Hospital prices in Fond Du Lac, Wisconsin

1 hospitals publish price files here.

Hospital Address System Priced procedures
SSM Health St. Agnes Hospital - Fond du Lac 430 E Division St SSM Health 9098

Cash prices in Fond Du Lac

Procedure Lowest cash Median here Highest National median
Hla i typing low res one locus ea $339.35 $339.35 $339.35 $340.00
Home sleep test/type 3 porta $630.30 $630.30 $630.30 $632.40
Homocysteine $144.10 $144.10 $144.10 $113.10
Homogenization tissue $13.75 $13.75 $13.75 $39.00
H pylori (c-13) breath $128.15 $128.15 $128.15 $219.05
Hydration IV infusion each additional hour $144.65 $144.65 $144.65 $134.53
Hydration IV infusion initial 31minutes - 1 hour $293.70 $293.70 $293.70 $394.40
Hysterosalpingography s&i $457.60 $457.60 $457.60 $629.46
I-123 iobenguane diag $2,691.70 $2,691.70 $2,691.70 $5,730.40
I-123 sod iodide diag per 100 uci $64.90 $64.90 $64.90 $158.05
I131 iodide cap, rx $50.05 $50.05 $50.05 $91.83
Iaadi respiratory synctial virus $29.70 $29.70 $29.70 $42.48
Iadna legionella pneumophila amplified probe tq $205.70 $205.70 $205.70 $125.25
Icd cobalt xt dr MRI is1 df1 $16,159.13 $16,159.13 $16,159.13 $35,816.55
Icd crtd cobalt hf MRI is1 df1 $21,728.44 $21,728.44 $21,728.44 $32,098.95
Icd crtp serena MRI $9,933.00 $9,933.00 $9,933.00 $12,663.00
Idh1 common variants $496.10 $496.10 $496.10 $415.35
Idh2 common variants $786.50 $786.50 $786.50 $451.91
I&d upper arm/elbow deep abscess/hematoma $2,014.65 $2,014.65 $2,014.65 $3,386.84
Ihc/icc per specimen each additional single antibody stain $259.60 $259.60 $259.60 $191.75
Ihc/icc per specimen each multiplex antibody stain $410.85 $410.85 $410.85 $339.73
Ihc/icc per specimen initial single antibody stain $343.20 $343.20 $343.20 $266.76
Iliac/fem angio cath insert $518.65 $518.65 $518.65 $1,601.66
Iliac revasc add-on 37222 $6,013.15 $6,013.15 $6,013.15 $6,513.10
Immunoassay tumor antigen quantitative ca 125 $166.65 $166.65 $166.65 $123.50
Immunoassay tumor antigen quantitative ca 19-9 $168.30 $168.30 $168.30 $116.40
Immunodiff gel qual ea antigen/ab $12.87 $12.87 $12.87 $53.95
Immunofixation electrophoresis serum $134.20 $134.20 $134.20 $133.38
Immunofluorescence per specimen each additional single antibody stain $82.50 $82.50 $82.50 $156.00
Immunofluorescence per specimen initial single antibody stain $76.45 $76.45 $76.45 $250.00
Immunoglobulin assay $156.20 $156.20 $156.20 $74.00
Implant cartilage 10mm synthetic $1,407.18 $1,407.18 $1,407.18 $9,261.00
Implant neuroelectrodes $2,763.09 $2,763.09 $2,763.09 $7,266.73
Implant tcat pulm vlv perq $20,174.55 $20,174.55 $20,174.55 $18,494.40
Implant ureth bulk agent $540.31 $540.31 $540.31 $1,930.57
In-111 autol wbc diag per dose $983.95 $983.95 $983.95 $3,704.00
In-111 pentetate dtpa / 0.5 mci $636.90 $636.90 $636.90 $2,135.29
Incise tendon(s) & muscle(s) $4,824.05 $4,824.05 $4,824.05 $7,855.87
Incision & drainage hematoma/seroma/fluid collection $3,395.15 $3,395.15 $3,395.15 $2,261.20
Incision of achilles tendon $5,201.90 $5,201.90 $5,201.90 $3,306.48
Incision of hip tendon $2,653.75 $2,653.75 $2,653.75 $3,885.29
Incision of hip tendons $3,865.95 $3,865.95 $3,865.95 $3,839.54
Incision of tendon & muscle $4,147.55 $4,147.55 $4,147.55 $8,293.50
Incision of thigh tendon $3,100.35 $3,100.35 $3,100.35 $4,499.12
Incision of thigh tendons $2,375.45 $2,375.45 $2,375.45 $4,627.00
Incision of tongue fold $3,078.35 $3,078.35 $3,078.35 $1,865.58
Incision tendon sheath $2,850.65 $2,850.65 $2,850.65 $2,309.40
Infect ag drug suscept pheno predict $537.90 $537.90 $537.90 $325.00
Infect ag genotype na hiv-1 other region $498.30 $498.30 $498.30 $301.50
Infect ag genotype na hiv-1 revr trn/prt $1,072.50 $1,072.50 $1,072.50 $574.60
Infect ag if influenza a $35.75 $35.75 $35.75 $40.61
Infect ag if influenza b $27.50 $27.50 $27.50 $34.67
Infect ag if legionella pneumophila $59.40 $59.40 $59.40 $75.79
Infect ag if nos ea $35.75 $35.75 $35.75 $60.40
Infect ag if pneumocystis carinii $26.40 $26.40 $26.40 $62.29
Infect ag na hpv high-risk types $246.95 $246.95 $246.95 $139.75
Infect ag na influenza r/amp 1st 2 types $364.65 $364.65 $364.65 $227.96
Infect ag na orthopoxvirus amp prb each $86.35 $86.35 $86.35 $102.00
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin $81.40 $81.40 $81.40 $81.44
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium $135.30 $135.30 $135.30 $80.05
Infectious agent antigen immunoassay ql/sq multi step giardia $133.65 $133.65 $133.65 $77.28
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool $120.45 $120.45 $120.45 $83.50
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn $118.80 $118.80 $118.80 $77.72
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization $17.60 $17.60 $17.60 $55.00
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies $103.40 $103.40 $103.40 $101.00
Infectious agent antigen immunoassay ql/sq multi step legionella urine $138.05 $138.05 $138.05 $132.60
Infectious agent antigen immunoassay ql/sq multi step rotavirus $89.10 $89.10 $89.10 $97.50
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin $89.65 $89.65 $89.65 $60.00
Infectious agent nucleic acid amplified probe $386.10 $386.10 $386.10 $276.90
Infectious agent nucleic acid amplified probe chlamydia trachomatis $265.10 $265.10 $265.10 $141.48
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) $80.85 $80.85 $80.85 $174.06
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets $930.05 $930.05 $930.05 $855.45
Infectious agent nucleic acid amplified probe hsv-1 $376.75 $376.75 $376.75 $178.00
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus $151.25 $151.25 $151.25 $150.15
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis $92.95 $92.95 $92.95 $210.00
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae $383.35 $383.35 $383.35 $136.00
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 $115.50 $115.50 $115.50 $103.20
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b $320.65 $320.65 $320.65 $222.60
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv $318.45 $318.45 $318.45 $248.15
Infectious agent nucleic acid amplified probe trichomonas vaginalis $80.85 $80.85 $80.85 $112.45
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets $1,144.55 $1,144.55 $1,144.55 $489.50
Infectious agent nucleic acid quantification bk virus $279.40 $279.40 $279.40 $285.66
Infectious agent nucleic acid quantification hepatitis b $467.50 $467.50 $467.50 $226.35
Infectious agent nucleic acid quantification hepatitis c $473.00 $473.00 $473.00 $278.78
Infectious agent nucleic acid quantification hiv-1 $189.75 $189.75 $189.75 $381.55
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets $584.65 $584.65 $584.65 $298.35
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis $237.60 $237.60 $237.60 $359.64
Initiation & management bipap/cpap initial day $231.55 $231.55 $231.55 $645.79
Inj cntr knee arthro incl ct/mri $466.40 $466.40 $466.40 $464.28
Inj dx for sinogram $128.70 $128.70 $128.70 $436.00
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) $1,918.40 $1,918.40 $1,918.40 $1,214.78
Injection arthrography hip without anesthesia (both sides) $584.10 $584.10 $584.10 $507.10
Injection carpal tunnel therapeutic (both sides) $458.15 $458.15 $458.15 $536.00
Injection during cath supravalvular aortography $1,697.85 $1,697.85 $1,697.85 $1,148.80
Injection epidural blood patch or clot $1,501.50 $1,501.50 $1,501.50 $1,473.12
Injection for arthrography wrist (both sides) $129.80 $129.80 $129.80 $441.12
Injection for bladder x-ray $839.30 $839.30 $839.30 $585.00
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) $403.15 $403.15 $403.15 $504.00
Injection for ureter x-ray $444.95 $444.95 $444.95 $444.95
Injection for ureter x-ray $237.60 $237.60 $237.60 $515.21