CMS Price Transparency Data

Screening mammogram (both breasts)

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

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $950
Cash Discount Price: $1,166
vs. Medicare Baseline: 7.52x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $950. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,166. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 7.52x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$1,166

Average discount available for prompt cash payment at this facility.

Insurance Median

$950

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)

Cash / Self-Pay: $1,166 (924%)

Insurance Median: $950 (752%)

Cash: $1,166 (924% of Medicare)

Ins. Median: $950 (752% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 752% of the Medicare baseline (a markup of 652%). 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	252%
Wps Health Insurance	$433 - $941	343%
UnitedHealthcare	$516	409%
The Alliance	$536 - $710	425%
Security Health Plan (Shp)	$549 - $807	435%
Amish/Mennonite	$581 - $769	460%
Quartz	$602 - $797	477%
Cigna	$718 - $1,035	569%
Health Payment Systems	$735 - $973	582%
Humana	$834 - $1,244	661%
Group Health Cooperative Of Eau Claire	$866 - $1,328	686%
Network Health Plan	$882 - $1,167	699%
First Health	$898 - $1,188	711%
Molina Healthcare Of Wi	$898 - $1,188	711%
Trilogy	$950 - $1,258	752%
Healtheos By Multiplan Inc.	$982 - $1,328	778%
Health Partners	$1,003 - $1,328	794%
Coventry	$1,014 - $1,342	803%

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 $1,166.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

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 77067.
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.