CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,060
Cash Discount Price: $2,303
vs. Medicare Baseline: 8.45x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $2,060. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,303. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.45x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$2,303

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,060

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: $2,303 (945%)

Insurance Median: $2,060 (845%)

Cash: $2,303 (945% of Medicare)

Ins. Median: $2,060 (845% 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 845% of the Medicare baseline (a markup of 745%). 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
Wps Health Insurance	$498 - $1,631	204%
The Alliance	$1,231	505%
Security Health Plan (Shp)	$1,260 - $1,400	517%
UnitedHealthcare	$1,284	527%
Amish/Mennonite	$1,333	547%
Quartz	$1,382	567%
Cigna	$1,648 - $1,794	676%
Health Payment Systems	$1,687	692%
Humana	$1,915 - $2,157	786%
Group Health Cooperative Of Eau Claire	$1,988 - $2,303	816%
Network Health Plan	$2,024	830%
First Health	$2,060	845%
Molina Healthcare Of Wi	$2,060	845%
Trilogy	$2,182	895%
Healtheos By Multiplan Inc.	$2,254 - $2,303	925%
Health Partners	$2,303	945%
Coventry	$2,327	955%
Blue Cross Blue Shield	$3,449 - $5,836	1415%

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 $2,303.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Beaver Dam (Mmc-Bd) is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.