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Ultrasound, abdomen at Aspirus Divine Savior Hospital. CPT 76700.

What Aspirus Divine Savior Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$356cash price (self-pay)
$728list price
$34.90–$1,473range insurers pay
Insurance planNegotiated rate
Humana | Humana Medicare Ppo/Pos/Hmo Network Plans$34.90
United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Adva$36.32
Dean Health Plan | Dean Health Plan Wisconsin Medicaid Plans$47.14
Aetna | Medicare Advantage Esa$102
Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo$104
Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons$105
Managed Health Services Insurance Corp. | Managed Health Wisconsin Med$107
Quartz Health Solutions, Inc. | Quartz Fully Insured And Self Insured $108
Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans$213
United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E$241
Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos$254
Anthem Blue Cross Blue Shield Wisconsin | Anthem Federal Employee Prog$254
Dean Health Plan | Dean Health Plan Commercial Hmo$371
Dean Health Plan | Dean Health Plan Commercial Pos$371
Dean Health Plan | Dean Health Plan Commercial Aso Hmo$665
Dean Health Plan | Dean Health Plan Commercial Ppo$665
Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo$762
Security Health Plan Of Wisconsin, Inc. | Security Administrative Serv$972
Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla$972
Security Health Plan Of Wisconsin, Inc. | Security Health Plan Indemni$972
Security Health Plan Of Wisconsin, Inc. | Security Health Plan Pos Pla$972
Security Health Plan Of Wisconsin, Inc. | Security Health Plan Premier$972
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All common services at Aspirus Divine Savior Hospital