CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)
Billing Code: 99203 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$132
about 1.1× the $118 Medicare rate · typically $79–$404
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $132 Cash price $247 Hospital's list price $261
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $79 - $280 | 67% |
| Blue Cross Blue Shieldmajor | $530 - $796 | 451% |
| Aetnamajor | $102 - $398 | 87% |
| Cignamajor | $72 - $307 | 61% |
| Humanamajor | $84 - $369 | 71% |
| HealthPartners | $101 - $394 | 86% |
| Molina | $90 - $353 | 77% |
| Quartz | $60 - $237 | 51% |
| Security Health Plan | $55 - $240 | 47% |
| + 7 smaller / regional plans | $54 - $394 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Marshfield Medical Center - Beaver Dam (Mmc-Bd)
Compare: New patient office visit (30-44 min) at other WI hospitals
- Beloit Health System · Beloit $70
- Black River Memorial Hospital · Black River Falls $71
- Tomah Memorial Hospital · Tomah $74
- Crossing Rivers Health Medical Center · Prairie Du Chien $74
- Richland Hospital · Richland Center $74
- Stoughton Hospital · Stoughton $76
- Vernon Memorial Hospital · Viroqua $79
- Aurora Medical Ctr Manitowoc County · Two Rivers $82
Insurance negotiated median for the same procedure, sorted lowest first.