CMS Price Transparency Data

MRI, brain (with and without contrast)

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

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $3,742
Cash Discount Price: $4,296
vs. Medicare Baseline: 10.50x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $3,742. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,296. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 10.50x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$4,296

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,742

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $4,296 (1205%)

Insurance Median: $3,742 (1050%)

Cash: $4,296 (1205% of Medicare)

Ins. Median: $3,742 (1050% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 1050% of the Medicare baseline (a markup of 950%). 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	$1,033 - $3,043	290%
UnitedHealthcare	$2,026	568%
The Alliance	$2,296	644%
Security Health Plan (Shp)	$2,351 - $2,612	660%
Amish/Mennonite	$2,487	698%
Quartz	$2,578	723%
Blue Cross Blue Shield	$2,653 - $3,396	744%
Cigna	$3,075 - $3,346	863%
Health Payment Systems	$3,147	883%
Humana	$3,572 - $4,025	1002%
Group Health Cooperative Of Eau Claire	$3,708 - $4,296	1040%
Network Health Plan	$3,776	1059%
First Health	$3,844	1078%
Molina Healthcare Of Wi	$3,844	1078%
Trilogy	$4,070	1142%
Healtheos By Multiplan Inc.	$4,205 - $4,296	1180%
Health Partners	$4,296	1205%
Coventry	$4,341	1218%

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 $4,296.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

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 70553.
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.