Complete ultrasound scan of pelvis
Medicare pricing data for 38,166 providers across 52 states
Prices vary significantly by location — from $40 in Vermont to $96 in New Jersey. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Complete ultrasound scan of pelvis (HCPCS code 76856) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $77.13, but hospitals typically charge $274.84 — a 3.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $77.13, your out-of-pocket cost would be approximately $15.43. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $57.51 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $96 | $342 | 1,252 | 22,081 | +24.9% |
| New York | $95 | $305 | 2,585 | 54,561 | +23.0% |
| California | $95 | $316 | 4,027 | 69,176 | +22.8% |
| Maryland | $92 | $275 | 825 | 17,177 | +19.5% |
| District of Columbia | $86 | $287 | 132 | 1,738 | +11.8% |
| Arizona | $84 | $314 | 719 | 6,401 | +8.8% |
| Florida | $83 | $301 | 2,671 | 29,407 | +8.1% |
| Puerto Rico | $80 | $106 | 178 | 1,033 | +4.0% |
| Nevada | $73 | $282 | 357 | 2,044 | -6.0% |
| Hawaii | $72 | $241 | 105 | 1,023 | -6.1% |
| Connecticut | $72 | $241 | 579 | 3,762 | -6.6% |
| Alaska | $70 | $410 | 111 | 678 | -8.8% |
| Rhode Island | $69 | $232 | 181 | 1,740 | -10.3% |
| Virginia | $69 | $285 | 936 | 6,429 | -10.5% |
| Wyoming | $67 | $315 | 56 | 286 | -13.0% |
| Colorado | $65 | $261 | 552 | 2,667 | -15.1% |
| Texas | $65 | $289 | 2,557 | 14,479 | -15.2% |
| Illinois | $64 | $265 | 1,629 | 13,387 | -17.5% |
| Tennessee | $63 | $235 | 860 | 4,347 | -18.2% |
| Delaware | $62 | $201 | 118 | 2,349 | -19.0% |
| New Mexico | $61 | $279 | 197 | 1,802 | -20.4% |
| South Carolina | $60 | $288 | 526 | 2,683 | -22.1% |
| Washington | $60 | $253 | 925 | 5,988 | -22.7% |
| Georgia | $60 | $230 | 1,070 | 4,680 | -22.7% |
| New Hampshire | $59 | $224 | 215 | 1,354 | -23.5% |
| Massachusetts | $59 | $220 | 1,061 | 14,314 | -23.9% |
| Minnesota | $58 | $243 | 1,222 | 6,623 | -24.6% |
| North Carolina | $56 | $228 | 1,292 | 5,169 | -27.3% |
| Kansas | $56 | $222 | 399 | 2,368 | -27.6% |
| Alabama | $56 | $161 | 600 | 2,395 | -27.7% |
| Louisiana | $55 | $213 | 496 | 2,731 | -29.3% |
| Mississippi | $54 | $187 | 308 | 1,461 | -29.8% |
| South Dakota | $54 | $196 | 127 | 609 | -30.0% |
| Montana | $53 | $177 | 108 | 659 | -30.7% |
| Pennsylvania | $53 | $200 | 1,496 | 13,163 | -31.3% |
| Iowa | $52 | $256 | 257 | 1,333 | -32.5% |
| Nebraska | $52 | $198 | 349 | 1,816 | -32.8% |
| Oregon | $52 | $188 | 468 | 3,443 | -32.8% |
| Ohio | $51 | $205 | 1,073 | 5,325 | -33.4% |
| Michigan | $51 | $175 | 1,213 | 9,418 | -33.5% |
| Missouri | $50 | $185 | 766 | 4,378 | -35.1% |
| West Virginia | $50 | $203 | 163 | 582 | -35.2% |
| Indiana | $50 | $177 | 687 | 3,526 | -35.7% |
| Utah | $49 | $145 | 293 | 1,425 | -36.6% |
| Oklahoma | $49 | $180 | 347 | 1,987 | -36.7% |
| Arkansas | $48 | $157 | 393 | 2,036 | -37.9% |
| Wisconsin | $48 | $404 | 783 | 3,835 | -38.4% |
| Idaho | $47 | $222 | 185 | 935 | -38.5% |
| Kentucky | $47 | $162 | 334 | 1,307 | -39.6% |
| North Dakota | $43 | $172 | 130 | 913 | -44.2% |
| Maine | $41 | $180 | 159 | 872 | -47.5% |
| Vermont | $40 | $178 | 58 | 442 | -48.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber