CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $520
Cash Discount Price: $520
vs. Medicare Baseline: 3.31x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Marshfield Medical Center - Rice Lake is $520. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $520. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.31x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$520

Average discount available for prompt cash payment at this facility.

Insurance Median

$520

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)

Cash / Self-Pay: $520 (331%)

Insurance Median: $520 (331%)

Cash: $520 (331% of Medicare)

Ins. Median: $520 (331% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 331% of the Medicare baseline (a markup of 231%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$259 - $316	165%
Family Health Center (Fhc)	$274	175%
Amish/Mennonite	$301	192%
Sanford Health Plan	$301	192%
Security Health Plan (Shp)	$308 - $421	196%
The Alliance	$429 - $520	273%
Group Health Cooperative Of Eau Claire	$449 - $525	286%
UnitedHealthcare	$451 - $596	287%
Molina Healthcare Of Wi	$465	296%
Besse Forest Products	$520	331%
Cigna	$520	331%
Corvel	$520	331%
First Health	$520	331%
Health Partners	$520	331%
Healtheos By Multiplan Inc.	$520	331%
Rice Lake School District	$520	331%
Medica Of Wi	$522 - $533	333%
Trilogy	$522 - $525	333%
Coventry	$525	334%
Health Smart	$525	334%
Rising Medical Work Comp	$531	338%
Wps Health Insurance	$533	340%
Three Rivers Provider Network (Trpn)	$536	341%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $520.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Rice Lake is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.