Imaging prices at Oakleaf Surgical Hospital
Altoona, WI · every code in this section with a posted price and a Medicare benchmark.
143 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $313.53 | $348.37 | 3.6× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$304.40–$313.53 | $338.22–$348.37 | varies |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$4,077.05–$8,398.70 | $4,530.05–$9,331.89 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$1,408.48–$8,398.70 | $1,564.98–$9,331.89 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$286.96–$307.39 | $318.84–$341.54 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,017.48–$1,058.19 | $1,130.53–$1,175.77 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$249.01–$256.48 | $276.68–$284.98 | varies |
| Bone Imaging Whole Body (78306) | $1,145.77 | $1,273.08 | 2.9× |
| Cat Scan Follow-Up Study (76380) | $1,703.27 | $1,892.52 | 19.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$208.90–$215.16 | $232.11–$239.07 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$208.90–$215.16 | $232.11–$239.07 | varies |
| Clavicle complete (73000) | $225.17 | $250.19 | 2.6× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,077.05–$8,398.70 | $4,530.05–$9,331.89 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,489.76–$2,564.45 | $2,766.40–$2,849.39 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,813.60–$1,942.72 | $2,015.11–$2,158.58 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,112.40–$2,175.77 | $2,347.11–$2,417.52 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,365.90–$2,436.88 | $2,628.78–$2,707.64 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,746.70–$1,816.56 | $1,940.78–$2,018.40 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,564.45 | $2,849.39 | 7.4× |
| CT Angio Chest (71275) | $2,289.68 | $2,544.09 | 13.1× |
| CT Angio Head (70496) | $1,831.74 | $2,035.27 | 10.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,564.45 | $2,849.39 | 14.7× |
| CT Angio Neck (70498) | $1,831.74 | $2,035.27 | 10.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,248.80–$2,564.45 | $2,498.67–$2,849.39 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,183.30–$2,248.80 | $2,425.89–$2,498.67 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,183.30–$2,248.80 | $2,425.89–$2,498.67 | varies |
| CT chest w/wo contrast (71270) | $2,248.80 | $2,498.67 | 12.9× |
| CT head/brain with contrast (70460) | $2,166.07 | $2,406.74 | 12.4× |
| CT head/brain without and with contrast (70470) | $2,761.71 | $3,068.57 | 15.8× |
| CT iac w contrast (70481) | $1,817.03 | $2,018.92 | 10.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,716.01–$1,831.74 | $1,906.68–$2,035.27 | varies |
| CT lower extremity w/contrast material (73701) | $2,248.80 | $2,498.67 | 12.9× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,954.04–$2,012.65 | $2,171.15–$2,236.28 | varies |
| CT maxillofacial w contrast (70487) | $1,981.20 | $2,201.33 | 11.3× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,305.41–$1,344.57 | $1,450.46–$1,493.97 | varies |
| CT neck tissue combo (70492) | $2,597.16 | $2,885.73 | 14.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,817.03 | $2,018.92 | 10.4× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$941.27–$969.51 | $1,045.85–$1,077.23 | varies |
| CT pelvis w&w/o contrast (72194) | $2,384.55 | $2,649.50 | 13.7× |
| CT pelvis w/o contrast (72192) | $2,129.06 | $2,365.62 | 20.5× |
| CT scans face/jaw combo (70488) | $2,218.93 | $2,465.48 | 12.7× |
| CT soft tissue neck w contrast (70491) | $2,318.91 | $2,576.57 | 13.3× |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,783.77–$1,855.13 | $1,981.97–$2,061.25 | varies |
| CT thoracic spine w/o contrast (72128) | $1,238.42 | $1,376.02 | 11.9× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,746.65–$1,799.05 | $1,940.72–$1,998.94 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,710.65–$1,825.90 | $1,900.72–$2,028.78 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,178.45–$2,243.81 | $2,420.50–$2,493.12 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,831.74 | $2,035.27 | 10.5× |
| Cta Abdomen (74175) | $2,564.45 | $2,849.39 | 14.7× |
| CTA pelvis (72191) | $2,835.69 | $3,150.77 | 16.2× |
| Diskography lumbar (72295) | $3,477.81 | $3,864.23 | 1.8× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$539.71–$555.90 | $599.68–$617.67 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$286.96–$295.57 | $318.84–$328.41 | varies |
| Forearm 2 views (73090) | $301.48 | $334.98 | 3.5× |
| Hand 2 views (73120) | $301.48 | $334.98 | 2.9× |
| K Flow/Funct Image W/Drug (78708) | $1,432.22 | $1,591.35 | 2.7× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$301.48–$313.53 | $334.98–$348.37 | varies |
| Lymph System Imaging (78195) | $1,432.22 | $1,591.35 | 2.7× |
| Mammary ductogram or galactogram multiple (77054) | $668.75 | $743.06 | 2.8× |
| Mammary ductogram or galactogram single (77053) | $668.75 | $743.06 | 2.8× |
| MRA head w/o contrast (70544) | $3,261.52 | $3,623.91 | 13.7× |
| MRI abdomen w contrast (74182) | $2,267.68 | $2,519.64 | 6.5× |
| MRI abdomen w/o contrast (74181) | $3,473.41 | $3,859.34 | 14.6× |
| MRI any jt lower extrem w/contrast material (73722) | $2,137.70 | $2,375.22 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,261.52 | $3,623.91 | 9.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,845.20 | $4,272.44 | 4.9× |
| MRI cervical spine w contrast (72142) | $3,703.71 | $4,115.23 | 10.7× |
| MRI cervical spine w/o cont (72141) | $3,703.71 | $4,115.23 | 15.6× |
| MRI chest w/o contrast (71550) | $3,261.52 | $3,623.91 | 13.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,261.52 | $3,623.91 | 9.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,137.70–$3,261.52 | $2,375.22–$3,623.91 | varies |
