Supplies, drugs & other prices at Tomah Memorial Hospital
Tomah, WI · every code in this section with a posted price and a Medicare benchmark.
11 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Catheterize for urine spec (P9612) | $27.03 | $47 | 2.9× |
| Chemo extend iv infus w/pump (G0498) | $276.43 | $480.75 | 0.9× |
| Colon ca scrn not hi rsk ind (G0121) | $464.89 | $808.50 | 0.5× |
| Colorectal scrn; hi risk ind (G0105) | $894.13 | $1,555 | 1.0× |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$191.76–$207.72 | $333.50–$361.25 | varies |
| Eia hiv-1/hiv-2 screen (G0432) | $43.70 | $76 | 2.2× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$68.57–$79.06 | $119.25–$137.50 | varies |
| Hep c screen high risk/other (G0472) | $61.24 | $106.50 | 1.3× |
| Oth resp proc, group (G0239) | $140.73 | $244.75 | 3.9× |
| Psa screening (G0103) | $104.94 | $182.50 | 5.4× |
| Trauma respons w/hosp criti (G0390) | $929.92 | $1,617.25 | 0.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.