Limited Ultrasound Scan of Pelvis Cost in New Hampshire
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 22 New Hampshire hospitals. CPT 76857. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — New Hampshire
Sorted by cash price (lowest first). Showing top 22 of 22 hospitals.
| Hospital | Cash | Cigna | UHC | Aetna | MultiPlan | First Health | BCBS | Centene | Humana |
|---|---|---|---|---|---|---|---|---|---|
| CONCORD HOSPITAL CONCORD |
$31.80 | — | — | — | — | — | — | — | — |
| CONCORD HOSPITAL LACONIA LACONIA |
$31.80 | — | — | — | — | — | — | — | — |
| CONCORD HOSPITAL FRANKLIN FRANKLIN |
$31.80 | — | — | — | — | — | — | — | — |
| CHESHIRE MEDICAL CENTER KEENE |
$36.98 | $24.24 | $24.24 | $23.45 | $88.00 | $70.00 | $24.24 | $24.24 | — |
| MAINE HEALTH MEMORIAL HOSPITAL NORTH CONWAY |
$51.00 | $42.94 | $17.34 | $17.34 | $43.87 | — | — | $18.03 | $17.34 |
| ALICE PECK DAY MEMORIAL HOSPITAL LEBANON |
$53.36 | — | — | — | — | — | — | — | — |
| DARTMOUTH HITCHCOCK MEMORIAL HOSPITAL LEBANON |
$59.06 | $23.45 | $22.77 | $23.45 | $88.00 | $85.00 | $22.77 | $23.68 | — |
| LITTLETON REGIONAL HEALTHCARE LITTLETON |
$87.58 | $40.28 | $38.00 | $91.00 | $95.00 | $98.00 | $81.50 | — | $39.52 |
| NEW LONDON HOSPITAL NEW LONDON |
$98.26 | $31.18 | $22.77 | $26.18 | $95.00 | — | — | $23.45 | — |
| HUGGINS HOSPITAL WOLFEBORO |
$117 | $40.00 | $40.00 | $40.00 | $95.00 | — | — | $40.00 | $40.00 |
| SPEARE MEMORIAL HOSPITAL PLYMOUTH |
$167 | $104 | — | — | — | — | $229 | — | — |
| COTTAGE HOSPITAL WOODSVILLE |
$188 | $39.14 | $38.00 | $38.76 | — | — | $38.00 | — | $32.30 |
| VALLEY REGIONAL HOSPITAL CLAREMONT |
$300 | $31.18 | $59.41 | — | — | — | $308 | — | — |
| SOUTHERN NEW HAMPSHIRE MEDICAL CENTER NASHUA |
$374 | $120 | — | $114 | — | — | $116 | $148 | — |
| WENTWORTH-DOUGLASS HOSPITAL DOVER |
$581 | — | — | — | — | — | — | — | — |
| PLAISTOW EMERGENCY ROOM PLAISTOW |
$767 | $2,386 | $161 | $457 | — | $652 | — | — | — |
| PARKLAND MEDICAL CENTER DERRY |
$767 | $2,386 | $161 | $457 | — | $652 | — | — | — |
| CATHOLIC MEDICAL CENTER MANCHESTER |
$1,031 | — | $517 | — | $763 | — | — | — | — |
| PORTSMOUTH REGIONAL HOSPITAL PORTSMOUTH |
$1,345 | $894 | $346 | $851 | $1,089 | $1,224 | — | — | — |
| SEABROOK EMERGENCY ROOM SEABROOK |
$1,345 | $894 | $346 | $851 | $1,089 | $1,224 | — | — | — |
| DOVER EMERGENCY ROOM DOVER |
$1,345 | $894 | $346 | $851 | $1,089 | $1,224 | — | — | — |
| FRISBIE MEMORIAL HOSPITAL ROCHESTER |
$1,519 | — | — | — | — | — | — | — | — |
That is the median of what the 22 New Hampshire hospitals above publish for Limited ultrasound scan of pelvis — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 76857 in New Hampshire, Medicare reimburses about $52.31 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New Hampshire range from $31.80 to $1,519 — that means hospital cash prices are typically 3.2x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does limited ultrasound scan of pelvis cost in New Hampshire?
- Cash prices for limited ultrasound scan of pelvis (CPT 76857) in New Hampshire range from $31.80 to $1,519, with a median of $167. Prices vary widely by hospital.
- Where can I find the cheapest limited ultrasound scan of pelvis in New Hampshire?
- The cheapest New Hampshire hospital published cash price for this procedure is $31.80. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.