Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

70553 — Pr MRI Brain Wo/w Cntrst

What each payer pays TOMAH MEMORIAL HOSPITAL (CCN 521320) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$1,445 All-payer median here
$3,234 Cash / self-pay here
19 payer/plan-name variants
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
THE ALLIANCE - ALL PLANS $16,989 1075.6% 2
QUARTZ COMM - ALL OTHER PLANS $3,296 128.1% 2
SECURITY HP COMM - ALL OTHER PLANS $3,113 115.4% 2
Cigna Healthcare $2,962 104.9% 4
BCBS COMM - ALL OTHER PLANS $2,640 82.7% 2
Aetna $2,550 76.5% 4
Humana $1,912 32.3% 3
UnitedHealthcare $1,053 -27.2% 4
VA / CHAMPVA $1,007 -30.3% 2
BCBS MCR ADV $1,007 -30.3% 2
GROUP HLTH MCR ADV - ALL PLANS $1,007 -30.3% 2
INDEPENDENT CARE MCR - ALL OTHER PLANS $1,007 -30.3% 2
QUARTZ MCR ADV $1,007 -30.3% 2
SECURITY HP MCR ADV $1,007 -30.3% 2
SECURITY HP MCAID $636 -56.0% 2
BCBS MCAID $636 -56.0% 2
MANAGED HLTH MCAID - ALL PLANS $636 -56.0% 2
QUARTZ MCAID $636 -56.0% 2
INDEPENDENT CARE MCAID $604 -58.2% 2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.