CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Rehabilitation Hospital of Wisconsin

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $681
  • Cash Discount Price: $681
  • vs. Medicare Baseline: 6.38x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Rehabilitation Hospital of Wisconsin is $681. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $681. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.38x the Medicare baseline. Located in 1625 Coldwater Creek Dr, Waukesha, WI.
Cash / Self-Pay
$681

Average discount available for prompt cash payment at this facility.

Insurance Median
$681

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: $681 (638%)
Insurance Median: $681 (638%)
Cash: $681 (638% of Medicare)
Ins. Median: $681 (638% 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 638% of the Medicare baseline (a markup of 538%). 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
Alliance Ppo $470 440%
Dean Ppo Hmo/Pos $470 440%
Medica (Under Dean) $470 440%
UnitedHealthcare $477 - $681 447%
Trilogy Ppo $491 - $681 460%
Wps "Insurance" Ppo $497 465%
Phcs Savility $511 478%
Hps Solutions Ppo $518 485%
Aetna $532 - $681 498%
Health Eos Poc $545 510%
Coventry/First Health Ppo $559 523%
Hps (Other) $559 523%
Health Eos Multiplan $579 542%
Phcs / Multiplan $627 587%
All Savers $681 638%
Blue Cross Blue Shield $681 638%
Centivo Broad $681 638%
Centivo Intermediate/Median $681 638%
Centivo Narrow/Value $681 638%
Children'S Communty Health Plan(Cchp) $681 638%
Cigna $681 638%
Community Care, Inc $681 638%
Humana $681 638%
Icare Mcd $681 638%
Managed Health Services (Mhs) $681 638%
Medicaid / KanCare $681 638%
Medicare (plans) $681 638%
Molina (Fka Care Wisconsin) $681 638%
Network Health - Aca $681 638%
Network Health - Commercial $681 638%
Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) $681 638%
Security Health Plan - Advocare $681 638%
Together With Cchp $681 638%
Unity Health Plan And Unity Quartz(Hmo/Pos) $681 638%
Va - Primary Only - Authorization Required $681 638%
Wellcare Mcr $681 638%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1625 Coldwater Creek Dr, Waukesha, WI 53188
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL