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Limited Ultrasound Scan of Pelvis Cost in New York
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 139 New York hospitals. CPT 76857. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $175
📉 Low $14.52
📈 High $1,378
🏥 139 hospitals
🏛️ 107 with insurance contracts
🇺🇸 Medicare $56.22
Hospital comparison — New York
Sorted by cash price (lowest first). Showing top 60 of 139 hospitals.
Billed more than $175 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Centene | Cigna | Humana | BCBS | Molina | Medicaid |
|---|---|---|---|---|---|---|---|---|---|
| AHN WESTFIELD MEMORIAL HOSPITAL WESTFIELD |
$14.52 | $131 | $18.85 | — | $37.12 | $133 | — | $137 | — |
| LITTLE FALLS HOSPITAL LITTLE FALLS |
$20.89 | — | — | — | — | — | — | — | — |
| O'CONNOR HOSPITAL DELHI |
$20.89 | — | — | — | — | — | — | — | — |
| COBLESKILL REGIONAL HOSPITAL GRANDVIEW DRIVE COBLESKILL |
$20.89 | — | — | — | — | — | — | — | — |
| GENEVA GENERAL HOSPITAL GENEVA |
$22.50 | $22.50 | $22.50 | $23.63 | — | — | $22.50 | — | — |
| BERTRAND CHAFFEE HOSPITAL SPRINGVILLE |
$34.00 | — | $24.24 | $24.24 | — | — | $23.47 | $24.24 | $24.24 |
| MEDINA MEMORIAL HOSPITAL MEDINA |
$37.00 | — | $58.28 | — | — | — | — | $58.28 | — |
| NOYES MEMORIAL HOSPITAL DANSVILLE |
$39.95 | $23.10 | $19.13 | $22.50 | $34.93 | $130 | $10.74 | $40.40 | $16.88 |
| ELLIS HOSPITAL - BELLEVUE WOMAN'S CARE CENTER NOTT STREET SCHENECTADY |
$40.00 | — | — | — | — | — | $31.28 | — | — |
| UNITED MEMORIAL MEDICAL CENTER NORTH STREET BATAVIA |
$40.85 | — | — | — | — | — | — | — | — |
| ROCHESTER GENERAL HOSPITAL PORTLAND AVE ROCHESTER |
$40.85 | — | — | — | — | — | — | — | — |
| THE UNITY HOSPITAL OF ROCHESTER LONG POND ROAD ROCHESTER |
$40.85 | — | — | — | — | — | — | — | — |
| THOMPSON HOSPITAL CANANDAIGUA |
$46.51 | $23.10 | $23.72 | $24.24 | $34.93 | $130 | $10.74 | $50.50 | $17.58 |
| JONES MEMORIAL HOSPITAL WELLSVILLE |
$47.11 | $23.10 | $19.77 | $24.24 | $34.93 | $140 | $17.77 | $44.44 | $17.58 |
| ST. JAMES HOSPITAL HORNELL |
$55.46 | $23.10 | $19.13 | $17.10 | $34.93 | $140 | $10.74 | $40.40 | $16.20 |
| SAINT BARNABAS HOSPITAL HEALTH SYSTEM BRONX |
$56.64 | — | — | $22.91 | — | — | — | — | — |
| SUNNYVIEW REHABILITATION HOSPITAL SCHENECTADY |
$61.00 | — | — | — | — | — | — | — | — |
| ST. PETER'S HOSPITAL ALBANY |
$61.00 | — | — | — | — | — | — | — | — |
| GOLISANO CHILDREN'S HOSPITAL OF BUFFALO BUFFALO |
$65.00 | $30.61 | $142 | $136 | $153 | — | $88.99 | — | — |
| MAIMONIDES MEDICAL CENTER BROOKLYN |
$65.00 | $18.47 | $8.90 | $18.34 | $21.16 | — | — | $25.45 | — |
| MERCY HOSPITAL OF BUFFALO BUFFALO |
$90.16 | — | — | — | — | — | — | — | — |
| KENMORE MERCY HOSPITAL KENMORE |
$90.16 | — | — | — | — | — | — | — | — |
| MOUNT ST. MARY'S HOSPITAL LEWISTON |
$90.16 | — | — | — | — | — | — | — | — |
| GUTHRIE LOURDES HOSPITAL BINGHAMTON |
$91.75 | — | — | — | — | — | — | — | — |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER NIAGARA FALLS |
$92.63 | $64.65 | $130 | $123 | — | $134 | $27.78 | — | — |
| BURKE REHABILITATION HOSPITAL WHITE PLAINS |
$94.25 | — | $130 | $41.21 | — | — | — | — | — |
| ZUCKER HILLSIDE HOSPITAL GLEN OAKS |
$96.42 | $65.17 | $126 | $128 | $77.03 | $128 | — | — | — |
| LONG ISLAND JEWISH VALLEY STREAM VALLEY STREAM |
$96.42 | $65.17 | $126 | $128 | $77.03 | $128 | — | — | — |
| LONG ISLAND JEWISH VALLEY STREAM VALLEY STREAM |
$96.42 | $65.17 | $126 | $128 | $77.03 | $128 | — | — | — |
| LENOX HILL HOSPITAL NEW YORK |
$96.42 | $63.20 | $126 | $128 | $77.03 | $128 | — | — | — |
| PHELPS HOSPITAL SLEEPY HOLLOW |
$96.42 | $127 | $127 | $130 | $77.03 | $130 | — | — | — |
| PLAINVIEW HOSPITAL PLAINVIEW |
$96.42 | $65.17 | $126 | $128 | $77.03 | $128 | — | — | — |
| HUNTINGTON HOSPITAL HUNTINGTON |
$96.42 | $65.17 | $125 | $127 | $77.03 | $127 | — | — | — |
| STATEN ISLAND UNIVERSITY HOSPITAL STATEN ISLAND |
$96.42 | $65.17 | $127 | $130 | $77.03 | $130 | — | — | — |
| SOUTH SHORE UNIVERSITY HOSPITAL BAY SHORE |
$96.42 | $65.17 | $126 | $128 | $77.03 | $128 | — | — | — |
| MATHER MEMORIAL HOSPITAL PORT JEFFERSON |
$96.42 | $65.17 | $125 | $127 | $77.03 | $127 | — | — | — |
| LONG ISLAND JEWISH MEDICAL CENTER NEW HYDE PARK |
$96.42 | $65.17 | $126 | $128 | $77.03 | $128 | — | — | — |
| COHEN CHILDREN'S MEDICAL CENTER NEW HYDE PARK |
$96.42 | $65.17 | $126 | $128 | $77.03 | $128 | — | — | — |
| NORTH SHORE UNIVERSITY HOSPITAL MANHASSET |
$96.42 | $65.17 | $126 | $128 | $77.03 | $128 | — | — | — |
| NORTHERN WESTCHESTER HOSPITAL MOUNT KISCO |
$96.42 | $127 | $127 | $130 | $77.03 | $130 | — | — | — |
| SYOSSET HOSPITAL SYOSSET |
$96.42 | $65.17 | $126 | $128 | $77.03 | $128 | — | — | — |
| GLEN COVE HOSPITAL GLEN COVE |
$96.42 | $65.17 | $126 | $128 | $77.03 | $128 | — | — | — |
| PECONIC BAY MEDICAL CENTER RIVERHEAD |
$96.42 | $119 | $125 | $127 | $77.03 | $127 | — | — | — |
| LONG ISLAND JEWISH FOREST HILLS HOSPITAL FOREST HILLS |
$96.42 | $65.17 | $126 | $128 | $77.03 | $128 | — | — | — |
| HSS QUEENS FRESH MEADOWS |
$103 | $47.12 | $18.46 | $18.30 | $51.39 | — | $40.40 | $451 | — |
| HSS SOUTHAMPTON WATER MILL |
$103 | $47.12 | $18.46 | $18.30 | $51.39 | — | $40.40 | $451 | — |
| HSS BROOKLYN BROOKLYN |
$103 | $47.12 | $18.46 | $18.30 | $51.39 | — | $40.40 | $451 | — |
| HSS WESTCHESTER WHITE PLAINS |
$103 | $47.12 | $18.46 | $18.30 | $51.39 | — | $94.94 | $451 | — |
| HSS WEST SIDE ASC NEW YORK |
$103 | $47.12 | $18.46 | $18.30 | $51.39 | — | $40.40 | $451 | — |
| HSS HUDSON YARDS 10TH FLOOR |
$103 | $47.12 | $18.46 | $18.30 | $51.39 | — | $40.40 | $451 | — |
| HOSPITAL FOR SPECIAL SURGERY NEW YORK |
$103 | $47.12 | $18.46 | $18.30 | $51.39 | — | $40.40 | $451 | — |
| HSS LONG ISLAND UNIONDALE |
$103 | $47.12 | $18.46 | $18.30 | $51.39 | — | $94.94 | $451 | — |
| HSS ASC OF MANHATTAN NEW YORK |
$103 | $47.12 | $18.46 | $18.30 | $51.39 | — | $40.40 | $451 | — |
| HSS MIDTOWN NEW YORK |
$103 | $47.12 | $18.46 | $18.30 | $51.39 | — | $40.40 | $451 | — |
| CARTHAGE AREA HOSPITAL WEST ST CARTHAGE |
$104 | — | — | — | — | — | — | — | — |
| ADIRONDACK MEDICAL CENTER SARANAC LAKE |
$109 | $137 | — | $140 | $127 | — | $137 | — | — |
| URMC STRONG WEST ROCHESTER |
$122 | $49.04 | $49.04 | $140 | $117 | $49.53 | $175 | — | $40.12 |
| HIGHLAND HOSPITAL ROCHESTER |
$124 | $143 | $135 | — | $222 | $142 | $148 | — | — |
| SAMARITAN HOSPITAL - ALBANY MEMORIAL CAMPUS ALBANY |
$125 | — | — | — | — | — | — | — | — |
| MONTEFIORE ST. LUKE'S CORNWALL CAMPUS NEWBURGH |
$130 | $48.45 | $130 | $104 | $688 | $144 | — | — | $40.40 |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 76857, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $343 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $175 for this?
That is the median of what the 139 New York 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 York, Medicare reimburses about $56.22 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New York range from $14.52 to $1,378 — that means hospital cash prices are typically 3.1x 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 York?
- Cash prices for limited ultrasound scan of pelvis (CPT 76857) in New York range from $14.52 to $1,378, with a median of $175. Prices vary widely by hospital.
- Where can I find the cheapest limited ultrasound scan of pelvis in New York?
- The cheapest New York hospital published cash price for this procedure is $14.52. 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.
Limited ultrasound scan of pelvis in nearby states
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Methodology. Cash prices and insurance-negotiated rates published by each New York facility under federal price transparency rules (45 CFR § 180). CPT code 76857 (Imaging). Data refreshed regularly; verify with the facility before any procedure.