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TOMAH MEMORIAL HOSPITAL

Tomah, WI · CCN 521320 · Rates published

3,238 distinct procedures filed
23 distinct payers
92,016 rate rows
2026-03-03 last MRF observed

90,392 of 92,016 rate rows are consumer-grade (98.2%)

1,624 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 1,008
exceeds 10× this hospital's gross charge — excluded from medians 499
per-diem day rate — not a per-procedure price 99
percent-of-charges filed in the dollar field — excluded from medians 18
↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbTomah&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Tomah.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-14
Content fingerprint fda0d68b74a725a8… · 32,556,904 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
24020915
CDM
Hchg Tmh Kit, Pleurx Pleural Cath/bottles 18 $2,950.61 $8,417.90 $6,118.16 —
24010513
CDM
Hchg Jada System 18 $2,816.65 $8,035.72 $5,840.40 —
27299
HCPCS
Other Procedure On Pelvis Or Hip Joint 17 $77.00 $5,159.00 $4,643.10 nat. median
$443

outlier · 10.5×
15877
HCPCS
Suction Assisted Removal Of Fat Of Body 17 $77.00 $4,925.00 $4,432.50 nat. median
$4,054

1.1× median
J9217
HCPCS
Leuprolide Acetate (for Depot Suspension), 7.5 Mg 23 $540.35 $28,699.53 $3,252.56 nat. median
$2,144

1.5× median
29001070
CDM
Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 14 $2,147.00 $2,740.25 $2,401.25 —
20006452
CDM
Labor Room/delivery - Delivery Room 18 $1,040.23 $2,967.72 $2,156.95 —
59510
HCPCS
Cesarean Delivery With Care Before And After Delivery 22 $1,356.20 $9,115.44 $2,144.81 nat. median
$3,349

0.6× median
J2506
HCPCS
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 23 $851.03 $7,509.06 $2,127.57 nat. median
$916

outlier · 2.3×
21899
HCPCS
Other Procedure On Neck Or Chest 17 $77.00 $2,297.00 $2,067.30 nat. median
$429

outlier · 4.8×
36482
HCPCS
Chemical Destruction Of First Incompetent Vein Of Arm Or Leg Using Imaging Guida… 23 $119.42 $4,547.50 $2,000.92 nat. median
$6,090

outlier · 0.3×
20006418
CDM
Labor Room/delivery - Delivery Room 18 $950.13 $2,710.67 $1,970.12 —
C8900
HCPCS
Magnetic Resonance Angiography With Contrast, Abdomen 23 $754.43 $5,455.28 $1,912.16 nat. median
$828

outlier · 2.3×
J7326
HCPCS
Hyaluronan Or Derivative, Gel-one, For Intra-articular Injection, Per Dose 23 $258.90 $16,146.00 $1,829.88 nat. median
$680

outlier · 2.7×
72197
HCPCS
MRI Scan Of Pelvis Before And After Contrast 23 $68.23 $31,826.55 $1,818.66 nat. median
$606

outlier · 3.0×
29001090
CDM
Room & Board - Other - Sterile Environment 14 $1,612.15 $2,057.61 $1,803.06 —
C8910
HCPCS
Magnetic Resonance Angiography Without Contrast, Chest (excluding Myocardium) 23 $754.43 $5,101.96 $1,788.32 nat. median
$595

outlier · 3.0×
74178
HCPCS
CT Scan Of Abdomen And Pelvis Before And After Contrast 23 $62.37 $37,669.45 $1,738.46 nat. median
$539

outlier · 3.2×
44146
HCPCS
Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large… 22 $298.29 $7,382.85 $1,737.14 nat. median
$4,162

outlier · 0.4×
81229
HCPCS
Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi… 22 $672.52 $2,935.63 $1,730.75 nat. median
$1,230

1.4× median
80998_ERX
CDM
Cervidil 10 Mg Vaginal Insrt 18 $833.77 $7,356.75 $1,728.84 —
Q4038
HCPCS
Cast Supplies, Short Leg Cast, Adult (11 Years +), Fiberglass 18 $168.56 $8,466.89 $1,724.33 nat. median
$58

outlier · 30.0×
0282U
OTHER
Red Blood Cell Antigen Genotyping Of 12 Blood Group System Genes To Predict 44 R… 23 $860.15 $4,899.96 $1,717.51 nat. median
$747

outlier · 2.3×
29006060
CDM
Room & Board - Semi-private (two Beds) - Obstetrics (ob) 14 $1,527.98 $1,950.19 $1,708.93 —
73720
HCPCS
MRI Scan Of Leg Before And After Contrast 23 $66.76 $30,748.11 $1,690.01 nat. median
$754

outlier · 2.2×
43999
HCPCS
Other Procedure On Stomach 17 $77.00 $1,855.50 $1,669.95 nat. median
$1,319

