CMS Price Transparency Data

CT scan, head (no contrast)

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

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,064
Cash Discount Price: $1,189
vs. Medicare Baseline: 9.96x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $1,064. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,189. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.96x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$1,189

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,064

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: $1,189 (1113%)

Insurance Median: $1,064 (996%)

Cash: $1,189 (1113% of Medicare)

Ins. Median: $1,064 (996% 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 996% of the Medicare baseline (a markup of 896%). 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	$323 - $843	302%
UnitedHealthcare	$588	551%
The Alliance	$636	595%
Security Health Plan (Shp)	$651 - $723	609%
Amish/Mennonite	$689	645%
Quartz	$714	668%
Cigna	$851 - $926	797%
Health Payment Systems	$871	815%
Humana	$989 - $1,114	926%
Group Health Cooperative Of Eau Claire	$1,027 - $1,189	962%
Network Health Plan	$1,045	978%
First Health	$1,064	996%
Molina Healthcare Of Wi	$1,064	996%
Trilogy	$1,127	1055%
Healtheos By Multiplan Inc.	$1,164 - $1,189	1090%
Health Partners	$1,189	1113%
Coventry	$1,202	1125%
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 $1,189.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

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 70450.
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.