CMS Price Transparency Data

MRI, brain (no contrast)

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

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $2,276
Cash Discount Price: $2,544
vs. Medicare Baseline: 9.34x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $2,276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,544. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.34x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$2,544

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,276

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $2,544 (1044%)

Insurance Median: $2,276 (934%)

Cash: $2,544 (1044% of Medicare)

Ins. Median: $2,276 (934% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 934% of the Medicare baseline (a markup of 834%). 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	$620 - $1,802	254%
UnitedHealthcare	$1,284	527%
The Alliance	$1,360	558%
Security Health Plan (Shp)	$1,392 - $1,547	571%
Amish/Mennonite	$1,473	604%
Quartz	$1,526	626%
Cigna	$1,821 - $1,982	747%
Health Payment Systems	$1,864	765%
Humana	$2,116 - $2,383	868%
Group Health Cooperative Of Eau Claire	$2,196 - $2,544	901%
Network Health Plan	$2,236	917%
First Health	$2,276	934%
Molina Healthcare Of Wi	$2,276	934%
Trilogy	$2,410	989%
Healtheos By Multiplan Inc.	$2,491 - $2,544	1022%
Health Partners	$2,544	1044%
Coventry	$2,571	1055%
Blue Cross Blue Shield	$2,653 - $3,396	1088%

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 $2,544.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

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 70551.
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.