73/100
#553 nationally
Ssm Health St Agnes Hospital-Fond Du Lac
430 E Division St, Fond Du Lac, WI 54935 · (920) 929-2300
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Ssm Health St Agnes Hospital-Fond Du Lac billed $3.78 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.8x
- volume-weighted across all its priced work
- Procedures priced
- 52
- inpatient and outpatient combined
- Rank in WI
- #17
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 62% of U.S. hospitals.
Better than 81% of U.S. hospitals.
Better than 75% of U.S. hospitals.
Better than 86% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
277 | $9,152 | $2,270 | -22% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
190 | $1,136 | $663 | -64% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
131 | $7,789 | $1,844 | -34% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
130 | $5,719 | $1,989 | -56% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
111 | $11,809 | $1,860 | +4% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
106 | $15,005 | $2,673 | -23% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
103 | $17,833 | $3,187 | -29% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
84 | $9,581 | $1,538 | -5% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
78 | $48,866 | $14,985 | -25% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
69 | $14,542 | $3,365 | -30% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$11,809 | $1,860 | +4% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$48,470 | $11,180 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,581 | $1,538 | -5% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$36,725 | $7,529 | -11% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$26,586 | $6,733 | -13% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$23,711 | $5,053 | -14% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$46,514 | $12,735 | -15% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$102,630 | $24,333 | -18% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,136 | $663 | -64% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$3,676 | $1,564 | -57% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$5,719 | $1,989 | -56% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$23,138 | $10,418 | -55% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$72,868 | $22,021 | -49% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$18,907 | $10,301 | -48% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$95,133 | $37,560 | -47% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$45,865 | $15,812 | -45% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.