CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Gundersen Moundview Hospital and Clinics

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $658
  • Cash Discount Price: $703
  • vs. Medicare Baseline: 6.16x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Gundersen Moundview Hospital and Clinics is $658. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $703. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.16x the Medicare baseline. Located in 402 W Lake St, Friendship, WI.
Cash / Self-Pay
$703

Average discount available for prompt cash payment at this facility.

Insurance Median
$658

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: $703 (658%)
Insurance Median: $658 (616%)
Cash: $703 (658% of Medicare)
Ins. Median: $658 (616% 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 616% of the Medicare baseline (a markup of 516%). 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
Amerigroup $71 66%
Blue Cross Blue Shield $380 - $1,769 356%
Alliance $419 - $555 392%
UnitedHealthcare $509 477%
Iowa Total Care $510 477%
Managed Health Service $510 477%
Dean Health Plan $535 501%
Health Partners $630 - $1,210 590%
Security Health Plan $630 590%
Ucare $630 - $1,096 590%
Quartz $747 699%
Wps $1,056 989%
Wps - Arise $1,056 989%
Aspirus Arise Health $1,137 1065%
Humana $1,164 1090%
Multiplan/Healtheos $1,206 - $1,315 1129%
Coventry Health Care $1,302 1219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 402 W Lake St, Friendship, WI 53934
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals