CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Bellin Health Oconto Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $370
Cash Discount Price: $321
vs. Medicare Baseline: 3.46x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Bellin Health Oconto Hospital is $370. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.46x the Medicare baseline. Located in 820 Arbutus Ave, Oconto, WI.

Cash / Self-Pay

$321

Average discount available for prompt cash payment at this facility.

Insurance Median

$370

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: $321 (301%)

Insurance Median: $370 (346%)

Cash: $321 (301% of Medicare)

Ins. Median: $370 (346% 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 346% of the Medicare baseline (a markup of 246%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$168 - $389	157%
Community Care	$168	157%
Humana	$168	157%
My Choice	$168	157%
Network Health	$168 - $420	157%
UnitedHealthcare	$203 - $345	190%
Aetna	$247	231%
Cigna	$349 - $355	327%
Common Ground	$360 - $370	337%
Chorus Community Health Plan	$370	346%
Aspirus Arise	$387	362%
Healthsmart	$395	370%
Ihs(Claimsbridge)	$395	370%
Medical College Of Wi	$395	370%
Hps/Paymedix	$405 - $440	379%
Wps Insurance	$415	389%
Allied National	$420	393%
First Health	$420	393%
Galaxy Health	$420	393%
Three Rivers Provider Network	$445	417%
Trilogy	$445	417%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $321.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bellin Health Oconto Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.