Ultrasound, abdomen at Gundersen Palmer Lutheran Hospital and Clinic. CPT 76700.
What Gundersen Palmer Lutheran Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$549cash price (self-pay)
$925list price
$73.45–$897range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $73.45 |
| Molina Health | Managed Medicaid | $73.45 |
| Alliance | Comprehensive/All Products | $214 |
| Alliance | Premier/All Products | $214 |
| Wellmark | HMO | $380 |
| Quartz | All Products | $391 |
| Quartz | All Other Self Funded | $407 |
| Wellmark | Indemnity/PPO | $417 |
| Quartz | Self Funded | $435 |
| Quartz | Level Funded | $449 |
| UHC | All Payer Appendix | $459 |
| Health Partners | Medicaid HMO | $463 |
| Wellmark | All Products | $472 |
| Aetna | Medicare Advantage | $481 |
| Amerigroup | Medicare Advantage | $481 |
| Health Partners | Medicare Advantage | $481 |
| Humana | Medicare Advantage | $481 |
| Iowa Total Care | Medicaid | $481 |
| Managed Health Service | Managed Medicaid | $481 |
| Quartz | Medicaid_Badgercare | $481 |
| Quartz | Medicare Advantage | $481 |
| UHC | Medicare Advantage | $481 |
| Wellmark | Medicare Advantage | $481 |
| Quartz | Fully Insured | $504 |
| UCARE | MSHO/Minnesota Special Needs | $509 |
| UCARE | Dually Eligible | $509 |
| UCARE | Non-Dually Eligible | $509 |
| Health Partners | Medicare Cost | $555 |
| Medical Associates | CAH Specific | $740 |
| Trilogy | All Products | $740 |
Inpatient
$549cash price (self-pay)
$925list price
$391–$897range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $545 |
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All common services at Gundersen Palmer Lutheran Hospital and Clinic