CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $949
Cash Discount Price: $1,073
vs. Medicare Baseline: 8.88x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $949. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,073. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.88x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$1,073

Average discount available for prompt cash payment at this facility.

Insurance Median

$949

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: $1,073 (1005%)

Insurance Median: $949 (888%)

Cash: $1,073 (1005% of Medicare)

Ins. Median: $949 (888% 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 888% of the Medicare baseline (a markup of 788%). 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
Wps Health Insurance	$279 - $760	261%
The Alliance	$573	536%
Security Health Plan (Shp)	$587 - $652	550%
UnitedHealthcare	$588	551%
Amish/Mennonite	$621	581%
Quartz	$644	603%
Cigna	$768 - $835	719%
Health Payment Systems	$786	736%
Blue Cross Blue Shield	$796 - $955	745%
Humana	$892 - $1,005	835%
Group Health Cooperative Of Eau Claire	$926 - $1,073	867%
Network Health Plan	$943	883%
First Health	$960	899%
Molina Healthcare Of Wi	$960	899%
Trilogy	$1,016	951%
Healtheos By Multiplan Inc.	$1,050 - $1,073	983%
Health Partners	$1,073	1005%
Coventry	$1,084	1015%

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 $1,073.
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 Marshfield Medical Center - Beaver Dam (Mmc-Bd) 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.