CMS Price Transparency Data

X-ray, chest (two views)

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

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $311
Cash Discount Price: $353
vs. Medicare Baseline: 3.50x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $311. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $353. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.50x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$353

Average discount available for prompt cash payment at this facility.

Insurance Median

$311

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: $353 (397%)

Insurance Median: $311 (350%)

Cash: $353 (397% of Medicare)

Ins. Median: $311 (350% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 350% of the Medicare baseline (a markup of 250%). 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	$109 - $250	123%
Blue Cross Blue Shield	$161	181%
The Alliance	$189	213%
Security Health Plan (Shp)	$193 - $215	217%
Amish/Mennonite	$205	231%
Quartz	$212	238%
Cigna	$253 - $275	285%
Health Payment Systems	$259	291%
Humana	$294 - $331	331%
Group Health Cooperative Of Eau Claire	$305 - $353	343%
Network Health Plan	$311	350%
First Health	$316	355%
Molina Healthcare Of Wi	$316	355%
Trilogy	$335	377%
Healtheos By Multiplan Inc.	$346 - $353	389%
Health Partners	$353	397%
Coventry	$357	402%
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 $353.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

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 71046.
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.