CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Holy Family Memorial

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $555
Cash Discount Price: $488
vs. Medicare Baseline: 5.20x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Holy Family Memorial is $555. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $488. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.20x the Medicare baseline. Located in 2300 Western Ave, Manitowoc, WI.

Cash / Self-Pay

$488

Average discount available for prompt cash payment at this facility.

Insurance Median

$555

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: $488 (457%)

Insurance Median: $555 (520%)

Cash: $488 (457% of Medicare)

Ins. Median: $555 (520% 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 520% of the Medicare baseline (a markup of 420%). 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
Blue Cross Blue Shield	$101 - $579	95%
Community Care Incorporated	$101	95%
Health Partners	$101 - $577	95%
Humana	$101	95%
Icare	$101	95%
Molina	$101 - $109	95%
Network Health Plan	$101 - $434	95%
Security Health Plan	$101 - $710	95%
UnitedHealthcare	$101 - $647	95%
Allwell	$103	96%
Medical College Of Wisconsin	$293	274%
Centivo	$355 - $408	332%
Dean Health Plan	$444	416%
Health Payment Systems	$500	468%
Sheboygan Employers Health Network	$532	498%
Chorus Community Health Plan	$570	534%
Trilogy	$585	548%
Cigna	$639	598%
Wps Health Plan	$656	614%
Aspirus	$710	665%
Healtheos	$710	665%
Multiplan/Private Healthcare Systems	$710	665%
Preferred One	$710	665%
Healthsmart	$736	689%
First Health Network	$781	731%

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 $488.
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 Holy Family Memorial 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.