Doctor visits and therapy CPT 99285 Outpatient

Level 5 ER visit cost in Appleton, WI

In Appleton, WI, 4 hospitals list a cash price for emergency room visit, level 5 of 5, high-complexity problem: from $413.25 to $963.87, with a median of $555.91. The lowest listed price is at Ascension NE Wisconsin - St Elizabeth Campus — $142.66 less than the median here. Across Wisconsin, the median is $700.30 at 78 hospitals.

Cash prices at 4 facilities across 2 cities for code 99285, 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$413.25Ascension NE Wisconsin - St Elizabeth Campus
Median$555.91half pay less
Highest$963.87in this market
Difference2.3×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 $413.25Highest $1,957.38

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Ascension NE Wisconsin - St Elizabeth Campus lowest Appleton, WI · (920) 738-2000 HC PRO EMERGENCY DEPT VISIT LEVEL 5 $413.25 $725.00 $182.14–$375.41 43% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC Prof ER-High Complex Level V $555.91 $992.70 $456.64–$945.35 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI HC Prof ER-High Complex Level V $555.91 $992.70 $456.64–$945.35 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI HC PROF ER-HIGH COMPLEX LEVEL V $569.24 $1,016.50 $456.64–$945.35 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC PROF ER-HIGH COMPLEX LEVEL V $569.24 $1,016.50 $456.64–$945.35 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 EMERGENCY DEPT VISIT,LEVEL V $569.24 $1,016.50 $2,009.00 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI EMERGENCY DEPT VISIT,LEVEL V $569.24 $1,016.50 $2,009.00 44% —
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Ascension Calumet Hospital Chilton, WI · (920) 849-2386 HC PRO-ER EMERGENCY DEPT VISIT LEVEL 5 $963.87 $1,691.00 $182.14–$375.41 43% —
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Ascension Calumet Hospital Chilton, WI · (920) 849-2386 HC ER CARE LEVEL V $1,304.73 $2,289.00 $182.14–$1,957.00 43% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC Emergency Dept Visit,Level V $1,446.48 $2,583.00 $2,009.00 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI HC Emergency Dept Visit,Level V $1,446.48 $2,583.00 $2,009.00 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC EMERGENCY DEPT VISIT,LEVEL V $1,447.60 $2,585.00 $2,009.00 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI HC EMERGENCY DEPT VISIT,LEVEL V $1,447.60 $2,585.00 $2,009.00 44% —
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Ascension NE Wisconsin - St Elizabeth Campus Appleton, WI · (920) 738-2000 HC ER CARE LEVEL V $1,564.65 $2,745.00 $182.14–$1,957.00 43% —
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Ascension Calumet Hospital Chilton, WI · (920) 849-2386 HC SEXUAL ASSAULT FACILITY $1,957.38 $3,434.00 $182.14–$3,383.00 43% —
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Ascension NE Wisconsin - St Elizabeth Campus Appleton, WI · (920) 738-2000 HC SEXUAL ASSAULT FACILITY $1,957.38 $3,434.00 $182.14–$3,383.00 43% —
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Outpatient: lowest $413.25, median $555.91, highest $963.87 — a 2.3× difference within the same market.

Cash or insurance?

At 2 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 highest of five emergency department visit levels, used for a serious problem that needs complex evaluation and treatment, often with a hospital admission or transfer. 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.