CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: UW Health

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $109
Cash Discount Price: $55
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at UW Health is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $55 (51%)

Insurance Median: $109 (102%)

Cash: $55 (51% of Medicare)

Ins. Median: $109 (102% 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.

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	$81 - $1,059	76%
Blue Cross Blue Shield	$81 - $726	76%
Humana	$81 - $107	76%
Medicare (plans)	$81 - $117	76%
Mychoice Wi Medical Adv	$81 - $107	76%
UnitedHealthcare	$81 - $1,128	76%
Medicaid / KanCare	$125	117%
Quartz Aso	$127 - $801	119%
Quartz Fully Insured	$127 - $509	119%
Cigna	$135 - $1,171	126%
Ecoh	$151 - $1,155	141%
Hfn	$151 - $1,155	141%
Wps	$172	161%
Alliance Premier Network	$180 - $801	169%
The Alliance	$195 - $1,031	183%
Beloit Healt System	$200 - $1,324	187%
Mercy Care	$241	226%
Workers Comp	$302	283%
Wps Ppo	$1,135	1063%
Mercycare	$1,370	1283%
First Health/Coventry	$1,443	1351%
Health Payment Systems	$1,712	1603%
Healthsmart	$1,712	1603%
Sheboygan Employers Health Network	$1,826	1710%
Multiplan	$2,041	1911%

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 $55.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.