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
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl $4,516.60 $4,516.60 $4,516.60 $2,725.56
Pq vrtbrplst 1 bdy inj crv-thr w/img ini $4,538.60 $4,538.60 $4,538.60 $4,565.03
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini $4,538.60 $4,538.60 $4,538.60 $4,811.54
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr $3,223.00 $3,223.00 $3,223.00 $3,761.65
Pr application of long arm splint $314.60 $314.60 $314.60 $332.75
Pr application splint static short arm $285.45 $285.45 $285.45 $301.60
Pr biopsy skin punch single lesion $591.80 $591.80 $591.80 $472.79
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes $30.80 $30.80 $30.80 $48.71
Prcrd drg 6+yr without anomly $1,243.00 $1,243.00 $1,243.00 $2,708.85
Pr cystourethroscopy with insertion indwelling ureteral stent $834.24 $834.24 $834.24 $4,555.88
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< $278.85 $278.85 $278.85 $356.40
Prealbumin $69.30 $69.30 $69.30 $87.20
Pregabalin - sendout $188.65 $188.65 $188.65 $65.25
Pr egd flexible transoral w/placement percutaneous gastrostomy tube $1,156.65 $1,156.65 $1,156.65 $2,363.79
Pregnancy Ultrasound (complete, after first trimester) $460.90 $460.90 $460.90 $592.71
Pregnancy Ultrasound (first trimester) $460.90 $460.90 $460.90 $541.45
Pressure max expiratory/inspiratory $397.65 $397.65 $397.65 $253.00
Pressure velocity wire add ves $1,416.80 $1,416.80 $1,416.80 $1,595.78
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref $226.05 $226.05 $226.05 $141.00
Pretreat rbc absorption reference $136.40 $136.40 $136.40 $138.60
Pretreat rbc density gradient separation reference $226.05 $226.05 $226.05 $189.84
Pretreat rbc w chem/drugs reference $446.60 $446.60 $446.60 $106.00
Pretreat rbc w enzyme reference $446.60 $446.60 $446.60 $166.10
Pr evaluation psychiatric diagnostic w/medical services $195.80 $195.80 $195.80 $313.30
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment $175.75 $175.75 $175.75 $178.57
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm $3,407.80 $3,407.80 $3,407.80 $1,908.09
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm $3,292.30 $3,292.30 $3,292.30 $2,265.60
Pr excision nail/nail matrix partial/complete permanent removal $1,167.65 $1,167.65 $1,167.65 $827.94
Prgrmg dev eval pm/ldls pm $96.25 $96.25 $96.25 $139.10
Prgrmg dev eval scrms ip $91.30 $91.30 $91.30 $126.00
Prgrmg eval implantable dfb $121.55 $121.55 $121.55 $143.55
Prgrmg eval implantable dfb $145.20 $145.20 $145.20 $172.33
Prgrmg eval implantable dfb $135.30 $135.30 $135.30 $183.00
Prgr stim/pace a/iv drug $3,119.05 $3,119.05 $3,119.05 $4,889.30
Prim art mech thrmbc non-intracranial $3,644.30 $3,644.30 $3,644.30 $9,470.97
Prim art mech thrmbc non-intracranial add-on $1,595.55 $1,595.55 $1,595.55 $4,380.00
Pr incision & drainage abscess complicated/multiple $670.45 $670.45 $670.45 $648.80
Pr incision & drainage abscess simple/single $563.20 $563.20 $563.20 $438.00
Pr incision & drainage abscess vulva/perineal $638.55 $638.55 $638.55 $638.55
Pr incision & removal foreign body subcutaneous tissues simple $733.70 $733.70 $733.70 $615.60
Pr management transitional care high w/in 7 days of discharge $282.22 $282.22 $282.22 $251.56
Pr management transitional care moderate w/in 14 days of discharge $192.42 $192.42 $192.42 $198.90
Pr moderate sedation same physician >= 5 years initial 15 minutes $95.15 $95.15 $95.15 $277.60
Probe cryo 1150mm endo flex ster disp $3,000.59 $3,000.59 $3,000.59 $7,350.00
Procalcitonin $112.75 $112.75 $112.75 $144.10
Progesterone $165.00 $165.00 $165.00 $105.00
Prolactin $174.90 $174.90 $174.90 $127.50
Prolng off/op e/m ea 15 min 99417 $76.45 $76.45 $76.45 $61.25
