SSM Health St Agnes Hospital Fond Du Lac is a nonprofit short-term acute care hospital in Fond Du Lac, Wisconsin. Its CMS Certification Number (CCN) is 520088 and its NPI is 1346228541.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Fond Du Lac, WI
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Wisconsin hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $237$220–$372 · 3 rates | 23rd percentile · state median $365, mean $349 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $408$395–$823 · 9 rates | 31st percentile · state median $652, mean $885 |
| MRI, brain, with and without contrast | 70553 | $872$441–$918 · 9 rates | 51st percentile · state median $844, mean $1,239 |
| Colonoscopy, diagnostic | 45378 | $509$255–$1,698 · 9 rates | 28th percentile · state median $782, mean $967 |
See UnitedHealthcare rates for every billing code at SSM Health St Agnes Hospital Fond Du Lac
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
4 out of 5 stars
0 better7 no different0 worsethan national
2 better4 no different0 worsethan national
2 better8 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Rehabilitation unit
SSM Health St Agnes Hospital Fond Du Lac
CCN 52T088
Fond Du Lac County
Fond Du Lac, WI
Ascension NE Wisconsin-St Elizabeth Campus
Appleton, WI
Aurora Medical Center Oshkosh
Oshkosh, WI
Children's Hospital of Wisconsin-Fox Valley
Neenah, WI
SSM Health Ripon Community Hospital
Ripon, WI
Thedacare Medical Center - Berlin, Inc.
Berlin, WI
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about SSM Health St Agnes Hospital Fond Du Lac.
SSM Health St Agnes Hospital Fond Du Lac's CMS Certification Number (CCN) is 520088. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
SSM Health St Agnes Hospital Fond Du Lac bills under National Provider Identifier (NPI) 1346228541.
SSM Health St Agnes Hospital Fond Du Lac bills insurers under tax ID (EIN) 39-0807236, held by AGNESIAN HEALTHCARE INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
SSM Health St Agnes Hospital Fond Du Lac is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Agnesian Healthcare Inc.
SSM Health St Agnes Hospital Fond Du Lac is at 430 E Division St, Fond Du Lac, WI 54935.
SSM Health St Agnes Hospital Fond Du Lac has a CMS overall star rating of 4 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. SSM Health St Agnes Hospital Fond Du Lac reports emergency services to CMS.
Yes. SSM Health St Agnes Hospital Fond Du Lac has 1 Medicare-certified unit: rehabilitation unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.