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 →

73720 — MRI Scan Of Leg Before And After 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.

$1,690 All-payer median here
$2,971 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 $15,617 824.1% 2
QUARTZ COMM - ALL OTHER PLANS $3,220 90.5% 2
SECURITY HP COMM - ALL OTHER PLANS $3,041 80.0% 2
Cigna Healthcare $2,928 73.3% 4
Aetna $2,525 49.4% 4
BCBS COMM - ALL OTHER PLANS $2,427 43.6% 2
Humana $1,839 8.8% 3
UnitedHealthcare $970 -42.6% 4
VA / CHAMPVA $926 -45.2% 2
BCBS MCR ADV $926 -45.2% 2
GROUP HLTH MCR ADV - ALL PLANS $926 -45.2% 2
INDEPENDENT CARE MCR - ALL OTHER PLANS $926 -45.2% 2
QUARTZ MCR ADV $926 -45.2% 2
SECURITY HP MCR ADV $926 -45.2% 2
SECURITY HP MCAID $573 -66.1% 2
BCBS MCAID $573 -66.1% 2
MANAGED HLTH MCAID - ALL PLANS $573 -66.1% 2
INDEPENDENT CARE MCAID $573 -66.1% 2
QUARTZ MCAID $573 -66.1% 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.