CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Aurora Medical Center Bay Area

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $525
  • Cash Discount Price: $690
  • vs. Medicare Baseline: 4.92x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Aurora Medical Center Bay Area is $525. 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 4.92x the Medicare baseline. Located in 3003 University Dr, Marinette, WI.
Cash / Self-Pay
$690

Average discount available for prompt cash payment at this facility.

Insurance Median
$525

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: $525 (492%)
Cash: $690 (646% of Medicare)
Ins. Median: $525 (492% 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 492% of the Medicare baseline (a markup of 392%). 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
Aurora Caregiver $300 281%
Aetna $301 - $1,140 282%
Quartz One $315 295%
Hs Technology $366 343%
Blue Cross Blue Shield $367 - $966 344%
Common Ground $368 345%
Quartz Group $370 346%
Healthpartners $372 - $1,035 348%
Centivo $383 359%
Molina Exchange $392 367%
Everpointe Elite $406 380%
Wisconsin Physician Service $499 - $525 467%
Health Payment Systems $525 492%
Trilogy $526 492%
UnitedHealthcare $581 - $1,162 544%
Cigna $700 - $1,167 655%
Health Eos Plus $828 775%
Health Eos $1,104 1034%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3003 University Dr, Marinette, WI 54143
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals