CMS Price Transparency Data

X-ray, shoulder

Facility: SSM Health St Agnes Hospital-Fond Du Lac

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$67
about 0.8× the $89 Medicare rate · typically $67–$115
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
About the fair price
about $1 under the fair price · 0.7× Medicare
Medicare pays $89 Fair price $67 This hospital $66 Cash price $304 Hospital's list price $553

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 $25 Priciest $66

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, shoulder is about $67 (about 0.8× the $89 Medicare rate). SSM Health St Agnes Hospital-Fond Du Lac charges insurers about $66, or about $304 in cash — 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.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $64 - $86 72%
Molina $65 73%
WellCare $88 99%
+ 1 smaller / regional plan $166

Self-Pay How to get the cash price

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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