CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Unitypoint Health - Meriter

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $132
Cash Discount Price: $557
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Unitypoint Health - Meriter is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $557. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.24x the Medicare baseline. Located in 202 S Park St, Madison, WI.

Cash / Self-Pay

$557

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $557 (521%)

Insurance Median: $132 (124%)

Cash: $557 (521% of Medicare)

Ins. Median: $132 (124% 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	$26 - $1,061	24%
Blue Cross Blue Shield	$26 - $1,680	24%
Illinicare	$26 - $103	24%
Prevea 360	$26 - $1,503	24%
UnitedHealthcare	$26 - $730	24%
Humana	$27 - $103	25%
Meridiancare	$27 - $103	25%
Wellmark Uph Self-Funded	$46 - $1,021	43%
Cigna	$52 - $530	49%
Health Partners Open Network	$54 - $645	51%
Security Health Plan	$55 - $548	51%
Mercy Care	$64 - $587	60%
Medical Associates Health Plan	$86 - $636	81%
Quartz	$552	517%

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 $557.
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 Unitypoint Health - Meriter 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.