Based on public Medicaid payment data.
Tomah Memorial Hospital Inc
Medicaid Provider in Tomah, WI
Type
Organization
Address
501 Gopher Dr
Tomah, WI 546604513
Phone
6083722181
NPI
1184765240
Procedures
16
Total Claims
164K
Patients Served
123K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Emergency Room Visit | $170.52 | 37,004 | 30,160 |
| Blood Work & Lab Tests | $6.01 | 36,230 | 28,009 |
| Office Visit | $131.56 | 26,552 | 21,847 |
| Physical Therapy | $29.93 | 17,480 | 6,802 |
| Urinalysis & Urine Tests | $4.69 | 14,633 | 12,496 |
| X-Ray | $3.05 | 9,120 | 6,624 |
| EKG / ECG (Electrocardiogram) | $1.38 | 6,244 | 4,970 |
| Culture & Microbiology Tests | $6.45 | 4,903 | 4,094 |
| CT Scan (Computed Tomography) | $192.14 | 4,447 | 3,125 |
| Prescription Medications | $0.03 | 3,847 | 2,861 |
| Pulmonary Function Test | $111.97 | 1,841 | 1,425 |
| Speech Therapy | $37.60 | 1,282 | 280 |
| Chemotherapy | $188.47 | 183 | 80 |
| Ultrasound | $134.08 | 162 | 134 |
| Pathology & Lab Services | $0.62 | 85 | 62 |
| Vaccines & Immunizations | $6.71 | 26 | 24 |
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