Ultrasound, abdomen at HSHS St. Nicholas Hospital. CPT 76700.
What HSHS St. Nicholas Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$770cash price (self-pay)
$1,166list price
$40.90–$1,166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Antehm Medicaid | $74.44 |
| Community Care Family Care | Community Care Family Care Medicaid Manag | $74.44 |
| Continuus Medicaid Managed | Continuus Medicaid Managed | $74.44 |
| Managed Health Services | Managed Health Services Medicaid | $74.44 |
| Meridian Health Plan | Meridian HMO Mcd | $74.44 |
| Molina Healthcare | Molina Medicaid | $78.91 |
| Aetna | Aetna Medicare | $102 |
| Anthem | Anthem Medicare Advantage HMO | $102 |
| Humana | Humana Medicare Advantage | $102 |
| Medica | Medica Medicare Advantage | $102 |
| Medicare Managed | Managed Medicare No Sequestration | $102 |
| Molina Healthcare | Molina Medicare | $102 |
| Humana | All Commercial Humana Hpn Choicecare | $153 |
| Humana | Humana Choice Care HMO | $153 |
| Humana | Humana Natiional POS HMO | $153 |
| Naphcare | All Commerical Naphcare | $230 |
| Prevea Health Network | Prevea360 | $482 |
| Anthem | Anthem POS/HMO | $500 |
| Anthem | Anthem PPO | $500 |
| P360 Small Group | Prevea 360 Small Group Commercial Plan | $522 |
| Prevea Health Network | Prevea Employees | $522 |
| Prevea Health Network | Prevea360 - Network | $522 |
| Hshs Employees | Hshs Employees | $567 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $583 |
| Arise Health Plan | All Commercial Arise Health Plan | $700 |
| Cigna | All Commercial Cigna | $816 |
| Interplan | All Commercial Interplan Health Group | $816 |
| Health Eos | All Commercial Health Eos | $875 |
| Healthsmart | All Commercial Healthsmart | $875 |
| Network Health Plan | All Commerical Network Health Plan | $875 |
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