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 →

73222 — MRI Joint Upr Extrem With Contrast

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.

$1,399 All-payer median here
$2,457 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 $12,898 822.0% 2
QUARTZ COMM - ALL OTHER PLANS $2,664 90.4% 2
SECURITY HP COMM - ALL OTHER PLANS $2,516 79.8% 2
Cigna Healthcare $2,422 73.1% 4
Aetna $2,088 49.3% 4
BCBS COMM - ALL OTHER PLANS $2,003 43.2% 2
Humana $1,522 8.8% 3
UnitedHealthcare $796 -43.1% 4
VA / CHAMPVA $763 -45.5% 2
BCBS MCR ADV $763 -45.5% 2
GROUP HLTH MCR ADV - ALL PLANS $763 -45.5% 2
INDEPENDENT CARE MCR - ALL OTHER PLANS $763 -45.5% 2
QUARTZ MCR ADV $763 -45.5% 2
SECURITY HP MCR ADV $763 -45.5% 2
SECURITY HP MCAID $564 -59.7% 2
BCBS MCAID $564 -59.7% 2
MANAGED HLTH MCAID - ALL PLANS $564 -59.7% 2
INDEPENDENT CARE MCAID $564 -59.7% 2
QUARTZ MCAID $564 -59.7% 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.