CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Marshfield Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $551
  • Cash Discount Price: $566
  • vs. Medicare Baseline: 5.16x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Marshfield Medical Center is $551. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $566. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.16x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.
Cash / Self-Pay
$566

Average discount available for prompt cash payment at this facility.

Insurance Median
$551

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: $566 (530%)
Insurance Median: $551 (516%)
Cash: $566 (530% of Medicare)
Ins. Median: $551 (516% 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 516% of the Medicare baseline (a markup of 416%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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) $298 279%
Amish/Mennonite $328 307%
Sanford Health Plan $328 307%
The Alliance $414 - $498 388%
Security Health Plan (Shp) $416 - $612 389%
Blue Cross Blue Shield $423 - $473 396%
Group Health Cooperative Of Eau Claire $489 - $548 458%
Besse Forest Products $507 475%
Molina Healthcare Of Wi $507 475%
Rice Lake School District $507 475%
Wps Health Insurance $526 - $575 492%
Trilogy $536 - $572 502%
Medica Of Wi $553 - $564 518%
Cigna $560 524%
Healtheos By Multiplan Inc. $560 - $566 524%
Corvel $566 530%
First Health $566 530%
Health Partners $566 530%
Three Rivers Provider Network (Trpn) $566 530%
Coventry $572 536%
Health Smart $572 536%
Rising Medical Work Comp $578 541%
UnitedHealthcare $585 548%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 St Joseph Ave, Marshfield, WI 54449
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals