CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Tomah Memorial Hospital

Billing Code: 70450 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$155
about 1.4× the $107 Medicare rate · typically $89–$316
modeled estimate · not a bill or quote
What this hospital charges insurers
$189
Above the fair price
about $34 over the fair price · 1.8× Medicare
Medicare pays $107 Fair price $155 This hospital $189 Cash price $799 Hospital's list price $1,390

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $43 Priciest $189

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, head (no contrast) is about $155 (about 1.4× the $107 Medicare rate). Tomah Memorial Hospital charges insurers about $189, or about $799 in cash — above the fair price. Located in Tomah, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $155. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $26 - $1,877 24%
Blue Cross Blue Shieldmajor $38 - $1,831 36%
Aetnamajor $44 - $1,692 41%
Cignamajor $767 - $1,931 718%
Humanamajor $677 - $1,841 634%
Quartz $38 - $1,791 36%
+ 8 smaller / regional plans $38 - $11,842
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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