Marshfield Clinic Health System · Beaver Dam, WI
31
In-network payers
183
Disclosed rate categories
125
Beds
2
Care quality
Marshfield Medical Center Beaver Dam is a 125-bed voluntary non-profit - private hospital in Beaver Dam, WI, affiliated with Marshfield Clinic Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 183 disclosed rate categories.
CCN (Medicare provider number)
520076
NPI
1023187416
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
125
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Marshfield Medical Center Beaver Dam most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$8,118 - $10,768
from 2 insurers · median $9,443
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$11,475 - $13,963
from 2 insurers · median $12,719
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery
CPT 66984
$5,606 - $11,506
from 3 insurers · median $7,036
226 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$1,141 - $4,071
from 4 insurers · median $2,419
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,118 - $10,768
from 2 insurers · median $9,443
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Mammography
CPT 77067
$516 - $959
from 4 insurers · median $750
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$59,410 - $61,461
from 2 insurers · median $60,435
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 47562
$8,967 - $16,853
from 3 insurers · median $16,830
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$41,517 - $54,172
from 2 insurers · median $47,845
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$1,676 - $2,379
from 4 insurers · median $2,303
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$32,074 - $48,753
from 2 insurers · median $40,414
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 71275
$992 - $3,446
from 4 insurers · median $2,365
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,961 - $7,300
from 4 insurers · median $5,494
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$4,917 - $5,953
from 3 insurers · median $5,008
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$529 - $1,164
from 4 insurers · median $738
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$4,677 - $5,519
from 3 insurers · median $4,917
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$992 - $3,256
from 4 insurers · median $1,888
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,899 - $4,374
from 4 insurers · median $2,618
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$8,967 - $20,135
from 3 insurers · median $14,612
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$4,677 - $7,650
from 3 insurers · median $4,917
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,967 - $19,484
from 2 insurers · median $14,226
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,220 - $4,325
from 4 insurers · median $3,369
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$140 - $478
from 4 insurers · median $312
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$8,967 - $20,135
from 3 insurers · median $17,251
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 10 | 890% | 3 | 5 |
| Insurer B* | 17 | 505% | 12 | 4 |
| Insurer C* | 24 | 478% | 8 | 11 |
| Insurer D* | 24 | 467% | 15 | 2 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Marshfield Medical Center Beaver Dam.
707 South University Avenue, Beaver Dam, WI 53916
(920) 887-7181
The nearest hospitals of similar type and size. Their rates are compared with Marshfield Medical Center Beaver Dam for the same insurers and services above.
Watertown Regional Medical Center
▼ Rates typically 11% lower than Marshfield Medical Center Beaver Dam (21 services)
Aurora Medical Center Washington County
▲ Rates typically 6% higher than Marshfield Medical Center Beaver Dam (20 services)
Aurora Medical Center Summit
Rates about the same as Marshfield Medical Center Beaver Dam (20 services)
Prohealth Oconomowoc Memorial Hospital
▼ Rates typically 18% lower than Marshfield Medical Center Beaver Dam (21 services)
St. Agnes Hospital
▼ Rates typically 22% lower than Marshfield Medical Center Beaver Dam (21 services)
Froedtert West Bend Hospital
▼ Rates typically 25% lower than Marshfield Medical Center Beaver Dam (21 services)
Marshfield Medical Center - Weston
Marshfield Medical Center - River Region At Stevens Point
Marshfield Medical Center - Eau Claire
Marshfield Medical Center - Minocqua
About Marshfield Medical Center Beaver Dam's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Marshfield Medical Center Beaver Dam range from $1,899 to $4,374 across 4 insurers. Aetna's rate is $4,374. The median at nearby comparable hospitals is $3,780. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Marshfield Medical Center Beaver Dam range from $1,141 to $4,071 across 4 insurers. Cigna's rate is $3,247. The median at nearby comparable hospitals is $3,718. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Marshfield Medical Center Beaver Dam range from $4,917 to $5,953 across 3 insurers. Aetna's rate is $5,008. The median at nearby comparable hospitals is $4,623. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Marshfield Medical Center Beaver Dam range from $8,118 to $10,768 across 2 insurers. UnitedHealthcare's rate is $10,768. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Marshfield Medical Center Beaver Dam range from $516 to $959 across 4 insurers. Cigna's rate is $781. The median at nearby comparable hospitals is $166. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Marshfield Medical Center Beaver Dam range from $32,074 to $48,753 across 2 insurers. Blue Cross Blue Shield's rate is $48,753. The median at nearby comparable hospitals is $29,875. What a patient pays depends on their plan's deductible, coinsurance and network status.
Marshfield Medical Center Beaver Dam has 125 beds. Facility type: Short Term Acute Care Hospital.
Marshfield Medical Center Beaver Dam is located at 707 South University Avenue, Beaver Dam, WI 53916. Its main phone number is (920) 887-7181.
Marshfield Medical Center Beaver Dam's CMS Certification Number (CCN), also called its Medicare provider number, is 520076.
The National Provider Identifier (NPI) on file for Marshfield Medical Center Beaver Dam is 1023187416.
Marshfield Medical Center Beaver Dam is affiliated with Marshfield Clinic Health System.
Marshfield Medical Center Beaver Dam lists 31 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
183 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers