CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Bellin Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $294
Cash Discount Price: $272
vs. Medicare Baseline: 2.75x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Bellin Memorial Hospital is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $272. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.75x the Medicare baseline. Located in 744 S Webster Ave, Green Bay, WI.

Cash / Self-Pay

$272

Average discount available for prompt cash payment at this facility.

Insurance Median

$294

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: $272 (255%)

Insurance Median: $294 (275%)

Cash: $272 (255% of Medicare)

Ins. Median: $294 (275% 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 275% of the Medicare baseline (a markup of 175%). 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
Aetna	$100 - $108	94%
Community Care	$100 - $235	94%
Humana	$100 - $235	94%
My Choice	$100 - $108	94%
Network Health	$101 - $314	95%
UnitedHealthcare	$105 - $526	98%
Blue Cross Blue Shield	$108 - $316	101%
Common Ground	$251	235%
Chorus Community Health Plan	$269	252%
Aspirus Arise	$289 - $302	271%
Cigna	$295 - $299	276%
Wps Insurance	$306 - $356	286%
Hps/Paymedix	$310 - $335	290%
Trilogy	$318	298%
Healthsmart	$335	314%
Ihs(Claimsbridge)	$335	314%
Medical College Of Wi	$335	314%
Multiplan	$335	314%
Allied National	$356	333%
First Health	$356	333%
Galaxy Health	$356	333%
Three Rivers Provider Network	$377	353%

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 $272.
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 Bellin Memorial Hospital 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.