CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Tomah Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 0.8× the $118 Medicare rate · typically $74–$206
modeled estimate · not a bill or quote
What this hospital charges insurers
$74
Below the fair price — a good deal
about $25 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $99 This hospital $74 Cash price $135 Hospital's list price $235

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 4 of 8 other WI hospitals charge more for the same procedure.

Cheapest $70 Priciest $82

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

A fair price for a New patient office visit (30-44 min) is about $99 (about 0.8× the $118 Medicare rate). Tomah Memorial Hospital charges insurers about $74, or about $135 in cash — below the fair price — a good deal. 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 $57 - $848 48%
Blue Cross Blue Shieldmajor $74 - $828 63%
Aetnamajor $121 - $765 103%
Cignamajor $138 - $873 117%
Humanamajor $80 - $832 68%
Quartz $74 - $810 63%
+ 8 smaller / regional plans $74 - $837
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