.28 $88.00 $180.00–$503.00 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI HC PROF ER - LEVEL I $49.28 $88.00 $29.90–$81.84 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC PROF ER - LEVEL I $49.28 $88.00 $29.90–$81.84 44% —
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Ascension NE Wisconsin - St Elizabeth Campus Appleton, WI · (920) 738-2000 HC PRO EMERGENCY DEPT VISIT LEVEL 1 $53.58 $94.00 $11.83–$48.97 43% —
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Ascension Calumet Hospital Chilton, WI · (920) 849-2386 HC PRO-ER EMERGENCY DEPT VISIT LEVEL 1 $111.15 $195.00 $11.83–$180.00 43% —
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Ascension Calumet Hospital Chilton, WI · (920) 849-2386 HC ER CARE LEVEL I $117.42 $206.00 $11.83–$180.00 43% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC Emergency Dept Visit,Level I $147.28 $263.00 $180.00–$503.00 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI HC Emergency Dept Visit,Level I $147.28 $263.00 $180.00–$503.00 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC EMERGENCY DEPT VISIT,LEVEL I $154.00 $275.00 $180.00–$503.00 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI HC EMERGENCY DEPT VISIT,LEVEL I $154.00 $275.00 $180.00–$503.00 44% —
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Ascension NE Wisconsin - St Elizabeth Campus Appleton, WI · (920) 738-2000 HC ER CARE LEVEL I $263.34 $462.00 $11.83–$444.00 43% —
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Outpatient: lowest $36.40, median $44.99, highest $111.15 — a 3.1× difference within the same market.

Cash or insurance?

At 3 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is the lowest of five emergency department visit levels, used for a minor problem that needs little care. Since 2023 this level may apply even when no physician or similar clinician needs to see the patient. The level is assigned after the visit: doctors pick it by the complexity of their medical decision making, and hospitals pick the facility level by the care and resources used, so a patient cannot choose it in advance.

What the price covers

The hospital price for this code is the facility fee for the ER visit. The emergency physician bills separately, and lab tests, imaging, medicines and procedures are added on top.