Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Tomah Memorial Hospital

501 GOPHER DRIVE, Tomah, WI 54660

CMS Overall Rating ★★★★★

How this hospital's prices compare 96 procedures scored

1.0×

the fair BaseRate, typically

about the fair price

Across 96 shoppable procedures, Tomah Memorial Hospital typically charges about the fair BaseRate for the procedures it prices. 14 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Blood transfusion fair $306 → $729 2.4×
Electrical stimulation therapy fair $24 → $48 2.0×
Flu vaccine (high dose) fair $25 → $47 1.9×

How we calculate the BaseRate →

Tomah Memorial Hospital publishes prices for 101 shoppable procedures in Tomah, WI. It's classified by CMS as Critical Access Hospitals (Voluntary non-profit - Private). CMS rates it 5/5 stars, and 88% of patients would recommend it.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 790

Patient Experience

Recommendation Rate: 88% High Patient Rating: 89% ER Wait Time (Med): 106 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 101 codes Typical vs Fair BaseRate: 1.0× Price File In Index: Yes MRF Version: 3.0.0

Prices at Tomah Memorial Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Blood transfusion CPT Code: `36430`	$752	$729	$306	2.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$74	$48	$24	2.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$36	$47	$25	1.9×
Colonoscopy with biopsy CPT Code: `45380`	$1,021	$591	$345	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	$52	$68	$42	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,106	$632	$393	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,422	$385	$248	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,468	$385	$252	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$1,642	$385	$258	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$76	$47	$34	1.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$947	$616	$467	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$932	$246	$194	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$47	$7	$6	1.2×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$47	$7	$6	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,141	$287	$234	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$799	$189	$155	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$80	$55	$45	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$157	$42	$35	1.2×
Blood test, potassium CPT Code: `84132`	$47	$7	$6	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$83	$55	$48	1.2×
Blood test, sodium CPT Code: `84295`	$47	$7	$6	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$506	$120	$108	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$468	$345	$315	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$229	$103	$95	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$101	$55	$51	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$74	$55	$51	1.1×
Blood test, calcium CPT Code: `82310`	$47	$7	$6	1.1×
Physical therapy (gait training) CPT Code: `97116`	$82	$48	$45	1.1×
Blood test, liver function panel CPT Code: `80076`	$154	$11	$10	1.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$70	$6	$6	1.1×
Blood test, creatinine (kidney) CPT Code: `82565`	$47	$7	$7	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$60	$17	$16	1.1×
Culture, bacterial CPT Code: `87070`	$132	$11	$11	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$155	$87	$83	1.0×
X-ray, lower back CPT Code: `72110`	$229	$46	$44	1.0×
CT scan, pelvis CPT Code: `72192`	$884	$169	$163	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$85	$55	$53	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$62	$15	$15	1.0×
Ultrasound, pelvis CPT Code: `76856`	$380	$97	$96	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$831	$169	$167	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$456	$196	$194	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$153	$11	$11	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$74	$48	$48	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,012	$169	$168	1.0×
Blood test, vitamin D CPT Code: `82306`	$139	$35	$35	1.0×
Prosthetic fitting and training CPT Code: `97761`	$82	$55	$56	1.0×
CT scan, sinuses CPT Code: `70486`	$765	$169	$172	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$122	$47	$48	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$984	$169	$176	1.0×
Hepatitis C antibody test CPT Code: `86803`	$61	$14	$15	1.0×
Blood test, lipase CPT Code: `83690`	$96	$7	$7	1.0×
Orthotic fitting and training CPT Code: `97760`	$78	$55	$58	0.9×
Blood test, amylase CPT Code: `82150`	$99	$7	$8	0.9×
Blood test, magnesium CPT Code: `83735`	$96	$7	$8	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$718	$152	$166	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$69	$17	$19	0.9×
Culture, blood CPT Code: `87040`	$187	$11	$12	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$181	$32	$36	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$59	$4	$4	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$113	$8	$9	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$374	$77	$88	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,668	$247	$287	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$196	$11	$13	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,260	$544	$643	0.8×
Inguinal hernia repair CPT Code: `49505`	$1,001	$453	$548	0.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$131	$11	$13	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$92	$6	$7	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$105	$14	$18	0.8×
X-ray, ankle CPT Code: `73610`	$133	$27	$34	0.8×
C-section delivery (full package) CPT Code: `59510`	$3,852	$2,145	$2,714	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$138	$86	$110	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$142	$60	$79	0.8×
X-ray, hip CPT Code: `73502`	$157	$29	$39	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$135	$74	$99	0.7×
X-ray, foot CPT Code: `73630`	$133	$26	$35	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$364	$192	$263	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$105	$15	$21	0.7×
X-ray, hand CPT Code: `73130`	$142	$26	$37	0.7×
X-ray, shoulder CPT Code: `73030`	$152	$25	$36	0.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	$7	$10	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,713	$141	$210	0.7×
X-ray, pelvis CPT Code: `72170`	$121	$25	$39	0.6×
Typhoid vaccine HCPCS Code: `90675`	$1,166	$210	$366	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$250	$47	$87	0.5×
X-ray, chest (two views) CPT Code: `71046`	$146	$21	$39	0.5×
Pneumococcal vaccine HCPCS Code: `90732`	$258	$47	$120	0.4×
Blood antibody screen CPT Code: `86850`	$103	$6	$20	0.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$48,094	—	—	—
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$12,887	—	—	—
X-ray, chest (single view) CPT Code: `71045`	$93	—	$35	—
Hospital observation (per hour) HCPCS Code: `G0378`	$55	—	$71	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$232	—	$102	—
Total knee replacement CPT Code: `27447`	$748	—	$1,840	—
Breast lump removal CPT Code: `19120`	$761	—	$434	—
Rabies immune globulin HCPCS Code: `90375`	$569	—	$410	—
Blood test, hemoglobin CPT Code: `85018`	$38	—	$4	—
Total hip replacement CPT Code: `27130`	$3,163	—	$1,854	—
Trauma team activation HCPCS Code: `G0390`	$930	—	—	—
Cataract surgery with lens implant CPT Code: `66984`	$1,687	—	$722	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,816	—	—	—
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,477	—	$815	—