1.3× median
C8936
HCPCS
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Upper… 23 $754.43 $4,632.96 $1,623.93 nat. median
$1,014

1.6× median
73220
HCPCS
MRI Scan Of Arm Before And After Contrast 23 $66.98 $28,418.69 $1,623.93 nat. median
$737

outlier · 2.2×
197876_ERX
CDM
Ipratropium-albuterol 20-100 Mcg/actuation In Mist [197876] 18 $778.65 $6,870.45 $1,614.55 —
72158
HCPCS
MRI Scan Of Lower Spinal Canal Before And After Contrast 23 $70.99 $33,462.80 $1,580.15 nat. median
$616

outlier · 2.6×
72156
HCPCS
MRI Scan Of Upper Spinal Canal Before And After Contrast 23 $70.99 $33,462.80 $1,580.15 nat. median
$625

outlier · 2.5×
72157
HCPCS
MRI Scan Of Middle Spinal Canal Before And After Contrast 23 $70.99 $33,462.80 $1,580.15 nat. median
$624

outlier · 2.5×
22999
HCPCS
Other Procedure On Abdominal Muscle Or Bone 17 $77.00 $1,745.75 $1,571.18 nat. median
$777

outlier · 2.0×
29006055
CDM
Room & Board - Semi-private (two Beds) - Obstetrics (ob) 14 $1,400.68 $1,787.71 $1,566.55 —
36475
HCPCS
Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima… 23 $185.67 $6,028.79 $1,553.80 nat. median
$3,662

outlier · 0.4×
44603
HCPCS
Suture Of Multiple Tears Or Holes In Small Bowel 22 $191.43 $5,592.66 $1,548.03 nat. median
$2,903

0.5× median
20006415
CDM
Labor Room/delivery - Delivery Room 18 $739.93 $2,110.96 $1,534.26 —
27134
HCPCS
Revision Of Thigh Bone And Hip Joint Prosthesis 22 $305.01 $9,410.21 $1,529.29 nat. median
$9,347

outlier · 0.2×
24435
HCPCS
Repair Of Nonhealed Broken Upper Arm Bone With Self Bone Graft 22 $778.73 $5,922.58 $1,506.67 nat. median
$11,556

outlier · 0.1×
44143
HCPCS
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 22 $325.44 $5,785.10 $1,463.29 nat. median
$4,010

outlier · 0.4×
70553
HCPCS
MRI Scan Of Brain Before And After Contrast 23 $70.77 $33,462.80 $1,445.21 nat. median
$616

outlier · 2.3×
73723
HCPCS
MRI Scan Of Leg Joint Before And After Contrast 23 $66.76 $25,071.81 $1,432.68 nat. median
$756

1.9× median
37191
HCPCS
Insertion Of Vena Cava Filter With Review By Radiologist 23 $148.95 $6,394.99 $1,428.98 nat. median
$5,831

outlier · 0.2×
27487
HCPCS
Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 22 $210.07 $8,976.38 $1,423.89 nat. median
$11,543

outlier · 0.1×
J9202
HCPCS
Goserelin Acetate Implant, Per 3.6 Mg 23 $1,366.79 $12,418.86 $1,407.47 nat. median
$1,728

0.8× median
23474
HCPCS
Revision Of Total Shoulder Repair, Total Shoulder 22 $1,189.26 $5,981.28 $1,407.36 nat. median
$12,255

outlier · 0.1×
70543
HCPCS
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 23 $66.54 $28,396.38 $1,399.74 nat. median
$605

outlier · 2.3×
73722
HCPCS
MRI Scan Of Leg Joint With Contrast 23 $50.74 $25,937.54 $1,398.89 nat. median
$1,003

1.4× median
73222
HCPCS
MRI Scan Of Arm Joint With Contrast 23 $50.74 $25,425.84 $1,398.89 nat. median
$1,026

1.4× median
29006050
CDM
Room & Board - Semi-private (two Beds) - Obstetrics (ob) 14 $1,233.86 $1,574.80 $1,379.98 —

Other procedures at this hospital

Browse this hospital's 3,238 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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