CMS Price Transparency Data

Diagnostic mammogram (both breasts)

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

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $1,074
Cash Discount Price: $1,233
vs. Medicare Baseline: 6.84x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $1,074. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,233. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 6.84x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$1,233

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,074

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)

Cash / Self-Pay: $1,233 (785%)

Insurance Median: $1,074 (684%)

Cash: $1,233 (785% of Medicare)

Ins. Median: $1,074 (684% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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 684% of the Medicare baseline (a markup of 584%). 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
Blue Cross Blue Shield	$318 - $477	203%
Wps Health Insurance	$524 - $874	334%
UnitedHealthcare	$622	396%
The Alliance	$659	420%
Security Health Plan (Shp)	$675 - $750	430%
Amish/Mennonite	$714	455%
Quartz	$740	471%
Cigna	$883 - $961	562%
Health Payment Systems	$903	575%
Humana	$1,025 - $1,155	653%
Group Health Cooperative Of Eau Claire	$1,064 - $1,233	678%
Network Health Plan	$1,084	691%
First Health	$1,103	703%
Molina Healthcare Of Wi	$1,103	703%
Trilogy	$1,168	744%
Healtheos By Multiplan Inc.	$1,207 - $1,233	769%
Health Partners	$1,233	785%
Coventry	$1,246	794%

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 $1,233.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

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 77066.
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.