CMS Price Transparency Data

X-ray, chest (single view)

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

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $166
Cash Discount Price: $189
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.87x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$189

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $189 (213%)

Insurance Median: $166 (187%)

Cash: $189 (213% of Medicare)

Ins. Median: $166 (187% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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.

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	$80 - $134	90%
The Alliance	$101	114%
Security Health Plan (Shp)	$103 - $115	116%
Amish/Mennonite	$109	123%
Quartz	$113	127%
Blue Cross Blue Shield	$119	134%
Cigna	$135 - $147	152%
Health Payment Systems	$138	155%
Humana	$157 - $177	177%
Group Health Cooperative Of Eau Claire	$163 - $189	183%
Network Health Plan	$166	187%
First Health	$169	190%
Molina Healthcare Of Wi	$169	190%
Trilogy	$179	201%
Healtheos By Multiplan Inc.	$185 - $189	208%
Health Partners	$189	213%
Coventry	$191	215%
UnitedHealthcare	$478	538%

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 $189.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

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 71045.
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.