CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

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

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,023
  • Cash Discount Price: $4,536
  • vs. Medicare Baseline: 11.29x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $4,023. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,536. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.29x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.
Cash / Self-Pay
$4,536

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,023

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $4,536 (1273%)
Insurance Median: $4,023 (1129%)
Cash: $4,536 (1273% of Medicare)
Ins. Median: $4,023 (1129% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 1129% of the Medicare baseline (a markup of 1029%). 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
Wps Health Insurance $1,062 - $3,214 298%
UnitedHealthcare $2,026 568%
The Alliance $2,425 680%
Security Health Plan (Shp) $2,482 - $2,758 696%
Amish/Mennonite $2,626 737%
Quartz $2,722 764%
Cigna $3,247 - $3,534 911%
Health Payment Systems $3,323 932%
Blue Cross Blue Shield $3,449 - $5,836 968%
Humana $3,772 - $4,250 1058%
Group Health Cooperative Of Eau Claire $3,916 - $4,536 1099%
Network Health Plan $3,987 1119%
First Health $4,059 1139%
Molina Healthcare Of Wi $4,059 1139%
Trilogy $4,298 1206%
Healtheos By Multiplan Inc. $4,441 - $4,536 1246%
Health Partners $4,536 1273%
Coventry $4,584 1286%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 707 S University Ave, Beaver Dam, WI 53916
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals