Limited ultrasound scan of pelvis
Medicare pricing data for 28,740 providers across 52 states
Prices vary significantly by location — from $24 in Maine to $51 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
Limited ultrasound scan of pelvis (HCPCS code 76857) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $39.52, but hospitals typically charge $186.24 — a 4.7x 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 $39.52, your out-of-pocket cost would be approximately $7.90. 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 4.7x more than what Medicare allows for this procedure. Medicare actually pays $29.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $51 | $252 | 982 | 24,112 | +28.0% |
| California | $47 | $242 | 2,989 | 32,526 | +19.0% |
| Puerto Rico | $46 | $54 | 34 | 231 | +17.2% |
| New York | $46 | $193 | 2,101 | 29,507 | +16.2% |
| Maryland | $42 | $163 | 658 | 6,448 | +6.2% |
| Arizona | $41 | $234 | 552 | 4,444 | +4.3% |
| Mississippi | $40 | $164 | 242 | 3,719 | +1.0% |
| Florida | $39 | $161 | 2,051 | 21,048 | -0.2% |
| Alaska | $39 | $261 | 88 | 258 | -2.1% |
| Hawaii | $38 | $168 | 94 | 531 | -3.2% |
| Georgia | $37 | $197 | 586 | 2,984 | -6.3% |
| Connecticut | $37 | $154 | 503 | 2,696 | -7.2% |
| Rhode Island | $36 | $192 | 126 | 501 | -8.8% |
| Nevada | $36 | $230 | 272 | 1,209 | -9.1% |
| Wyoming | $35 | $195 | 50 | 156 | -10.7% |
| District of Columbia | $35 | $164 | 114 | 716 | -11.4% |
| Utah | $34 | $147 | 154 | 655 | -13.3% |
| Virginia | $34 | $148 | 688 | 4,199 | -13.3% |
| Texas | $34 | $178 | 1,900 | 10,045 | -13.9% |
| Washington | $34 | $116 | 637 | 2,842 | -14.8% |
| Delaware | $33 | $119 | 70 | 369 | -16.8% |
| Pennsylvania | $32 | $121 | 1,331 | 7,215 | -18.8% |
| Colorado | $31 | $141 | 605 | 2,421 | -20.7% |
| North Carolina | $31 | $157 | 833 | 2,474 | -21.6% |
| Michigan | $31 | $131 | 780 | 3,758 | -21.6% |
| New Mexico | $31 | $202 | 151 | 729 | -22.5% |
| Arkansas | $30 | $125 | 249 | 1,011 | -23.1% |
| Kansas | $30 | $168 | 297 | 1,220 | -23.8% |
| South Carolina | $29 | $207 | 392 | 1,121 | -25.6% |
| Massachusetts | $29 | $150 | 942 | 5,046 | -26.3% |
| Indiana | $29 | $144 | 431 | 1,460 | -26.4% |
| Illinois | $29 | $157 | 1,155 | 5,293 | -27.0% |
| Iowa | $29 | $154 | 259 | 953 | -27.2% |
| Tennessee | $29 | $145 | 559 | 2,185 | -27.5% |
| Minnesota | $28 | $148 | 856 | 2,339 | -28.0% |
| West Virginia | $28 | $128 | 147 | 801 | -28.6% |
| Louisiana | $28 | $126 | 363 | 1,442 | -29.5% |
| Alabama | $28 | $104 | 315 | 973 | -29.5% |
| Nebraska | $28 | $116 | 263 | 1,156 | -29.7% |
| Kentucky | $27 | $97 | 277 | 2,021 | -30.5% |
| Wisconsin | $27 | $264 | 656 | 2,003 | -30.8% |
| New Hampshire | $27 | $129 | 179 | 567 | -31.1% |
| Vermont | $27 | $111 | 51 | 195 | -31.8% |
| Missouri | $27 | $128 | 540 | 1,835 | -32.3% |
| Montana | $26 | $103 | 88 | 355 | -33.0% |
| Ohio | $26 | $137 | 965 | 3,936 | -33.1% |
| Oregon | $26 | $107 | 379 | 1,756 | -33.6% |
| Idaho | $26 | $157 | 144 | 512 | -34.1% |
| South Dakota | $26 | $86 | 103 | 311 | -35.2% |
| Oklahoma | $26 | $122 | 264 | 923 | -35.3% |
| North Dakota | $25 | $119 | 97 | 433 | -36.8% |
| Maine | $24 | $96 | 154 | 474 | -40.2% |
⚠️ 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