CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Marshfield Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $717
  • Cash Discount Price: $757
  • vs. Medicare Baseline: 4.57x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Marshfield Medical Center is $717. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $757. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 4.57x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.
Cash / Self-Pay
$757

Average discount available for prompt cash payment at this facility.

Insurance Median
$717

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: $757 (482%)
Insurance Median: $717 (457%)
Cash: $757 (482% of Medicare)
Ins. Median: $717 (457% 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 457% of the Medicare baseline (a markup of 357%). 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
Blue Cross Blue Shield $260 - $317 166%
Security Health Plan (Shp) $269 - $397 171%
Family Health Center (Fhc) $398 254%
Amish/Mennonite $438 279%
Sanford Health Plan $438 279%
The Alliance $554 - $666 353%
UnitedHealthcare $596 380%
Group Health Cooperative Of Eau Claire $654 - $733 417%
Besse Forest Products $677 431%
Molina Healthcare Of Wi $677 431%
Rice Lake School District $677 431%
Wps Health Insurance $703 - $769 448%
Trilogy $717 - $765 457%
Medica Of Wi $740 - $755 471%
Cigna $749 477%
Healtheos By Multiplan Inc. $749 - $757 477%
Corvel $757 482%
First Health $757 482%
Health Partners $757 482%
Three Rivers Provider Network (Trpn) $757 482%
Coventry $765 487%
Health Smart $765 487%
Rising Medical Work Comp $773 492%

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