CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,070
  • Cash Discount Price: $1,103
  • vs. Medicare Baseline: 10.02x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at University of Wi Hospitals & Clinics Authority is $1,070. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,103. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.02x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$1,103

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,070

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: $1,103 (1033%)
Insurance Median: $1,070 (1002%)
Cash: $1,103 (1033% of Medicare)
Ins. Median: $1,070 (1002% 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 1002% of the Medicare baseline (a markup of 902%). 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
Aetna $107 - $1,474 100%
Blue Cross Blue Shield $107 - $1,746 100%
Humana $107 100%
Medicare (plans) $107 - $109 100%
UnitedHealthcare $107 - $1,151 100%
Alliance_Premier_Network $878 822%
Mercycare $912 854%
Triology $937 - $1,121 877%
Security_Health_Plan $993 - $1,167 930%
Employer'S_Coalition_On_Health $1,011 - $1,415 947%
Alliance $1,034 968%
Hfn $1,048 - $1,415 981%
United_Healthcare $1,053 - $1,560 986%
Beloit_Health_System $1,066 998%
Aspirus_Health_Plan $1,073 1005%
Cigna $1,103 1033%
Health_Partners_Insurance $1,121 1050%
Health_Payment_Systems $1,127 1055%
Dean_Health_Plan $1,176 1101%
Medical_Associates $1,213 1136%
Wps $1,274 - $1,402 1193%
Employers_Healthcare_Coalition_Of_Wi $1,287 1205%
Aspirus_Network_Inc $1,415 1325%
Chorus_Community $1,470 1376%
Ghc_Eau_Claire_Health_Plan $1,470 1376%
Multiplan $1,470 - $1,691 1376%
Sheybogan_Employers_Health_Network $1,470 1376%
Coventry $1,562 1462%
Dean_Care $1,562 1462%
Healthsmart $1,617 1514%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals