Tomah Memorial Hospital is a nonprofit critical access hospital in Tomah, Wisconsin. Its CMS Certification Number (CCN) is 521320 and its NPI is 1184765240.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Tomah, WI
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Wisconsin hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $185$159–$272 · 4 rates | 6th percentile · state median $365, mean $349 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $287$283–$660 · 12 rates | 4th percentile · state median $652, mean $885 |
| MRI, brain, with and without contrast | 70553 | $303$303–$1,911 · 12 rates | 3rd percentile · state median $844, mean $1,239 |
| Colonoscopy, diagnostic | 45378 | $358$153–$682 · 12 rates | 8th percentile · state median $782, mean $967 |
See UnitedHealthcare rates for every billing code at Tomah Memorial Hospital
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
5 out of 5 stars
0 better4 no different0 worsethan national
0 better2 no different0 worsethan national
0 better8 no different0 worsethan national
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Quick answers about Tomah Memorial Hospital.
Tomah Memorial Hospital's CMS Certification Number (CCN) is 521320. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Tomah Memorial Hospital bills under National Provider Identifier (NPI) 1184765240.
Tomah Memorial Hospital bills insurers under tax ID (EIN) 39-0799566, held by TOMAH MEMORIAL HOSPITAL INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Tomah Memorial Hospital is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Tomah Memorial Hospital Inc.
Tomah Memorial Hospital is at 501 Gopher Drive, Tomah, WI 54660.
Tomah Memorial Hospital has a CMS overall star rating of 5 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Tomah Memorial Hospital reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.