All published prices at Ssm Health St Agnes Hospital-Fond Du Lac
52 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| 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% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
62 | $23,711 | $5,053 | -14% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
57 | $33,216 | $9,944 | -23% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
54 | $43,346 | $12,656 | -31% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
45 | $12,436 | $3,058 | -35% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
42 | $102,630 | $24,333 | -18% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
42 | $18,907 | $10,301 | -48% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
41 | $13,337 | $3,038 | -35% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
40 | $41,055 | $10,504 | -39% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
36 | $29,000 | $6,677 | -27% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
31 | $95,747 | $22,438 | -28% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
30 | $32,140 | $10,028 | -31% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
30 | $21,703 | $5,581 | -37% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
27 | $36,725 | $7,529 | -11% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
25 | $23,140 | $5,635 | -34% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
23 | $46,514 | $12,735 | -15% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
21 | $58,920 | $14,388 | -42% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
21 | $30,182 | $8,030 | -23% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
21 | $23,138 | $10,418 | -55% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
20 | $72,868 | $22,021 | -49% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
19 | $12,202 | $2,658 | -31% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
18 | $3,676 | $1,564 | -57% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
17 | $24,859 | $6,038 | -19% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
17 | $20,061 | $6,152 | -33% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
17 | $57,667 | $15,077 | -40% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
17 | $13,905 | $3,378 | -40% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
15 | $60,309 | $16,357 | -31% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
15 | $23,286 | $5,983 | -24% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
15 | $32,984 | $8,899 | -19% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
15 | $8,634 | $1,486 | -23% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
14 | $48,470 | $11,180 | about average |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
14 | $35,482 | $9,938 | -27% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
14 | $32,499 | $12,621 | -43% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
13 | $41,697 | $12,256 | -32% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
13 | $95,133 | $37,560 | -47% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
12 | $36,722 | $7,704 | -19% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
12 | $22,980 | $6,042 | -29% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
12 | $20,884 | $6,781 | -37% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
12 | $27,015 | $6,368 | -32% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
11 | $24,244 | $7,586 | -35% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
11 | $45,865 | $15,812 | -45% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
11 | $26,586 | $6,733 | -13% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
11 | $43,221 | $10,218 | -22% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.