Ultrasound, abdomen at Gundersen TriCounty Hospital and Clinics. CPT 76700.
What Gundersen TriCounty Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$512cash price (self-pay)
$807list price
$73.45–$1,769range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $73.45 |
| Quartz | All Products | $341 |
| Quartz | All Other Self Funded | $355 |
| Anthem | Medicaid | $361 |
| Group Health Eau Claire | Medicaid HMO | $361 |
| Group Health of South Central | Medicaid HMO | $361 |
| Iowa Total Care | Medicaid | $361 |
| Managed Health Service | Managed Medicaid | $361 |
| Quartz | Medicaid_Badgercare | $361 |
| Quartz | Self Funded | $379 |
| Quartz | Level Funded | $391 |
| UCARE | Non-Dually Eligible | $420 |
| UCARE | MSHO/Minnesota Special Needs | $420 |
| UCARE | Dually Eligible | $420 |
| Alliance | Premier/All Products | $427 |
| Quartz | Fully Insured | $440 |
| Anthem | Medicare HMO/PPO | $476 |
| Humana | Medicare Advantage | $476 |
| Quartz | Medicare Advantage | $476 |
| UHC | Medicare Advantage | $476 |
| Alliance | Comprehensive/All Products | $491 |
| Anthem | HMO/POS | $518 |
| UHC | All Payer Appendix | $581 |
| Cigna | All Products | $622 |
| Group Health of South Central | All Products | $646 |
| Trilogy | All Products | $646 |
| UCARE | Qualified Health Plan | $646 |
| Anthem | PPO | $646 |
| Aspirus Arise Health | All Products | $670 |
| Allied National | Core Value Programs | $686 |
Inpatient
$512cash price (self-pay)
$807list price
$341–$767range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $475 |
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All common services at Gundersen TriCounty Hospital and Clinics