CMS Price Transparency Data

X-ray, pelvis

Facility: Marshfield Medical Center - Minocqua

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $254
Cash Discount Price: $284
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Marshfield Medical Center - Minocqua is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $284. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.38x the Medicare baseline. Located in 9576 Highway 70, Minocqua, WI.

Cash / Self-Pay

$284

Average discount available for prompt cash payment at this facility.

Insurance Median

$254

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $284 (266%)

Insurance Median: $254 (238%)

Cash: $284 (266% of Medicare)

Ins. Median: $254 (238% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 238% of the Medicare baseline (a markup of 138%). 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
Security Health Plan (Shp)	$101 - $140	95%
Veteran'S Administration (Va Ccn)	$101	95%
Blue Cross Blue Shield	$104 - $220	97%
Group Health Cooperative Of Eau Claire	$107 - $269	100%
Point Comfort Underwriters	$111	104%
The Alliance	$136 - $1,574	127%
Family Health Center (Fhc)	$150	140%
Amish/Mennonite	$164	154%
Sanford Health Plan	$164	154%
UnitedHealthcare	$247 - $585	231%
Besse Forest Products	$254	238%
Molina Healthcare Of Wi	$254	238%
Rice Lake School District	$254	238%
Wps Health Insurance	$265 - $290	248%
Medica Of Wi	$279 - $285	261%
Cigna	$281	263%
Healtheos By Multiplan Inc.	$281 - $284	263%
Corvel	$284	266%
First Health	$284	266%
Health Partners	$284	266%
Three Rivers Provider Network (Trpn)	$284	266%
Trilogy	$286 - $287	268%
Coventry	$287	269%
Health Smart	$287	269%
Rising Medical Work Comp	$290	272%

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 $284.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Minocqua is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72170.
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.