CMS Price Transparency Data

CT scan, head (with and without contrast)

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

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,871
Cash Discount Price: $2,091
vs. Medicare Baseline: 10.44x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $1,871. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,091. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.44x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$2,091

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,871

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $2,091 (1167%)

Insurance Median: $1,871 (1044%)

Cash: $2,091 (1167% of Medicare)

Ins. Median: $1,871 (1044% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 1044% of the Medicare baseline (a markup of 944%). 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	$554 - $1,481	309%
UnitedHealthcare	$992	554%
The Alliance	$1,118	624%
Security Health Plan (Shp)	$1,144 - $1,271	638%
Amish/Mennonite	$1,211	676%
Quartz	$1,255	700%
Cigna	$1,497 - $1,629	835%
Health Payment Systems	$1,532	855%
Humana	$1,739 - $1,959	970%
Group Health Cooperative Of Eau Claire	$1,805 - $2,091	1007%
Network Health Plan	$1,838	1026%
First Health	$1,871	1044%
Molina Healthcare Of Wi	$1,871	1044%
Trilogy	$1,981	1105%
Healtheos By Multiplan Inc.	$2,047 - $2,091	1142%
Health Partners	$2,091	1167%
Coventry	$2,113	1179%
Blue Cross Blue Shield	$3,449 - $5,836	1925%

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 $2,091.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.