ProHealth Oconomowoc Memorial Hospital
Oconomowoc, WI
Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,871.10 | $3,402 | 18.0× |
| MRI brain without contrast (70551) | $2,454.10 | $4,462 | 10.3× |
| MRI brain with contrast (70552) | $2,834.15 | $5,153 | 8.2× |
| MRI brain without and with contrast (70553) | $3,538.15 | $6,433 | 10.2× |
| X-ray lower spine, 4+ views (72110) | $361.35 | $657 | 3.5× |
| MRI lumbar spine without contrast (72148) | $2,467.85 | $4,487 | 10.4× |
| CT pelvis with contrast (72193) | $2,082.30 | $3,786 | 11.9× |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$2,349.60–$4,699.20 | $4,272–$8,544 | varies |
| CT abdomen and pelvis with contrast (74177) | $4,177.80 | $7,596 | 12.0× |
| Ultrasound, abdomen complete (76700) | $746.90 | $1,358 | 7.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $685.30 | $1,246 | 6.6× |
| Ultrasound, transvaginal (76830) | $579.70 | $1,054 | 5.6× |
| Mammography, one breast (diagnostic) (77065) | $296.45 | $539 | 3.4× |
| Mammography, both breasts (diagnostic) (77066) | $414.15 | $753 | 3.7× |
| Mammography, screening (bilateral) (77067) | $231.55 | $421 | 2.5× |
| Basic metabolic panel (80048) | $55.55 | $101 | 6.6× |
| Comprehensive metabolic panel (80053) | $70.95 | $129 | 6.7× |
| Obstetric panel (80055) | $219.45 | $399 | 4.6× |
| Lipid panel (80061) | $86.35 | $157 | 6.4× |
| Renal function panel (80069) | $58.85 | $107 | 6.8× |
| Hepatic function panel (80076) | $69.30 | $126 | 8.5× |
| Urinalysis, non-automated, with microscopy (81000) | $22.55 | $41 | 5.6× |
| Urinalysis, non-automated, without microscopy (81002) | $22.55 | $41 | 6.5× |
| PSA, total (84153) range across 2 matching MRF lines |
$72.05–$91.85 | $131–$167 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $104.50 | $190 | 6.2× |
| CBC with automated differential (85025) | $64.35 | $117 | 8.3× |
| CBC, automated (85027) | $53.35 | $97 | 8.2× |
| Prothrombin time (PT) (85610) | $40.70 | $74 | 9.5× |
| Partial thromboplastin time (PTT) (85730) | $56.65 | $103 | 9.4× |
| Psychotherapy, 30 minutes (90832) | $99 | $180 | 0.6× |
| Psychotherapy, 45 minutes (90834) | $99 | $180 | 0.6× |
| Psychotherapy, 60 minutes (90837) | $99 | $180 | 0.6× |
| Family psychotherapy, with patient (50 min) (90847) | $99 | $180 | 0.6× |
| Group psychotherapy (90853) range across 4 matching MRF lines |
$99–$101.75 | $180–$185 | varies |
| Sleep study (attended polysomnography) (95810) | $3,583.80 | $6,516 | 4.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $136.40 | $248 | 4.7× |
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.
More prices at this hospital
- Imaging: 349 codes with posted prices and Medicare benchmarks
- Lab & pathology: 774 codes with posted prices and Medicare benchmarks
- Visits & medical services: 239 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 46 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 40 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (UNKNOWN, 148.6 MB) ↓ — captured 2026-09-08
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.