CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Stoughton Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $199
  • Cash Discount Price: $506
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Stoughton Hospital is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $506. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.86x the Medicare baseline. Located in 900 Ridge St, Stoughton, WI.
Cash / Self-Pay
$506

Average discount available for prompt cash payment at this facility.

Insurance Median
$199

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: $506 (474%)
Insurance Median: $199 (186%)
Cash: $506 (474% of Medicare)
Ins. Median: $199 (186% 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.

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
Healthnet Mcr Adv - All Plans $31 - $431 29%
Tricare $31 - $386 29%
Aetna $36 - $1,377 34%
Dean Health Insurance Med Adv $36 - $454 34%
Quartz Mcr Adv $36 - $454 34%
Security Health/First Health - All Plans $36 - $454 34%
UnitedHealthcare $36 - $1,296 34%
Blue Cross Blue Shield $40 - $1,409 37%
Humana $46 - $1,458 43%
Quartz Health Solutions - All Other Lans $81 - $634 76%
Dean Health Insurance Comm - All Other Plans $83 - $570 78%
Dean Health Insurance Epo $83 - $570 78%
Alliance - All Plans $103 - $940 96%
Medicaid / KanCare $120 - $199 112%
Geha - All Plans $164 - $1,215 154%
Cigna $175 - $1,296 164%
Wisconsin Ppo Ppa Direct - All Plans $175 - $1,296 164%
Wps - All Plans $1,458 1365%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Ridge St, Stoughton, WI 53589
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals