CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Tomah Memorial Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$315
about 0.3× the $950 Medicare rate · typically $188–$1,113
modeled estimate · not a bill or quote
What this hospital charges insurers
$345
About the fair price
about $30 over the fair price · 0.4× Medicare
Medicare pays $950 Fair price $315 This hospital $345 Cash price $468 Hospital's list price $815

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 7 of 8 other WI hospitals charge less.

Cheapest $153 Priciest $654

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $315 (about 0.3× the $950 Medicare rate). Tomah Memorial Hospital charges insurers about $345, or about $468 in cash — about the fair price. Located in Tomah, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $130 - $682 14%
Blue Cross Blue Shieldmajor $153 - $779 16%
Aetnamajor $176 - $693 19%
Cignamajor $790 83%
Humanamajor $754 79%
Quartz $153 - $733 16%
+ 8 smaller / regional plans $153 - $693
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 501 Gopher Dr, Tomah, WI 54660
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals