Ultrasound, abdomen at SSM Health St. Clare Hospital - Baraboo. CPT 76700.
What SSM Health St. Clare Hospital - Baraboo publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$895cash price (self-pay)
$1,628list price
$76.16–$959range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Managed Care Plan | $76.16 |
| Dean Health Plan | Medicare Managed Care Plan | $102 |
| BCBS | Blue Preferred/Blue Preferred Plus HMO/POS | $894 |
| BCBS | Blue Access PPO | $959 |
| BCBS | Blue Traditional Traditional | $959 |
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All common services at SSM Health St. Clare Hospital - Baraboo