CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Tomah Memorial Hospital

Billing Code: 76705 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$83
about 0.8× the $107 Medicare rate · typically $68–$132
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
About the fair price
about $4 over the fair price · 0.8× Medicare
Medicare pays $107 Fair price $83 This hospital $87 Cash price $155 Hospital's list price $269

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 6 of 8 other WI hospitals charge less.

Cheapest $30 Priciest $102

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 (limited) is about $83 (about 0.8× the $107 Medicare rate). Tomah Memorial Hospital charges insurers about $87, or about $155 in cash — about the fair price. Located in Tomah, 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 $18 - $303 17%
Blue Cross Blue Shieldmajor $26 - $296 24%
Aetnamajor $30 - $273 28%
Cignamajor $210 - $312 197%
Humanamajor $109 - $298 102%
Quartz $26 - $290 24%
+ 8 smaller / regional plans $26 - $483
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 501 Gopher Dr, Tomah, WI 54660
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals