CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 76700 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$395

about 3.7× the $107 Medicare rate · typically $98–$785

modeled estimate · not a bill or quote

What this hospital charges insurers

$438

About the fair price

about $43 over the fair price · 4.1× Medicare

Medicare pays $107 Fair price $395 This hospital $438 Cash price $859 Hospital's list price $1,479

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $41 Priciest $438

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, abdomen (complete) is about $395 (about 3.7× the $107 Medicare rate). Gundersen St Josephs Hospital and Clinics charges insurers about $438, or about $859 in cash — about the fair price. Located in Hillsboro, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$784 - $1,034	734%
Blue Cross Blue Shieldmajor	$380 - $784	356%
Aetnamajor	$1,405	1315%
Cignamajor	$1,213	1136%
Humanamajor	$1,257	1177%
Amerigroup	$71	66%
Quartz	$806	755%
Security Health Plan	$290	272%
UCare	$769 - $1,183	720%
+ 4 smaller / regional plans	$419 - $1,255

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 859), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76700.

Insurance Before you use insurance

Call your insurance company to confirm Gundersen St Josephs Hospital and Clinics is in-network.
Ask your insurer whether prior approval is required for CPT code 76700.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Gundersen St Josephs Hospital and Clinics

Compare: Ultrasound, abdomen (complete) at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.