CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Marshfield Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,657
  • Cash Discount Price: $1,703
  • vs. Medicare Baseline: 9.25x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Marshfield Medical Center is $1,657. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,703. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.25x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.
Cash / Self-Pay
$1,703

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,657

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $1,703 (950%)
Insurance Median: $1,657 (925%)
Cash: $1,703 (950% of Medicare)
Ins. Median: $1,657 (925% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 925% of the Medicare baseline (a markup of 825%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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) $896 500%
Amish/Mennonite $986 550%
Sanford Health Plan $986 550%
Security Health Plan (Shp) $1,188 - $1,748 663%
The Alliance $1,246 - $1,497 695%
Group Health Cooperative Of Eau Claire $1,470 - $1,650 820%
Besse Forest Products $1,524 850%
Molina Healthcare Of Wi $1,524 850%
Rice Lake School District $1,524 850%
Wps Health Insurance $1,581 - $1,730 882%
Blue Cross Blue Shield $1,609 - $1,838 898%
Trilogy $1,614 - $1,721 901%
UnitedHealthcare $1,632 911%
Medica Of Wi $1,664 - $1,698 929%
Cigna $1,685 940%
Healtheos By Multiplan Inc. $1,685 - $1,703 940%
Corvel $1,703 950%
First Health $1,703 950%
Health Partners $1,703 950%
Three Rivers Provider Network (Trpn) $1,703 950%
Coventry $1,721 960%
Health Smart $1,721 960%
Rising Medical Work Comp $1,739 970%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 St Joseph Ave, Marshfield, WI 54449
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals