CMS Price Transparency Data

CT scan, chest (no contrast)

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

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,071
Cash Discount Price: $2,314
vs. Medicare Baseline: 19.39x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $2,071. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,314. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.39x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$2,314

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,071

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,314 (2166%)

Insurance Median: $2,071 (1939%)

Cash: $2,314 (2166% of Medicare)

Ins. Median: $2,071 (1939% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1939% of the Medicare baseline (a markup of 1839%). 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	$402 - $1,639	376%
UnitedHealthcare	$588	551%
The Alliance	$1,237	1158%
Security Health Plan (Shp)	$1,266 - $1,407	1185%
Amish/Mennonite	$1,340	1255%
Quartz	$1,389	1300%
Cigna	$1,656 - $1,803	1550%
Health Payment Systems	$1,695	1587%
Humana	$1,924 - $2,168	1801%
Group Health Cooperative Of Eau Claire	$1,998 - $2,314	1871%
Network Health Plan	$2,034	1904%
First Health	$2,071	1939%
Molina Healthcare Of Wi	$2,071	1939%
Trilogy	$2,192	2052%
Healtheos By Multiplan Inc.	$2,265 - $2,314	2121%
Health Partners	$2,314	2166%
Coventry	$2,339	2190%
Blue Cross Blue Shield	$3,449 - $5,836	3229%

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 $2,314.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

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 71250.
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.