CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $663
  • Cash Discount Price: $683
  • vs. Medicare Baseline: 6.21x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at University of Wi Hospitals & Clinics Authority is $663. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $683. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.21x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$683

Average discount available for prompt cash payment at this facility.

Insurance Median
$663

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: $683 (639%)
Insurance Median: $663 (621%)
Cash: $683 (639% of Medicare)
Ins. Median: $663 (621% 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 621% of the Medicare baseline (a markup of 521%). 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 - $913 100%
Blue Cross Blue Shield $107 - $1,082 100%
Humana $107 100%
Medicare (plans) $107 - $109 100%
UnitedHealthcare $107 - $713 100%
Alliance_Premier_Network $544 509%
Mercycare $565 529%
Triology $581 - $695 544%
Security_Health_Plan $615 - $723 576%
Employer'S_Coalition_On_Health $626 - $877 586%
Alliance $641 600%
Hfn $649 - $877 608%
United_Healthcare $653 - $967 611%
Beloit_Health_System $661 619%
Aspirus_Health_Plan $665 623%
Cigna $683 639%
Health_Partners_Insurance $695 651%
Health_Payment_Systems $698 653%
Dean_Health_Plan $729 683%
Medical_Associates $752 704%
Wps $789 - $869 739%
Employers_Healthcare_Coalition_Of_Wi $797 746%
Aspirus_Network_Inc $877 821%
Chorus_Community $911 853%
Ghc_Eau_Claire_Health_Plan $911 853%
Multiplan $911 - $1,048 853%
Sheybogan_Employers_Health_Network $911 853%
Coventry $968 906%
Dean_Care $968 906%
Healthsmart $1,002 938%

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