CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Marshfield Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $967
Cash Discount Price: $969
vs. Medicare Baseline: 9.05x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Marshfield Medical Center is $967. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $969. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.05x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.

Cash / Self-Pay

$969

Average discount available for prompt cash payment at this facility.

Insurance Median

$967

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $969 (907%)

Insurance Median: $967 (905%)

Cash: $969 (907% of Medicare)

Ins. Median: $967 (905% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 905% of the Medicare baseline (a markup of 805%). 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)	$510	477%
Amish/Mennonite	$561	525%
Sanford Health Plan	$561	525%
The Alliance	$709 - $852	664%
Group Health Cooperative Of Eau Claire	$836 - $938	783%
Besse Forest Products	$867	812%
Molina Healthcare Of Wi	$867	812%
Rice Lake School District	$867	812%
Wps Health Insurance	$900 - $984	843%
Trilogy	$918 - $979	859%
UnitedHealthcare	$928	869%
Medica Of Wi	$947 - $966	887%
Cigna	$959	898%
Healtheos By Multiplan Inc.	$959 - $969	898%
Corvel	$969	907%
First Health	$969	907%
Health Partners	$969	907%
Three Rivers Provider Network (Trpn)	$969	907%
Coventry	$979	917%
Health Smart	$979	917%
Rising Medical Work Comp	$989	926%
Security Health Plan (Shp)	$1,188 - $1,748	1112%
Blue Cross Blue Shield	$1,609 - $1,838	1506%

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 $969.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.