CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $915
Cash Discount Price: $915
vs. Medicare Baseline: 8.57x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Marshfield Medical Center - Rice Lake is $915. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $915. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.57x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$915

Average discount available for prompt cash payment at this facility.

Insurance Median

$915

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: $915 (857%)

Insurance Median: $915 (857%)

Cash: $915 (857% of Medicare)

Ins. Median: $915 (857% 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 857% of the Medicare baseline (a markup of 757%). 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
Security Health Plan (Shp)	$384 - $525	360%
Blue Cross Blue Shield	$423 - $473	396%
Family Health Center (Fhc)	$482	451%
Amish/Mennonite	$530	496%
Sanford Health Plan	$530	496%
The Alliance	$532 - $915	498%
UnitedHealthcare	$585 - $794	548%
Group Health Cooperative Of Eau Claire	$790 - $924	740%
Molina Healthcare Of Wi	$819	767%
Besse Forest Products	$915	857%
Cigna	$915	857%
Corvel	$915	857%
First Health	$915	857%
Health Partners	$915	857%
Healtheos By Multiplan Inc.	$915	857%
Rice Lake School District	$915	857%
Medica Of Wi	$920 - $938	861%
Trilogy	$920 - $924	861%
Coventry	$924	865%
Health Smart	$924	865%
Rising Medical Work Comp	$934	874%
Wps Health Insurance	$939	879%
Three Rivers Provider Network (Trpn)	$944	884%

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 $915.
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 Marshfield Medical Center - Rice Lake 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.