CCN 520088

SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC

FOND DU LAC, WI  ยท  CMS transparency filing

Transparency score
Transparency score (CMS signals)
86/100
Sample published prices 12 procedures
Comprehensive Metabolic Panel$286.00
Simple Repair of Superficial Wounds (Stitches)$331.00
Simple Repair of Superficial Wounds (Stitches)$444.00
MRI Brain without Dye$1,477.00
ER Visit, Level 5 (Complex/Heart Attack)$1,670.00
ER Visit, Level 5 (Complex/Heart Attack)$1,708.00
ER Visit, Level 5 (Complex/Heart Attack)$2,641.00
CT Scan Abdomen and Pelvis with Dye$3,271.00
Colonoscopy Diagnostic$3,487.00
ER Visit, Level 5 (Complex/Heart Attack)$3,857.00
ER Visit, Level 5 (Complex/Heart Attack)$3,927.00
Colonoscopy Diagnostic$4,023.00

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