CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Marshfield Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $468
Cash Discount Price: $473
vs. Medicare Baseline: 4.38x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Marshfield Medical Center is $468. 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 4.38x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.

Cash / Self-Pay

$473

Average discount available for prompt cash payment at this facility.

Insurance Median

$468

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: $468 (438%)

Cash: $473 (443% of Medicare)

Ins. Median: $468 (438% 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 438% of the Medicare baseline (a markup of 338%). 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
Family Health Center (Fhc)	$249	233%
Amish/Mennonite	$274	257%
Sanford Health Plan	$274	257%
The Alliance	$346 - $416	324%
Group Health Cooperative Of Eau Claire	$408 - $458	382%
Security Health Plan (Shp)	$416 - $612	389%
Besse Forest Products	$423	396%
Blue Cross Blue Shield	$423 - $473	396%
Molina Healthcare Of Wi	$423	396%
Rice Lake School District	$423	396%
Wps Health Insurance	$439 - $481	411%
Trilogy	$448 - $478	419%
Medica Of Wi	$462 - $472	433%
Cigna	$468	438%
Healtheos By Multiplan Inc.	$468 - $473	438%
Corvel	$473	443%
First Health	$473	443%
Health Partners	$473	443%
Three Rivers Provider Network (Trpn)	$473	443%
Coventry	$478	448%
Health Smart	$478	448%
Rising Medical Work Comp	$483	452%
UnitedHealthcare	$585	548%

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 Marshfield Medical Center 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.