CMS Price Transparency Data

Flu vaccine (high dose)

Facility: SSM Health St Agnes Hospital-Fond Du Lac

Billing Code: 90656 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$38
modeled fair price · typically $21–$44
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
About the fair price
about $4 over the fair price
Fair price $38 This hospital $42

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 $11 Priciest $42

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

A fair price for a Flu vaccine (high dose) is about $38. SSM Health St Agnes Hospital-Fond Du Lac charges insurers about $42 — 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 $61 —
Blue Cross Blue Shieldmajor $25 —
+ 2 smaller / regional plans $41 - $42

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

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