How many shoppable procedure prices are published for Marshfield Medical Center - Beaver Dam (Mmc-Bd)?

Marshfield Medical Center - Beaver Dam (Mmc-Bd) in Beaver Dam, WI currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Marshfield Medical Center - Beaver Dam (Mmc-Bd)'s commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Marshfield Medical Center - Beaver Dam (Mmc-Bd)'s median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Marshfield Medical Center - Beaver Dam (Mmc-Bd)'s CMS Care Compare overall star rating?

CMS Care Compare assigns Marshfield Medical Center - Beaver Dam (Mmc-Bd) an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 43 Beds · rural Updated: 2026-02-20

Marshfield Medical Center - Beaver Dam (Mmc-Bd)

707 S University Ave, Beaver Dam, WI 53916 · 120 Priced Procedures · 51% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.48×vs. Fair Market Price

Typical commercial prices here are +48% above the fair benchmark (1.48×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 13% of the Time

File Completeness66

Price Logic79

Peer Alignment63

Clean Billing87

Real Cash Discount41

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.48× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +145% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Marshfield Medical Center - Beaver Dam (Mmc-Bd) prices routine shoppable procedures at 2.3× Medicare (median 0.99× Fair BaseRate) while upper-quartile commercial rates jump +145% to 2.43× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#51 of 99 in WI · 50th State Percentile#2,607 of 3,385 in U.S. · 76th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 13% of shoppable procedures (41/100 Cash Honesty)
2-Star CMS clinical rating with 51% patient recommendation (61/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (69.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.9× markup over Medicare rates
Commercial insurance median sits at 0.99× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.43×) jump +145% above the median procedure ratio (Q50 0.99×)
Consolidated metro market (HHI 3,865) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.43× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+145% Upper Tail

Q25 0.93× · Q50 0.99× · Q75 2.43×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

2.9× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.7× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

13% Cash Edge · 41/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 61/100Elevated

Procedure Prices at Marshfield Medical Center - Beaver Dam (Mmc-Bd)

