CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: UW Health

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $714
Cash Discount Price: $473
vs. Medicare Baseline: 6.68x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at UW Health is $714. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $473. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.68x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$473

Average discount available for prompt cash payment at this facility.

Insurance Median

$714

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: $473 (443%)

Insurance Median: $714 (668%)

Cash: $473 (443% of Medicare)

Ins. Median: $714 (668% 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 668% of the Medicare baseline (a markup of 568%). 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
Aetna	$107 - $1,372	100%
Blue Cross Blue Shield	$107 - $940	100%
Humana	$107	100%
Medicare (plans)	$107 - $117	100%
Mychoice Wi Medical Adv	$107	100%
UnitedHealthcare	$107 - $1,460	100%
Quartz Fully Insured	$659	617%
Ecoh	$964 - $1,496	903%
Hfn	$964 - $1,496	903%
Alliance Premier Network	$1,037	971%
Quartz Aso	$1,038	972%
The Alliance	$1,335	1250%
Wps Ppo	$1,469	1375%
Cigna	$1,516	1419%
Beloit Healt System	$1,714	1605%
Mercycare	$1,774	1661%
First Health/Coventry	$1,868	1749%
Health Payment Systems	$2,217	2076%
Healthsmart	$2,217	2076%
Sheboygan Employers Health Network	$2,365	2214%
Multiplan	$2,643	2474%

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 $473.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UW Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.