CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Marshfield Medical Center - Weston

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $867
  • Cash Discount Price: $915
  • vs. Medicare Baseline: 8.12x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Marshfield Medical Center - Weston is $867. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $915. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.12x the Medicare baseline. Located in 3400 Ministry Parkway, Weston, WI.
Cash / Self-Pay
$915

Average discount available for prompt cash payment at this facility.

Insurance Median
$867

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: $915 (857%)
Insurance Median: $867 (812%)
Cash: $915 (857% of Medicare)
Ins. Median: $867 (812% 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 812% of the Medicare baseline (a markup of 712%). 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
Security Health Plan (Shp) $384 - $525 360%
Blue Cross Blue Shield $419 - $468 392%
Family Health Center (Fhc) $482 451%
Amish/Mennonite $530 496%
Sanford Health Plan $530 496%
The Alliance $532 - $804 498%
UnitedHealthcare $585 - $795 548%
Group Health Cooperative Of Eau Claire $790 - $867 740%
Besse Forest Products $819 767%
Molina Healthcare Of Wi $819 767%
Rice Lake School District $819 767%
Wps Health Insurance $852 - $929 798%
Medica Of Wi $898 - $917 841%
Cigna $905 847%
Healtheos By Multiplan Inc. $905 - $915 847%
Corvel $915 857%
First Health $915 857%
Health Partners $915 857%
Three Rivers Provider Network (Trpn) $915 857%
Trilogy $920 - $924 861%
Coventry $924 865%
Health Smart $924 865%
Rising Medical Work Comp $934 874%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Ministry Parkway, Weston, WI 54476
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals