CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: SSM Health St Agnes Hospital-Fond Du Lac

Billing Code: G0145 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$30
about 1.2× the $26 Medicare rate · typically $29–$34
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $3 over the fair price · 1.3× Medicare
Medicare pays $26 Fair price $30 This hospital $33

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $26 Priciest $33

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Colorectal cancer screening (alternative) is about $30 (about 1.2× the $26 Medicare rate). SSM Health St Agnes Hospital-Fond Du Lac charges insurers about $33 — about the fair price. Located in Fond Du Lac, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $26 98%
Blue Cross Blue Shieldmajor $26 - $53 98%
Molina $20 76%
WellCare $27 102%
+ 3 smaller / regional plans $33 - $51

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Facility Profile & Credentials

  • Address: 430 E Division St, Fond Du Lac, WI 54935
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals