CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Marshfield Medical Center - Weston

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,392
  • Cash Discount Price: $1,392
  • vs. Medicare Baseline: 7.77x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Marshfield Medical Center - Weston is $1,392. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,392. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.77x the Medicare baseline. Located in 3400 Ministry Parkway, Weston, WI.
Cash / Self-Pay
$1,392

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,392

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $1,392 (777%)
Insurance Median: $1,392 (777%)
Cash: $1,392 (777% of Medicare)
Ins. Median: $1,392 (777% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 777% of the Medicare baseline (a markup of 677%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Family Health Center (Fhc) $732 408%
Amish/Mennonite $806 450%
Sanford Health Plan $806 450%
The Alliance $1,128 - $1,645 629%
Group Health Cooperative Of Eau Claire $1,201 - $1,318 670%
UnitedHealthcare $1,210 675%
Besse Forest Products $1,245 695%
Molina Healthcare Of Wi $1,245 695%
Rice Lake School District $1,245 695%
Security Health Plan (Shp) $1,286 - $1,758 718%
Wps Health Insurance $1,297 - $1,414 724%
Medica Of Wi $1,365 - $1,395 762%
Cigna $1,377 768%
Healtheos By Multiplan Inc. $1,377 - $1,392 768%
Corvel $1,392 777%
First Health $1,392 777%
Health Partners $1,392 777%
Three Rivers Provider Network (Trpn) $1,392 777%
Trilogy $1,399 - $1,406 781%
Coventry $1,406 785%
Health Smart $1,406 785%
Rising Medical Work Comp $1,421 793%
Blue Cross Blue Shield $1,592 - $1,820 888%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Ministry Parkway, Weston, WI 54476
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals