Wisconsin / Oakleaf Surgical Hospital
CMS certification 520196 · Altoona, WI · 2 entries in CMS's price-transparency list
Oakleaf Surgical Hospital: charges and Medicare payments
Oakleaf Surgical Hospital reported 53 Medicare inpatient stays across 3 DRGs in 2024. Across them it charged 3.92 times what it was paid. Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 23 stays at an average charge of $48,531, 48% below the national average. It also billed 1,976 outpatient services, charging 4.21 times what Medicare paid.
- 1Medicare inpatient stays 53
- 2Charge ÷ paid, inpatient 3.92×
- 3Rank in WI (highest ratio = 1) –
- 4CMS price-transparency actions 2
Inpatient stays
For the 3 DRGs that can be compared with the national average, Oakleaf Surgical Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 23 | $48,531 | -48% | $12,446 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 17 | $72,639 | -41% | $18,829 |
| 467 Revision of Hip or Knee Replacement with CC | 13 | $95,505 | -39% | $23,822 |
Outpatient services
Against the Wisconsin average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Oakleaf Surgical Hospital charged $48,531 on average, 29% less than the Wisconsin average of $68,121, and was paid $12,446 against a state average of $14,934. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Oakleaf Surgical Hospital charged $72,639 on average, 11% less than the Wisconsin average of $81,714, and was paid $18,829 against a state average of $20,964. For Revision of Hip or Knee Replacement with CC (DRG 467), Oakleaf Surgical Hospital charged $95,505 on average, 7% less than the Wisconsin average of $102,969, and was paid $23,822 against a state average of $28,889. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $2,833 was 75% below the state average of $11,485. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,281 was 24% below the state average of $50,282. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $7,455 was 20% below the state average of $9,348. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $27,583 was 16% below the state average of $32,813.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Oakleaf Surgical Hospital in Altoona, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-01-18 (CMS case 1203)
- Closure Notice — 2023-04-25 (CMS case 1203)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.