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
Warde lipoprotein (a) $113.85 $113.85 $113.85 $69.96
Warde mitochondrial antibody each $41.80 $41.80 $41.80 $62.40
Warde oxcarbazepine therapeutic drug level $144.65 $144.65 $144.65 $64.50
Warde pancreatic elastase fecal quantitative $41.25 $41.25 $41.25 $94.25
Warde protein c antigen $103.95 $103.95 $103.95 $88.80
Warde sex hormone binding globulin $209.55 $209.55 $209.55 $86.59
Warde somatomedin $153.45 $153.45 $153.45 $111.80
Warde t3 (triiodothyronine) reverse $28.05 $28.05 $28.05 $70.85
Warde thyroid stimulating immunoglobulins $192.50 $192.50 $192.50 $173.50
Warde topiramate therapeutic drug level $116.60 $116.60 $116.60 $71.19
Warde virus isolation tissue culture innoculation presumptive id herpes simplex $291.50 $291.50 $291.50 $127.20
Warde viscosity $103.95 $103.95 $103.95 $52.65
Warde vitamin a $102.85 $102.85 $102.85 $59.66
Warde vitamin b-1 (thiamine) $182.60 $182.60 $182.60 $78.65
Warde vitamin b6 (pyridoxine) $241.45 $241.45 $241.45 $116.00
Warde vitamin c (ascorbic acid) $18.15 $18.15 $18.15 $45.60
Warde vitamin d (1 25 dihydroxy) $307.45 $307.45 $307.45 $138.50
Warde vitamin e (alpha-tocopherol) $121.55 $121.55 $121.55 $55.00
Warde zinc $90.20 $90.20 $90.20 $62.50
Wbc automated $48.40 $48.40 $48.40 $32.80
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit $249.15 $249.15 $249.15 $740.15
Wound closure by adhesive $410.30 $410.30 $410.30 $149.25
Wound therapy negative pressure per session <= 50 sq cm $298.10 $298.10 $298.10 $558.97
Wound therapy negative pressure per session > 50 sq cm $298.10 $298.10 $298.10 $611.25
Wound therapy negative pressure per session <= 50 sq cm dme $269.50 $269.50 $269.50 $288.91
Wound therapy negative pressure per session > 50 sq cm dme $301.40 $301.40 $301.40 $436.15
Wrist X-ray $304.15 $304.15 $304.15 $343.70
Xe133 xenon 10mci $46.20 $46.20 $46.20 $299.00
Xm archive tissue molec anal $56.65 $56.65 $56.65 $47.85
Xpos opn fmrl eprst aor uni add-on $2,789.60 $2,789.60 $2,789.60 $2,160.89
X-ray abdomen 1 view $276.65 $276.65 $276.65 $255.00
X-ray abdomen 2 views $276.65 $276.65 $276.65 $312.36
X-ray abdomen >=3 views $276.65 $276.65 $276.65 $332.15
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest $276.65 $276.65 $276.65 $418.63
X-ray acromioclavicular joints without or w/weighted distraction bilateral $304.15 $304.15 $304.15 $271.44
X-ray ankle 2 views (both sides) $304.15 $304.15 $304.15 $283.00
X-ray arthrogram shoulder supervision & interpretation (both sides) $619.30 $619.30 $619.30 $768.30
X-ray bone age studies $304.15 $304.15 $304.15 $246.75
X-ray bone length studies $304.15 $304.15 $304.15 $287.25
X-ray bone survey complete $304.15 $304.15 $304.15 $666.60
X-ray bone survey infant $304.15 $304.15 $304.15 $410.73
X-ray cervical spine 2-3 views $304.15 $304.15 $304.15 $326.04
X-ray cervical spine 4-5 views $304.15 $304.15 $304.15 $455.65
X-ray cervical spine >= 6 views $304.15 $304.15 $304.15 $515.35
X-ray clavicle complete (both sides) $304.15 $304.15 $304.15 $299.65
X-ray colon abdominal radiograph(s) & delayed images single contrast study $276.65 $276.65 $276.65 $647.40
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study $276.65 $276.65 $276.65 $820.15
X-ray elbow 2 views (both sides) $304.15 $304.15 $304.15 $291.94
X-ray elbow >= 3 views (both sides) $304.15 $304.15 $304.15 $342.00
X-ray esophogram chest radiograph(s) & delayed images single contrast study $276.65 $276.65 $276.65 $486.24
X-ray exam of arm infant $304.15 $304.15 $304.15 $248.82
X-ray exam of eye sockets $304.15 $304.15 $304.15 $349.05
X-ray exam of sinuses $304.15 $304.15 $304.15 $211.00
X-ray exam si joints $304.15 $304.15 $304.15 $246.16
X-ray exam thorac spine4/>vw $304.15 $304.15 $304.15 $395.59
X-ray eye detection foreign body (both sides) $276.65 $276.65 $276.65 $235.00
X-ray facial bones complete > 3 views $304.15 $304.15 $304.15 $366.60
X-ray femur >=2 views (both sides) $304.15 $304.15 $304.15 $304.15
X-ray finger(s) >= 2 views (both sides) $304.15 $304.15 $304.15 $262.40
X-ray foot 2 views (both sides) $304.15 $304.15 $304.15 $288.40
X-ray forearm 2 views (both sides) $304.15 $304.15 $304.15 $319.00
X-ray hand 2 views (both sides) $304.15 $304.15 $304.15 $316.50
X-ray heel/calcaneus > 2 views (both sides) $304.15 $304.15 $304.15 $270.00
X-ray hip with pelvis when performed bilateral 2 views $272.25 $272.25 $272.25 $350.35
X-ray hip with pelvis when performed bilateral 3-4 views $304.15 $304.15 $304.15 $409.24
X-ray hip with pelvis when performed bilateral >= 5 views $336.05 $336.05 $336.05 $508.00
X-ray hip with pelvis when performed unilateral 1 view left $304.15 $304.15 $304.15 $207.35
X-ray humerus >= 2 views left $304.15 $304.15 $304.15 $304.15
X-ray joint survey 1 view $304.15 $304.15 $304.15 $211.00
X-ray knee 1-2 views (both sides) $304.15 $304.15 $304.15 $283.50
X-ray knee 3 views (both sides) $304.15 $304.15 $304.15 $353.25
X-ray knee ap standing bilateral $304.15 $304.15 $304.15 $276.25
X-ray lower extremities infant > 2 views (both sides) $304.15 $304.15 $304.15 $249.13
X-ray l/s-spine bend vw only 2-3 vw $304.15 $304.15 $304.15 $364.75
X-ray lumbosacral spine >= 4 views $304.15 $304.15 $304.15 $505.83
X-ray lumbosacral spine complete including bending views >= 6 views $304.15 $304.15 $304.15 $559.65
X-ray mandible complete > 4 views $304.15 $304.15 $304.15 $352.83
X-ray mandible ltd <4 views $304.15 $304.15 $304.15 $238.00
X-ray nasal bones complete > 3 views $304.15 $304.15 $304.15 $277.70
X-ray neck soft tissue $276.65 $276.65 $276.65 $237.43
X-ray nose to rectum for foreign body child $276.65 $276.65 $276.65 $225.96
X-ray of mammary ducts $443.30 $443.30 $443.30 $473.55
X-ray pelvis 1-2 views $304.15 $304.15 $304.15 $270.84
X-ray pelvis complete > 3 views $304.15 $304.15 $304.15 $342.30
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation $275.00 $275.00 $275.00 $742.00
X-ray ribs 2 views left $304.15 $304.15 $304.15 $296.32
X-ray ribs 3 views bilateral $304.15 $304.15 $304.15 $394.34
X-ray ribs w/posterior anterior chest 3 views left $304.15 $304.15 $304.15 $359.47
X-ray ribs w/posterior anterior chest > 4 views bilateral $304.15 $304.15 $304.15 $497.00
X-ray sacroiliac joints >= 3 views $304.15 $304.15 $304.15 $313.95
X-ray sacrum/coccyx >= 2 views $304.15 $304.15 $304.15 $285.60
X-ray scapula complete (both sides) $304.15 $304.15 $304.15 $292.50
X-ray shoulder 1 view (both sides) $304.15 $304.15 $304.15 $264.48
X-ray sinuses paranasal complete > 3 views $304.15 $304.15 $304.15 $339.00
X-ray sinus tract/fistula/abscess $932.25 $932.25 $932.25 $601.30
X-ray skull < 4 views $304.15 $304.15 $304.15 $291.78
X-ray skull > 4 views complete $304.15 $304.15 $304.15 $414.60
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study $276.65 $276.65 $276.65 $557.70
X-ray small intestine follow-through study $180.40 $180.40 $180.40 $504.14
X-ray spine single view $304.15 $304.15 $304.15 $252.60