| MRI lumbar spine w contrast (72149) | $3,703.71 | $4,115.23 | 10.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,261.52 | $3,623.91 | 9.4× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,841.53–$1,915.17 | $2,046.14–$2,127.97 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,261.52 | $3,623.91 | 9.4× |
| MRI pelvis w/o & w contrast (72197) | $2,267.68 | $2,519.64 | 6.5× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,784.99–$3,936.38 | $4,205.54–$4,373.76 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$3,697.28–$3,845.20 | $4,108.09–$4,272.44 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,176.01–$3,261.52 | $3,528.90–$3,623.91 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,261.52 | $3,623.91 | 9.4× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,372.24–$3,473.41 | $3,746.93–$3,859.34 | varies |
| MRI, dorsal spine combo (72157) | $3,261.52 | $3,623.91 | 9.4× |
| MRI, dorsal spine contrast (72147) | $3,703.71 | $4,115.23 | 10.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$3,327.58–$3,512.39 | $3,697.31–$3,902.65 | varies |
| MRI, joint upper extrem combo (73223) | $3,261.52 | $3,623.91 | 9.4× |
| MRI, lumbar spine combo (72158) | $3,261.52 | $3,623.91 | 9.4× |
| Neck soft tissue (70360) | $380.51 | $422.79 | 4.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$304.40–$313.53 | $338.22–$348.37 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $313.53 | $348.37 | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$408.86–$437.98 | $454.29–$486.64 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$301.48–$313.53 | $334.98–$348.37 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$292.70–$301.48 | $325.22–$334.98 | varies |
| Radex fingr minimum 2 views (73140) | $301.48 | $334.98 | 3.5× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$408.86–$437.98 | $454.29–$486.64 | varies |
| Radex Hand Minimum 3 Views (73130) | $301.48 | $334.98 | 3.5× |
| Radex Ribs Unilateral 2 Views (71100) | $225.17 | $250.19 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$286.96–$295.57 | $318.84–$328.41 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $380.51 | $422.79 | 4.4× |
| Radex Spine 1 View Specify Level (72020) | $313.53 | $348.37 | 3.6× |
| Radex Toe Minimum 2 Views (73660) | $223.92 | $248.80 | 2.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$292.70–$301.48 | $325.22–$334.98 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $313.53 | $348.37 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$347.94–$358.38 | $386.60–$398.20 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$206.82–$318.14 | $229.80–$353.49 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$286.96–$307.39 | $318.84–$341.54 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$292.70–$313.53 | $325.22–$348.37 | varies |
| Scapula (73010) | $1,377.85 | $1,530.94 | 13.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$248.44–$255.89 | $276.04–$284.32 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$286.96–$295.57 | $318.84–$328.41 | varies |
| Skull less than 4 views (70250) | $358.38 | $398.20 | 3.4× |
| Sternoclavicular joints (71130) | $381.70 | $424.11 | 4.4× |
| Thoracic spine 2 views (72070) | $225.17 | $250.19 | 2.2× |
| Thoracic spine 3 views (72072) | $356.81 | $396.45 | 3.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$370.58–$381.70 | $411.76–$424.11 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,377.85 | $1,530.94 | 13.2× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$221.22–$1,377.85 | $245.80–$1,530.94 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$1,647.62–$1,697.05 | $1,830.69–$1,885.61 | varies |
| Us breast unilateral complete (76641) | $300.05 | $333.39 | 2.9× |
| Us exam, pelvic, limited (76857) | $439.85 | $488.72 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $229.24 | $254.71 | 2.2× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,340.68–$1,380.90 | $1,489.64–$1,534.33 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$607.83–$626.07 | $675.37–$695.63 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$412.60–$424.97 | $458.44–$472.19 | varies |
| Us thyroid (76536) | $287.65 | $319.61 | 2.8× |
| Wrist 2 views (73100) | $301.48 | $334.98 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $295.57 | $328.41 | 3.4× |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$268.96–$1,255.57 | $298.84–$1,395.08 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$286.96–$295.57 | $318.84–$328.41 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$200.86–$206.89 | $223.18–$229.88 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $358.38 | $398.20 | 3.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$257.18–$264.90 | $285.76–$294.33 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $358.38 | $398.20 | 3.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $357.08 | $396.75 | 3.4× |
| X-ray eye for foreign body (70030) | $292.85 | $325.39 | 3.4× |
| X-ray humerus (73060) | $154.51 | $171.68 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $225.17 | $250.19 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,377.85 | $1,530.94 | 13.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $358.38 | $398.20 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $313.53 | $348.37 | 3.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$753.79–$776.40 | $837.54–$862.67 | varies |
| X-Rays Bone Length Studies (77073) | $186.96 | $207.73 | 1.8× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$416.24–$428.72 | $462.49–$476.36 | varies |
| Xr facial bones less than 3 views (70140) | $292.94 | $325.49 | 3.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.