CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Childrens Hospital of Wisconsin

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,329
  • Cash Discount Price: $864
  • vs. Medicare Baseline: 12.44x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Childrens Hospital of Wisconsin is $1,329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $864. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.44x the Medicare baseline. Located in 9000 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$864

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,329

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: $864 (809%)
Insurance Median: $1,329 (1244%)
Cash: $864 (809% of Medicare)
Ins. Median: $1,329 (1244% 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 1244% of the Medicare baseline (a markup of 1144%). 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
Froedtert Health $1,100 - $1,336 1030%
Medical College Of Wisconsin $1,100 1030%
Network Health Plan $1,119 1048%
UnitedHealthcare $1,155 - $1,196 1081%
Aspirus Health Plan $1,178 1103%
Common Ground Healthcare Cooperative $1,178 - $1,336 1103%
Trilogy Health Solutions $1,178 - $1,336 1103%
Wps Health Plan $1,194 - $1,414 1118%
Advocate Aurora Healthcare $1,210 1133%
Blue Cross Blue Shield $1,226 - $1,493 1148%
Centivo $1,226 1148%
Health Partners $1,226 - $1,383 1148%
Employer Health Care Alliance Cooperative $1,233 1154%
Dean Health Plan $1,257 1177%
Group Health Cooperative Of Eau Claire $1,257 1177%
Oan Llc $1,257 1177%
Security Health Plan $1,304 1221%
Health Payment Systems $1,329 1244%
Praire States $1,336 1251%
Quartz Health Insurance $1,336 1251%
Sheboygan Employer'S Health Network $1,336 1251%
Mayo Clinic Health Solutions $1,367 1280%
Aetna $1,383 - $1,398 1295%
Bellin Thedacare $1,414 1324%
Cigna $1,414 1324%
Group Health Cooperative Of South Central Wisconsin $1,414 1324%
Prevea Health Network $1,414 1324%
Multiplan $1,430 - $1,493 1339%
Coventry Health Care $1,493 1398%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens