CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $876
  • Cash Discount Price: $737
  • vs. Medicare Baseline: 8.20x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Froedtert Memorial Lutheran Hospital is $876. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $737. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.20x the Medicare baseline. Located in 9200 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$737

Average discount available for prompt cash payment at this facility.

Insurance Median
$876

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: $737 (690%)
Insurance Median: $876 (820%)
Cash: $737 (690% of Medicare)
Ins. Median: $876 (820% 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 820% of the Medicare baseline (a markup of 720%). 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
Blue Cross Blue Shield $108 - $1,156 101%
Community Care $108 101%
Health Partners $108 - $843 101%
Humana $108 101%
Icare $108 101%
Molina $108 101%
Network Health Plan $108 - $434 101%
Priority Health $108 101%
Quartz $108 101%
Security Health Plan $108 - $1,069 101%
UnitedHealthcare $108 - $668 101%
Upper Peninsula Health Plan $108 101%
Aetna $110 - $884 103%
Wellcare $110 103%
Care Wisconsin/Mychoice $111 104%
Sheboygan Employers Health Network $348 326%
Centivo $396 - $449 371%
Medical College Of Wisconsin $435 - $449 407%
Chorus Community Health Plan $514 - $530 481%
Froedtert South $528 - $544 494%
Wisconsin Physician Services Statewide Alliance $831 - $857 778%
Trilogy $857 - $884 802%
Health Payment Systems $868 - $895 813%
Cigna $1,029 - $1,061 963%
Dean Health Plan $1,055 - $1,088 988%
Group Health Cooperative $1,055 - $1,088 988%
Healtheos $1,055 - $1,088 988%
Multiplan/Private Healthcare Systems $1,055 - $1,088 988%
Healthsmart $1,095 - $1,129 1025%
Wisconsin Physician Services $1,121 - $1,156 1050%
First Health Network $1,141 - $1,176 1068%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals