CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Sanford Wheaton Medical Center

Billing Code: 76700 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$136

about 1.3× the $107 Medicare rate · typically $106–$402

modeled estimate · not a bill or quote

What this hospital charges insurers

$112

Below the fair price — a good deal

about $24 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $136 This hospital $112 Cash price $898 Hospital's list price $1,122

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $43 Priciest $112

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, abdomen (complete) is about $136 (about 1.3× the $107 Medicare rate). Sanford Wheaton Medical Center charges insurers about $112, or about $898 in cash — below the fair price — a good deal. Located in Wheaton, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$613 - $937	574%
Blue Cross Blue Shieldmajor	$272 - $1,038	255%
Aetnamajor	$613 - $975	574%
Health Net	$1,010	946%
HealthPartners	$613 - $909	574%
Medica	$986 - $1,061	923%
Sanford Health Plan	$565 - $1,042	529%
Security Health Plan	$617	578%
UCare	$112 - $986	105%
+ 2 smaller / regional plans	$624 - $1,010

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 898), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76700.

Insurance Before you use insurance

Call your insurance company to confirm Sanford Wheaton Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 76700.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sanford Wheaton Medical Center

Compare: Ultrasound, abdomen (complete) at other MN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.