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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
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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 · 2026-05-18
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 nat. median
$6,118

1.0× median
24010513
CDM
Hchg Jada System 18 $2,816.65 $8,035.72 $5,840.40 nat. median
$5,840

1.0× median
27299
HCPCS
Other Procedure On Pelvis Or Hip Joint 17 $77.00 $5,159.00 $4,643.10 nat. median
$714

outlier · 6.5×
15877
HCPCS
Suction Assisted Removal Of Fat Of Body 17 $77.00 $4,925.00 $4,432.50 nat. median
$4,366

1.0× median
J9217
HCPCS
Leuprolide Acetate (for Depot Suspension), 7.5 Mg 23 $540.35 $28,699.53 $3,252.56 nat. median
$1,523

outlier · 2.1×
29001070
CDM
Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 14 $2,147.00 $2,740.25 $2,401.25 nat. median
$2,401

1.0× median
20006452
CDM
Labor Room/delivery - Delivery Room 18 $1,040.23 $2,967.72 $2,156.95 nat. median
$2,157

1.0× median
59510
HCPCS
Cesarean Delivery With Care Before And After Delivery 22 $1,356.20 $9,115.44 $2,144.81 nat. median
$3,677

0.6× median
J2506
HCPCS
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 23 $851.03 $7,509.06 $2,127.57 nat. median
$2,076

1.0× median
21899
HCPCS
Other Procedure On Neck Or Chest 17 $77.00 $2,297.00 $2,067.30 nat. median
$510

outlier · 4.1×
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
$6,305

outlier · 0.3×
20006418
CDM
Labor Room/delivery - Delivery Room 18 $950.13 $2,710.67 $1,970.12 nat. median
$1,970

1.0× median
C8900
HCPCS
Magnetic Resonance Angiography With Contrast, Abdomen 23 $754.43 $5,455.28 $1,912.16 nat. median
$870

outlier · 2.2×
J7326
HCPCS
Hyaluronan Or Derivative, Gel-one, For Intra-articular Injection, Per Dose 23 $258.90 $16,146.00 $1,829.88 nat. median
$787

outlier · 2.3×
72197
HCPCS
MRI Scan Of Pelvis Before And After Contrast 23 $68.23 $31,826.55 $1,818.66 nat. median
$1,064

1.7× median
29001090
CDM
Room & Board - Other - Sterile Environment 14 $1,612.15 $2,057.61 $1,803.06 nat. median
$1,803

1.0× median
C8910
HCPCS
Magnetic Resonance Angiography Without Contrast, Chest (excluding Myocardium) 23 $754.43 $5,101.96 $1,788.32 nat. median
$675

outlier · 2.7×
74178
HCPCS
CT Scan Of Abdomen And Pelvis Before And After Contrast 23 $62.37 $37,669.45 $1,738.46 nat. median
$977

1.8× median
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
$3,443

0.5× median
81229
HCPCS
Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi… 22 $672.52 $2,935.63 $1,730.75 nat. median
$1,330

1.3× median
80998_ERX
CDM
Cervidil 10 Mg Vaginal Insrt 18 $833.77 $7,356.75 $1,728.84 nat. median
$1,729

1.0× median
Q4038
HCPCS
Cast Supplies, Short Leg Cast, Adult (11 Years +), Fiberglass 18 $168.56 $8,466.89 $1,724.33 nat. median
$181

outlier · 9.5×
0282U
HCPCS
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
$742

outlier · 2.3×
29006060
CDM
Room & Board - Semi-private (two Beds) - Obstetrics (ob) 14 $1,527.98 $1,950.19 $1,708.93 nat. median
$1,709

1.0× median
73720
HCPCS
MRI Scan Of Leg Before And After Contrast 23 $66.76 $30,748.11 $1,690.01 nat. median
$1,189

1.4× median
43999
HCPCS
Other Procedure On Stomach 17 $77.00 $1,855.50 $1,669.95 nat. median
$1,544

1.1× median
73220
HCPCS
MRI Scan Of Arm Before And After Contrast 23 $66.98 $28,418.69 $1,623.93 nat. median
$1,185

1.4× median
C8936
HCPCS
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Upper… 23 $754.43 $4,632.96 $1,623.93 nat. median
$846

1.9× median
197876_ERX
CDM
Ipratropium-albuterol 20-100 Mcg/actuation In Mist [197876] 18 $778.65 $6,870.45 $1,614.55 nat. median
$1,615

1.0× median
72158
HCPCS
MRI Scan Of Lower Spinal Canal Before And After Contrast 23 $70.99 $33,462.80 $1,580.15 nat. median
$1,080

1.5× median
72156
HCPCS
MRI Scan Of Upper Spinal Canal Before And After Contrast 23 $70.99 $33,462.80 $1,580.15 nat. median
$1,092

1.4× median
72157
HCPCS
MRI Scan Of Middle Spinal Canal Before And After Contrast 23 $70.99 $33,462.80 $1,580.15 nat. median
$1,093

1.4× median
22999
HCPCS
Other Procedure On Abdominal Muscle Or Bone 17 $77.00 $1,745.75 $1,571.18 nat. median
$727

outlier · 2.2×
29006055
CDM
Room & Board - Semi-private (two Beds) - Obstetrics (ob) 14 $1,400.68 $1,787.71 $1,566.55 nat. median
$1,567

1.0× median
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
$4,182

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
$3,096

0.5× median
20006415
CDM
Labor Room/delivery - Delivery Room 18 $739.93 $2,110.96 $1,534.26 nat. median
$1,534

1.0× median
27134
HCPCS
Revision Of Thigh Bone And Hip Joint Prosthesis 22 $305.01 $9,410.21 $1,529.29 nat. median
$9,010

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
$11,701

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
$3,062

outlier · 0.5×
70553
HCPCS
MRI Scan Of Brain Before And After Contrast 23 $70.77 $33,462.80 $1,445.21 nat. median
$1,122

1.3× median
73723
HCPCS
MRI Scan Of Leg Joint Before And After Contrast 23 $66.76 $25,071.81 $1,432.68 nat. median
$1,263

1.1× median
37191
HCPCS
Insertion Of Vena Cava Filter With Review By Radiologist 23 $148.95 $6,394.99 $1,428.98 nat. median
$6,264

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
$11,539

outlier · 0.1×
J9202
HCPCS
Goserelin Acetate Implant, Per 3.6 Mg 23 $1,366.79 $12,418.86 $1,407.47 nat. median
$1,882

0.7× median
23474
HCPCS
Revision Of Total Shoulder Repair, Total Shoulder 22 $1,189.26 $5,981.28 $1,407.36 nat. median
$8,467

outlier · 0.2×
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
$1,077

1.3× median
73222
HCPCS
MRI Scan Of Arm Joint With Contrast 23 $50.74 $25,425.84 $1,398.89 nat. median
$1,312

1.1× median
73722
HCPCS
MRI Scan Of Leg Joint With Contrast 23 $50.74 $25,937.54 $1,398.89 nat. median
$1,302

1.1× median
29006050
CDM
Room & Board - Semi-private (two Beds) - Obstetrics (ob) 14 $1,233.86 $1,574.80 $1,379.98 nat. median
$1,380

1.0× median

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.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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