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
Closed carpo/metacarpal disl thumb w/manip $492.25 $492.25 $492.25 $619.45
Closed tx humerus fx w/manip 24505 $803.55 $803.55 $803.55 $1,610.40
Closed tx metatarsophalangeal jnt disl without anes $526.35 $526.35 $526.35 $432.80
Closed tx post hip arthroplasty disloc w/anes 27266 $3,069.00 $3,069.00 $3,069.00 $2,864.00
Close lac/mouth vest/2.5 cm or < 40830 $481.80 $481.80 $481.80 $487.69
Clos txnose fx without stablz 21315 $4,488.55 $4,488.55 $4,488.55 $2,596.00
Closure paravalvlr leak pq $23,443.20 $23,443.20 $23,443.20 $10,497.50
Clot factor xii hageman $169.40 $169.40 $169.40 $125.00
Clot factor xiii fibrin scrn $15.95 $15.95 $15.95 $50.41
Clsd/shoulder dislo/manip/no anest 23650 $1,026.30 $1,026.30 $1,026.30 $716.95
Clsd tx carpo/metacarpl disl thmb manip ea without anes $448.80 $448.80 $448.80 $543.00
Clsd tx dist fib fx w/manip 27788 $631.40 $631.40 $631.40 $731.04
Clsd tx elbow dislocation child 24640 $526.35 $526.35 $526.35 $525.28
Clsd tx/fem shaft fx/manipulation 27502 $2,118.05 $2,118.05 $2,118.05 $2,748.90
Clsd tx fracture of radius 25500 $492.25 $492.25 $492.25 $445.40
Clsd tx/fx/phalanx/phalang/manip 28515 $526.35 $526.35 $526.35 $508.80
Clsd tx fx radius/ulna dist without manip 25600 $391.05 $391.05 $391.05 $641.16
Clsd tx fx radius/ulna dist w/manip 25605 $3,069.00 $3,069.00 $3,069.00 $1,893.86
Clsd tx fx radius/ulna w/manip 25565 $3,092.10 $3,092.10 $3,092.10 $1,827.71
Clsd tx hip disloc without anes 27265 $1,306.80 $1,306.80 $1,306.80 $716.95
Clsd tx iphal jnt disl w/manip req anes $628.10 $628.10 $628.10 $1,014.00
Clsd tx/metacarpal fx/sg without manip 26600 $498.85 $498.85 $498.85 $529.08
Clsd tx/metacarpal fx/sng/w manip 26605 $526.35 $526.35 $526.35 $716.95
Clsd tx metatarsal fracture w/manip 28475 $374.00 $374.00 $374.00 $580.30
Clsd tx of ankle fracture w/manip 28435 $3,152.05 $3,152.05 $3,152.05 $1,893.86
Clsd tx patella disloc without anes 27560 $523.05 $523.05 $523.05 $705.60
Clsd tx prox fib/shaft fx w/manip 27781 $3,372.60 $3,372.60 $3,372.60 $2,557.07
Clsd tx radius fracture w/manip 24655 $3,152.05 $3,152.05 $3,152.05 $1,884.74
Clsd tx shoulder dislc/fx 23665 $3,069.00 $3,069.00 $3,069.00 $2,055.00
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 $3,152.05 $3,152.05 $3,152.05 $1,828.80
Clsd tx/shoulder dislo/manip/anest 23655 $3,069.00 $3,069.00 $3,069.00 $2,466.40
Clsd tx temporomandibular dislocat 21480 $579.15 $579.15 $579.15 $511.70
Clsd tx toe dislocation without anes28660 $507.10 $507.10 $507.10 $436.70
Clsd tx trimall ankle fx w/manip 27818 $3,092.10 $3,092.10 $3,092.10 $1,707.42
Cltx post ankle fx w/mnpj $3,111.35 $3,111.35 $3,111.35 $2,621.64
C motor evoked uppr limbs $707.30 $707.30 $707.30 $780.00
C motor evoked upr&lwr limbs $1,419.00 $1,419.00 $1,419.00 $1,308.00
#cmvcul-virus inoculation shell $122.10 $122.10 $122.10 $102.57
Cmv pcr-sendout $112.75 $112.75 $112.75 $173.25
Coagulation time activated teg $36.85 $36.85 $36.85 $50.05
Cold agglutinin titer $46.20 $46.20 $46.20 $48.57
Collar cerv ascend 172 reg $86.17 $86.17 $86.17 $241.88
Collection blood specimen from completely implantable venous access device $110.00 $110.00 $110.00 $164.50
Collection blood specimen using established central/peripheral catheter venous nos $110.00 $110.00 $110.00 $170.68
Collection of venous blood by venipuncture $20.90 $20.90 $20.90 $22.00
Colporrhapy/vag injury sut/non ob 57200 $4,804.25 $4,804.25 $4,804.25 $3,907.93
Colposcopy/cervix/bx vagina/cervix 57421 $371.80 $371.80 $371.80 $1,030.40
Compatibility test each unit antiglobulin technique $158.95 $158.95 $158.95 $173.25
