CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Unitypoint Health - Meriter

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $166
Cash Discount Price: $690
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Unitypoint Health - Meriter is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $690. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.55x the Medicare baseline. Located in 202 S Park St, Madison, WI.

Cash / Self-Pay

$690

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $690 (646%)

Insurance Median: $166 (155%)

Cash: $690 (646% of Medicare)

Ins. Median: $166 (155% 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.

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
Aspirus	$36 - $1,246	34%
Blue Cross Blue Shield	$36 - $1,972	34%
Illinicare	$36 - $107	34%
Prevea 360	$36 - $1,765	34%
UnitedHealthcare	$36 - $857	34%
Humana	$37 - $112	35%
Meridiancare	$37 - $112	35%
Wellmark Uph Self-Funded	$64 - $1,199	60%
Cigna	$71 - $623	66%
Health Partners Open Network	$74 - $758	69%
Security Health Plan	$76 - $644	71%
Mercy Care	$89 - $689	83%
Medical Associates Health Plan	$118 - $747	110%
Quartz	$648	607%

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 $690.
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 Unitypoint Health - Meriter 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.