Tri-county Memorial Hospital INC
18601 Lincoln Street, Whitehall, WI 54773 Hospital
40%Self-pay discount
40% off list
A typical self-pay discount. Median across the 14,058 prices this hospital publishes, comparing its cash price with its list price for the same item.
Overall cost rating
Not rated
- Type
- Small hospital (under 100 beds)
- Beds
- 25
- Ownership
- Nonprofit
- Health system
- Gundersen Lutheran Admin Services
- Medicare ID
- 521316
- Cost report
- FY ending 09/30/2024
- Emergency dept
- Yes
This hospital did not report enough detail by service line to rate individual categories.
What this hospital charges a cash payer
Real published prices from this hospital's own federal price transparency file. We list only services coded in HCPCS Level II, which CMS owns, so nothing here is AMA-licensed. Compare these across hospitals.
| Service | Cash | List price |
|---|---|---|
| Hospital observation care, per hour HCPCS G0378 | $92.55 cash price | $154 40% off |
| Cefazolin (Ancef) antibiotic injection, 500 mg HCPCS J0690 | $12.02 cash price | $20.00 40% off |
| Ceftriaxone (Rocephin) antibiotic injection, 250 mg HCPCS J0696 | $12.02 cash price | $20.00 40% off |
| Dexamethasone steroid injection, 1 mg HCPCS J1100 | $12.02 cash price | $20.00 40% off |
| Diphenhydramine (Benadryl) injection, 50 mg HCPCS J1200 | $12.02 cash price | $20.00 40% off |
| Heparin blood thinner injection, 1000 units HCPCS J1644 | $23.98 cash price | $39.90 40% off |
| Ketorolac (Toradol) pain injection, 15 mg HCPCS J1885 | $12.02 cash price | $20.00 40% off |
| Ondansetron (Zofran) anti-nausea injection, 1 mg HCPCS J2405 | $12.02 cash price | $20.00 40% off |
| Fentanyl citrate injection, 0.1 mg HCPCS J3010 | $12.02 cash price | $20.00 40% off |
| One unit of red blood cells for transfusion HCPCS P9016 | $219 cash price | $364 40% off |
Insurance. This facility holds Medicare certification number 521316, so it is Medicare-certified and bills Medicare. Commercial insurer network lists are not yet part of this dataset. Confirm your specific plan with the facility before you book.
See all facilities in Wisconsin · Other facilities in Whitehall
Something wrong here? This is generated from federal filings, and those filings contain errors. Tell us at krishan@thinkscoopinc.com.