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$28,473	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,651	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,981	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,314	$17,936	1.0×
Total hip replacement CPT Code: `27130`	—	$12,265	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,265	$13,523	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$8,921	$8,921	$1,021	8.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,322	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,561	$6,109	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,093	$3,372	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,017	$3,017	$583	5.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,692	$2,692	$272	9.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,174	$2,540	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,296	$1,529	$511	3.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,536	$1,544	$448	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$1,526	$1,526	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,417	$1,417	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,308	$1,308	$130	unverified
Trauma team activation HCPCS Code: `G0390`	$9,429	$1,261	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,124	$1,256	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,073	$1,073	$126	unverified
MRI, knee or other leg joint CPT Code: `73721`	$3,443	$981	$369	2.7×
MRI, lower back (no contrast) CPT Code: `72148`	$3,063	$940	$338	2.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,544	$948	$343	2.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,303	$891	$303	2.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$894	$987	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$869	$981	0.9×
Breast lump removal CPT Code: `19120`	$868	$868	$3,875	0.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,091	$773	$258	3.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,707	$728	$242	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$660	$855	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,233	$573	$148	3.9×
Screening mammogram (both breasts) CPT Code: `77067`	$1,166	$516	$123	4.2×
CT scan, sinuses CPT Code: `70486`	$1,591	$508	$166	3.1×
CT scan, pelvis CPT Code: `72192`	$1,891	$494	$163	3.0×
CT scan, chest (no contrast) CPT Code: `71250`	$2,314	$495	$167	3.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,302	$495	$168	2.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,834	$497	$169	2.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,189	$456	$160	2.9×
Blood transfusion CPT Code: `36430`	$677	$417	$498	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$369	$369	$86	4.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$298	$298	$14	21.3×
X-ray, lower back CPT Code: `72110`	$581	$272	$112	2.4×
Rabies immune globulin HCPCS Code: `90375`	$1,236	$274	$322	0.9×
X-ray, hip CPT Code: `73502`	$528	$256	$93	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$247	$247	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$234	$234	$123	unverified
X-ray, ankle CPT Code: `73610`	$394	$194	$93	2.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$389	$194	$201	1.0×
Speech therapy (group session) CPT Code: `92508`	$165	$165	$27	6.1×
X-ray, shoulder CPT Code: `73030`	$337	$177	$92	1.9×
Orthotic fitting and training CPT Code: `97760`	$154	$136	$51	2.7×
X-ray, chest (two views) CPT Code: `71046`	$353	$161	$93	1.7×
Care planning with family CPT Code: `90887`	$129	$129	$107	1.2×
Family therapy session CPT Code: `90847`	$155	$153	$173	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$154	$154	$87	unverified
Prosthetic fitting and training CPT Code: `97761`	$134	$119	$45	2.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$142	$142	$166	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$213	$153	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$219	$153	$185	0.8×
Neurobehavioral status check CPT Code: `96116`	$136	$136	$231	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$143	$105	$40	2.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$128	$128	$86	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$134	$97	$38	2.6×
Physical therapy (gait training) CPT Code: `97116`	$116	$84	$33	2.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$137	$96	$38	2.5×
X-ray, chest (single view) CPT Code: `71045`	$189	$119	$92	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$143	$93	$38	2.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$131	$84	$35	2.4×
X-ray, foot CPT Code: `73630`	$363	$90	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$399	$107	$110	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$383	$90	$93	1.0×
X-ray, hand CPT Code: `73130`	$380	$90	$93	1.0×
Typhoid vaccine HCPCS Code: `90675`	$618	$321	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$214	$214	$203	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$153	$153	$111	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$377	$153	$140	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$123	$123	$39	3.2×
Drug screening test HCPCS Code: `G0480`	$310	$114	$116	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$122	$77	$34	2.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$32	$26	$25	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$288	$20	$20	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$84	$36	$37	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$60	$44	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$60	$44	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$183	$57	$64	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$109	$46	$56	0.8×
Psychological testing evaluation CPT Code: `96136`	$61	$61	$128	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$58	$58	$35	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$288	$19	$19	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$25	$25	$48	0.5×
Group therapy session CPT Code: `90853`	$38	$38	$100	0.4×
Psychological testing by technician CPT Code: `96138`	$49	$49	$395	0.1×
Blood test, basic metabolic panel CPT Code: `80048`	$151	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$188	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$238	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$407	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$64	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$119	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$81	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$81	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$237	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$214	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$62	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$152	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$107	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$108	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$72	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	—	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$65	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$130	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$105	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$248	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$180	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$275	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$253	$17	$18	0.9×
Blood test, liver function panel CPT Code: `80076`	$152	$8	$9	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$68	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$41	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$63	$10	$46	0.2×

Showing top 25 high-impact procedures of 120 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 69.8%

Audit a Bill or Quote at Marshfield Medical Center - Beaver Dam (Mmc-Bd) (Zero PHI Required)

CMS CCN: 520076

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $28,473

1. Amount on Your Bill or Quote ($) Pre-filled with Marshfield Medical Center - Beaver Dam (Mmc-Bd)’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $47,698 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $47,698

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (69.8% of gross = $47,698).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Marshfield Medical Center - Beaver Dam (Mmc-Bd)'s billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$37,560 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($68,335) is $37,560 above the denoised Fair BaseRate ($30,775) and 2.9× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (69.8% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite61/100

Would Recommend51%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait181 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (193 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Marshfield Medical Center - Beaver Dam (Mmc-Bd).

Price Index: 2.30× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Managed Health Services

-54.6%

Median Household Income$73,992U.S. Census ACS

Local Uninsured Share4.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 68/100 · Caution CMS CCN 520076

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 520076) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-20

Validated Rate Rows6,397 (CMS v3.0.0)

File Integrity DigestVerified · CCN 520076

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy