CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Marshfield Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,008
Cash Discount Price: $2,074
vs. Medicare Baseline: 8.24x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Marshfield Medical Center is $2,008. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,074. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.24x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.

Cash / Self-Pay

$2,074

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,008

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: $2,074 (851%)

Insurance Median: $2,008 (824%)

Cash: $2,074 (851% of Medicare)

Ins. Median: $2,008 (824% 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 824% of the Medicare baseline (a markup of 724%). 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	$902 - $1,575	370%
Family Health Center (Fhc)	$1,092	448%
Amish/Mennonite	$1,201	493%
Sanford Health Plan	$1,201	493%
UnitedHealthcare	$1,329	545%
The Alliance	$1,517 - $1,823	622%
Security Health Plan (Shp)	$1,568 - $2,307	643%
Group Health Cooperative Of Eau Claire	$1,790 - $2,008	734%
Besse Forest Products	$1,856	761%
Molina Healthcare Of Wi	$1,856	761%
Rice Lake School District	$1,856	761%
Wps Health Insurance	$1,925 - $2,107	790%
Trilogy	$1,965 - $2,096	806%
Medica Of Wi	$2,026 - $2,067	831%
Cigna	$2,052	842%
Healtheos By Multiplan Inc.	$2,052 - $2,074	842%
Corvel	$2,074	851%
First Health	$2,074	851%
Health Partners	$2,074	851%
Three Rivers Provider Network (Trpn)	$2,074	851%
Coventry	$2,096	860%
Health Smart	$2,096	860%
Rising Medical Work Comp	$2,118	869%

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 $2,074.
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 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.