Compatibility test each unit electronic $88.55 $88.55 $88.55 $180.00
Compatibility test each unit immediate spin technique $99.00 $99.00 $99.00 $169.52
Compatibility test incubate $219.45 $219.45 $219.45 $143.65
Comp cystometrogram/void presssure 51728 $747.78 $747.78 $747.78 $958.81
Complement antigen each component c3 $99.55 $99.55 $99.55 $111.15
Complex repair trunk 1.1-2.5cm 13120 $1,247.95 $1,247.95 $1,247.95 $940.00
Complex uroflowmetry (electronic) 51741 $226.86 $226.86 $226.86 $353.50
Complx repair enel 1.1-2.5 cm 13151 $1,247.95 $1,247.95 $1,247.95 $1,206.00
Complx repair enel 2.6-7.5 cm 13152 $1,252.90 $1,252.90 $1,252.90 $1,388.40
Complx repair enel addl 5cm/< 13153 $379.50 $379.50 $379.50 $541.50
Complx repair fccmnaxghf 13131 $805.20 $805.20 $805.20 $942.00
Complx repair fccmnaxghf 13132 $1,247.95 $1,247.95 $1,247.95 $1,244.09
Complx repair fccmnaxghf 13133 $589.60 $589.60 $589.60 $753.35
Complx repair sal addl 5 cm/> 13122 $1,144.55 $1,144.55 $1,144.55 $576.66
Concentration infection agents any type $34.10 $34.10 $34.10 $51.32
Condylomata destruction 56420 $512.05 $512.05 $512.05 $509.81
Consultation pathology during surgery cytological exam initial site $154.00 $154.00 $154.00 $428.00
Consultation pathology during surgery frozen section each additional block $100.10 $100.10 $100.10 $112.20
Consultation pathology during surgery frozen section first tissue block $258.50 $258.50 $258.50 $214.00
Consult comp w/report rfrd material $260.15 $260.15 $260.15 $359.87
Contrast exam abdominl aorta 75625-26 $2,526.70 $2,526.70 $2,526.70 $3,458.54
Contrast exam thoracic aorta 75605-26 $3,418.80 $3,418.80 $3,418.80 $4,178.00
Contrast x-ray gallbladder $276.65 $276.65 $276.65 $312.00
Contrast x-ray of ankle $1,024.65 $1,024.65 $1,024.65 $602.40
Contrast x-ray of brain $880.00 $880.00 $880.00 $930.42
Contrast x-ray of elbow $1,229.80 $1,229.80 $1,229.80 $637.14
Contrast x-ray of hip $1,229.80 $1,229.80 $1,229.80 $768.00
Contrast x-ray of knee joint $1,024.65 $1,024.65 $1,024.65 $683.20
Contrast x-ray of wrist $1,024.65 $1,024.65 $1,024.65 $623.50
Controller infinity pt dbs $7,015.04 $7,015.04 $7,015.04 $4,320.00
Control nosebleed pack+caut 30905 $702.35 $702.35 $702.35 $460.17
Control of nosebleed ant comp 30903 $555.50 $555.50 $555.50 $410.06
Control of nosebleedantersmpl 30901 $386.10 $386.10 $386.10 $385.45
Convert nephrostomy catheter $1,802.90 $1,802.90 $1,802.90 $3,569.60
Coombs direct $66.00 $66.00 $66.00 $73.26
Coombs indirect titer reference $226.05 $226.05 $226.05 $146.00
Core ndl bx lng/med perq $5,041.30 $5,041.30 $5,041.30 $2,963.00
Coronary angio/cath placement bypass graft/lv gram/lt heart $8,731.80 $8,731.80 $8,731.80 $10,695.40
Coronary angio/lv gram/lt heart $7,956.30 $7,956.30 $7,956.30 $10,595.00
Coronary angio/lv gram/rt&lt heart $8,092.15 $8,092.15 $8,092.15 $11,280.10
Coronary art/grft angio s&i $6,017.55 $6,017.55 $6,017.55 $8,308.05
Coronary catheterization w/angiography supervision & interpretation $6,475.15 $6,475.15 $6,475.15 $7,769.30
Cortisol total am $143.00 $143.00 $143.00 $122.20
Co-treatment - group 15 mins, st $15.95 $15.95 $15.95 $108.81
Counseling smoke cess interm >10mins $46.20 $46.20 $46.20 $57.85
Coveredge 32 lead kit 40cm 48 $1,073.12 $1,073.12 $1,073.12 $3,151.80
Covid-19 administration immunization im inj 1st/only component $66.55 $66.55 $66.55 $58.61
#covid19rsv-rsv $156.75 $156.75 $156.75 $140.80
#coxa-coxsackie a serotype a16 $22.00 $22.00 $22.00 $65.36
C-peptide $44.00 $44.00 $44.00 $100.00
Crbrospnl fld flw imag cistern $1,936.00 $1,936.00 $1,936.00 $1,466.97
C-reactive protein $44.55 $44.55 $44.55 $63.00