OCONOMOWOC MEMORIAL HOSPITAL

CCN 520062

45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
14,821
Insurances with rates
24
CPT / HCPCS codes
2,323
Source MRF
File last updated: 2026-01-01 (per the hospital's file)
Retrieved: 2026-11-06

Most expensive procedures (gross)

573
$285,876
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC
Gross
$519,774
216
$227,215
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
Gross
$413,118
450
$221,554
SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY F
Gross
$402,826
969
$195,784
HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC
Gross
$355,971
221
$175,837
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/M
Gross
$319,705
232
$175,064
CORONARY BYPASS WITH PTCA WITHOUT MCC
Gross
$318,298
955
$173,203
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
Gross
$314,915
820
$172,769
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
Gross
$314,126
Q2043
$167,586
SIPULEUCEL-T-LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSP
Gross
$304,701
233
$165,854
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
Gross
$301,553
849
$163,545
RADIOTHERAPY
Gross
$297,355
234
$158,627
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
Gross
$288,412
215
$158,396
OTHER HEART ASSIST SYSTEM IMPLANT
Gross
$287,994
217
$157,837
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
Gross
$286,977
219
$145,014
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
Gross
$263,662
004
$143,327
"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R
Gross
$260,595
235
$140,701
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
Gross
$255,820
886
$140,213
BEHAVIORAL AND DEVELOPMENTAL DISORDERS
Gross
$254,933
213
$138,560
ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES
Gross
$251,928
332
$135,636
RECTAL RESECTION WITH MCC
Gross
$246,611
456
$133,379
"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WIT
Gross
$242,507
430
$132,892
COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC
Gross
$241,622
220
$131,732
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
Gross
$239,513
236
$125,032
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
Gross
$227,331
003
$120,303
"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJO
Gross
$218,732
021
$115,806
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
Gross
$210,556
C9293
$115,742
GLUCARPIDASE 1000 UNITS IV SOLR
Gross
$210,440
426
$114,782
MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE
Gross
$208,694
143
$110,235
"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC"
Gross
$200,427
458
$109,088
"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WIT
Gross
$198,342
218
$108,634
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
Gross
$197,517
427
$108,162
MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC
Gross
$196,658
409
$107,753
BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC
Gross
$195,914
024
$106,440
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
Gross
$193,527
582
$101,645
MASTECTOMY FOR MALIGNANCY WITH CC/MCC
Gross
$184,808
266
$101,323
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
Gross
$184,224
267
$100,609
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
Gross
$182,926
428
$100,433
MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC
Gross
$182,606
023
$99,385
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLA
Gross
$180,700
J9228
$98,907
IPILIMUMAB 200 MG/40 ML (5 MG/ML) IV SOLN
Gross
$179,831
906
$97,108
HAND PROCEDURES FOR INJURIES
Gross
$176,561
350
$96,573
INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC
Gross
$175,587
J9028
$95,847
NOGAPENDEKIN ALFA INBAKIC-PMLN 400 MCG/0.4 ML IVES SOLN
Gross
$174,267
799
$94,035
SPLENIC PROCEDURES WITH MCC
Gross
$170,972
823
$93,258
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
Gross
$169,561
239
$92,766
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
Gross
$168,665
583
$90,522
MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
Gross
$164,586
653
$90,262
MAJOR BLADDER PROCEDURES WITH MCC
Gross
$164,112
279
$89,606
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC
Gross
$162,920
268
$88,765
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
Gross
$161,391
Showing top 50 of 14,821 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.