CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,642
Cash Discount Price: $1,642
vs. Medicare Baseline: 6.74x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Marshfield Medical Center - Rice Lake is $1,642. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,642. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.74x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$1,642

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,642

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,642 (674%)

Insurance Median: $1,642 (674%)

Cash: $1,642 (674% of Medicare)

Ins. Median: $1,642 (674% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 674% of the Medicare baseline (a markup of 574%). 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
Family Health Center (Fhc)	$864	354%
Blue Cross Blue Shield	$902 - $1,575	370%
Amish/Mennonite	$950	390%
Sanford Health Plan	$950	390%
UnitedHealthcare	$1,329 - $1,424	545%
Group Health Cooperative Of Eau Claire	$1,417 - $1,659	581%
Molina Healthcare Of Wi	$1,469	603%
Security Health Plan (Shp)	$1,487 - $2,033	610%
The Alliance	$1,633 - $1,866	670%
Besse Forest Products	$1,642	674%
Cigna	$1,642	674%
Corvel	$1,642	674%
First Health	$1,642	674%
Health Partners	$1,642	674%
Healtheos By Multiplan Inc.	$1,642	674%
Rice Lake School District	$1,642	674%
Medica Of Wi	$1,650 - $1,683	677%
Trilogy	$1,650 - $1,659	677%
Coventry	$1,659	681%
Health Smart	$1,659	681%
Rising Medical Work Comp	$1,676	688%
Wps Health Insurance	$1,685	691%
Three Rivers Provider Network (Trpn)	$1,693	695%

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 $1,642.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

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 70551.
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.