Prostate biopsy, any mthd $686.95 $686.95 $686.95 $492.80
Protein c activity $118.80 $118.80 $118.80 $115.00
Protein electrophoretic fractionation & quantitation serum $108.35 $108.35 $108.35 $85.20
Protein s total $101.20 $101.20 $101.20 $78.87
Protein total 24 hour urine $47.85 $47.85 $47.85 $52.50
Protein total body fluid $52.80 $52.80 $52.80 $52.57
Protein total serum plasma whole blood $52.80 $52.80 $52.80 $42.81
Prothrombin time substitution plasma fractions each $22.55 $22.55 $22.55 $37.05
Pr planning advance care 1st 30 minutes $132.00 $132.00 $132.00 $135.80
Prq cardiac angio addl art $6,943.75 $6,943.75 $6,943.75 $5,655.72
Prq card revasc mi 1 vsl $7,533.35 $7,533.35 $7,533.35 $16,535.80
Prq card revasc mi 1 vsl drug-eluting $7,569.65 $7,569.65 $7,569.65 $20,854.53
Prq card stent w/angio addl $6,725.40 $6,725.40 $6,725.40 $9,180.60
Prq revasc byp graft 1 art and/or branches $7,279.80 $7,279.80 $7,279.80 $13,419.98
Prq revasc byp graft addl $6,501.55 $6,501.55 $6,501.55 $11,251.88
Prq tcat plmt ntrac st 1 les $7,262.20 $7,262.20 $7,262.20 $13,419.98
Prq trlml c athrc st angiop1 $10,491.80 $10,491.80 $10,491.80 $18,127.95
Prq trluml c angiop 1art&/br $6,612.65 $6,612.65 $6,612.65 $9,131.70
Prq trluml c athrc 1 art&/br $11,948.20 $11,948.20 $11,948.20 $13,419.98
Prq trluml revsc ch occ ant $7,643.35 $7,643.35 $7,643.35 $16,678.62
Pr removal drug delivery implant $404.25 $404.25 $404.25 $614.27
Pr removal foreign body external auditory canal without anesthesia $275.55 $275.55 $275.55 $280.79
Pr removal intrauterine device $426.25 $426.25 $426.25 $447.78
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm $737.55 $737.55 $737.55 $775.50
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm $516.45 $516.45 $516.45 $387.40
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm $598.95 $598.95 $598.95 $440.00
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm $492.25 $492.25 $492.25 $377.45
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm $563.20 $563.20 $563.20 $422.00
Pr tube thoracostomy w/connection to drainage open $1,329.35 $1,329.35 $1,329.35 $1,790.60
PSA (Prostate) Test $146.85 $146.85 $146.85 $109.35
Psych/neuropsych test admin automated result 96146 $51.15 $51.15 $51.15 $39.77
Psychoeducation 45 min + $106.70 $106.70 $106.70 $201.45
Psychotherapy group therapy $124.30 $124.30 $124.30 $264.32
Psychotherapy patient individual therapy 30 minutes $102.30 $102.30 $102.30 $200.00
Psychotherapy patient individual therapy 45 minutes $278.85 $278.85 $278.85 $267.00
Psychotherapy patient individual therapy 60 minutes $347.05 $347.05 $347.05 $294.45
Psych test eval svc phys/qhp 1st hr $264.55 $264.55 $264.55 $316.50
Psych test eval svc phys/qhp ea addl hr $199.10 $199.10 $199.10 $207.20
Psychthrp grp 45-50min mcr $131.45 $131.45 $131.45 $157.15
Psycl/nrpsyc tech 1st $92.40 $92.40 $92.40 $330.00
Psy/npsy phys/qhp 2> tst 1st 30 min $50.05 $50.05 $50.05 $203.40
Psy/npsy phys/qhp 2> tst ea l 30 min $50.05 $50.05 $50.05 $153.75
Psy/npsy tst admin tech 2> ea l 30 min $93.50 $93.50 $93.50 $117.70
Psytx complex interactive $44.55 $44.55 $44.55 $45.00
Psytx pt w/e&m 16-37 min $92.95 $92.95 $92.95 $126.14
Psytx pt w/e&m 38-52 min $95.15 $95.15 $95.15 $158.40
Psytx pt w/e&m 53+ min $118.25 $118.25 $118.25 $183.00
Pt application of modality >=1 area electrical stimulation each 15 minutes $54.45 $54.45 $54.45 $90.00
Pt application of modality >=1 area hot/cold packs $12.10 $12.10 $12.10 $34.69
Pt application of modality >=1 area iontophoresis each 15 minutes $66.00 $66.00 $66.00 $105.30
Pt application of modality >=1 area ultrasound each 15 minutes $52.80 $52.80 $52.80 $82.55
Pt application of modality traction mechanical $55.55 $55.55 $55.55 $88.20