Limited Ultrasound Scan of Pelvis Cost
How much does this cost without insurance? Compare published self-pay cash prices and insurance-negotiated rates for CPT 76857 across 3,287 US facilities. Dataset: Q4 2026.
A Limited ultrasound scan of pelvis (CPT 76857, Imaging) can cost very different amounts depending on which hospital you choose and how you pay. Across the 3,287 U.S. facilities that publish a cash self-pay price for this procedure, rates run from $17.82 at the low end to $10,806 at the most expensive — a national median of roughly $343. For comparison, Medicare reimburses about $52.70 for the same code. The breakdown below shows typical charges state by state, so you can gauge what to expect near you, weigh cash rates against insurance-negotiated prices, and flag any facility charging far above the norm before you schedule.
State-by-state pricing
Click any state for facility-by-facility prices.
| State | Hospitals | Avg cash | Low | High |
|---|---|---|---|---|
| Texas | 377 | $847 | $27.85 | $10,806 |
| California | 222 | $635 | $33.28 | $4,666 |
| Florida | 160 | $1,318 | $50.82 | $7,126 |
| New York | 135 | $288 | $20.89 | $1,378 |
| Illinois | 121 | $495 | $24.60 | $1,344 |
| Ohio | 116 | $408 | $29.00 | $1,181 |
| Minnesota | 98 | $291 | $36.55 | $955 |
| North Carolina | 98 | $357 | $31.85 | $1,287 |
| Missouri | 96 | $390 | $21.51 | $3,248 |
| Wisconsin | 93 | $353 | $31.56 | $908 |
| Georgia | 85 | $531 | $64.24 | $2,290 |
| Louisiana | 84 | $287 | $18.15 | $2,380 |
| Colorado | 82 | $758 | $23.00 | $2,134 |
| Michigan | 79 | $228 | $27.60 | $969 |
| Kentucky | 77 | $458 | $53.40 | $3,869 |
| Indiana | 73 | $331 | $45.24 | $1,503 |
| Tennessee | 73 | $309 | $27.30 | $1,686 |
| Oklahoma | 70 | $432 | $24.00 | $2,571 |
| Washington | 68 | $350 | $32.00 | $911 |
| Pennsylvania | 66 | $337 | $17.82 | $2,953 |
| Virginia | 65 | $574 | $22.44 | $2,425 |
| Kansas | 63 | $480 | $37.62 | $3,056 |
| Nebraska | 61 | $390 | $52.00 | $889 |
| Iowa | 60 | $284 | $56.00 | $1,049 |
| New Jersey | 54 | $297 | $74.10 | $1,320 |
| Utah | 52 | $501 | $50.00 | $1,269 |
| Massachusetts | 49 | $420 | $55.50 | $1,406 |
| Arkansas | 48 | $280 | $21.00 | $2,402 |
| Alabama | 44 | $406 | $23.75 | $2,016 |
| Mississippi | 42 | $228 | $37.80 | $581 |
| South Carolina | 40 | $629 | $93.21 | $1,710 |
| Oregon | 39 | $245 | $33.41 | $616 |
| South Dakota | 39 | $516 | $22.47 | $972 |
| Arizona | 33 | $651 | $36.30 | $1,646 |
| West Virginia | 32 | $320 | $24.00 | $2,749 |
| Montana | 31 | $203 | $19.50 | $513 |
| North Dakota | 29 | $350 | $20.30 | $907 |
| Nevada | 29 | $686 | $24.90 | $1,548 |
| Idaho | 25 | $336 | $40.00 | $908 |
| Maine | 25 | $159 | $22.44 | $568 |
| New Hampshire | 22 | $469 | $31.80 | $1,519 |
| New Mexico | 19 | $375 | $57.00 | $987 |
| Puerto Rico | 19 | $86.86 | $25.50 | $330 |
| Connecticut | 16 | $281 | $58.00 | $1,030 |
| Maryland | 16 | $178 | $51.00 | $287 |
| Hawaii | 13 | $340 | $84.60 | $649 |
| Wyoming | 11 | $402 | $95.00 | $761 |
| Vermont | 9 | $409 | $30.00 | $1,955 |
| Alaska | 8 | $658 | $116 | $1,485 |
| Delaware | 8 | $564 | $257 | $907 |
| Rhode Island | 7 | $275 | $70.56 | $417 |
| Washington D.C. | 6 | $197 | $70.00 | $585 |