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 →

C8936 — Mra, W/o&with Contrast, Upper Extr

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.

$1,624 All-payer median here
$2,746 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 $4,442 173.5% 1
BCBS COMM - ALL OTHER PLANS $4,394 170.6% 1
QUARTZ COMM - ALL OTHER PLANS $4,299 164.7% 1
Cigna Healthcare $4,131 154.4% 2
SECURITY HP COMM - ALL OTHER PLANS $4,060 150.0% 1
Aetna $3,582 120.6% 2
UnitedHealthcare $3,064 88.7% 2
Humana $3,021 86.0% 2
VA / CHAMPVA $1,624 0.0% 1
BCBS MCR ADV $1,624 0.0% 1
GROUP HLTH MCR ADV - ALL PLANS $1,624 0.0% 1
INDEPENDENT CARE MCR - ALL OTHER PLANS $1,624 0.0% 1
QUARTZ MCR ADV $1,624 0.0% 1
SECURITY HP MCR ADV $1,624 0.0% 1
SECURITY HP MCAID $754 -53.5% 1
BCBS MCAID $754 -53.5% 1
MANAGED HLTH MCAID - ALL PLANS $754 -53.5% 1
INDEPENDENT CARE MCAID $754 -53.5% 1
QUARTZ MCAID $754 -53.5% 1

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.