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Limited Ultrasound Scan of Pelvis Cost in Utah
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 53 Utah hospitals. CPT 76857. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $492
📉 Low $50.00
📈 High $1,269
🏥 53 hospitals
🏛️ 49 with insurance contracts
🇺🇸 Medicare $48.96
Hospital comparison — Utah
Sorted by cash price (lowest first). Showing top 53 of 53 hospitals.
Billed more than $492 for this? That gap is evidence.
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| Hospital | Cash | UHC | Molina | Aetna | Humana | Cigna | MultiPlan | TRICARE | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| MOAB REGIONAL HOSPITAL MOAB |
$50.00 | $43.61 | $43.61 | $43.61 | $43.61 | $45.00 | — | $50.00 | $43.61 |
| CENTRAL VALLEY MEDICAL CENTER NEPHI |
$219 | $302 | — | $282 | $302 | $283 | — | — | — |
| CENTRAL VALLEY MEDICAL CENTER NEPHI |
$219 | $302 | — | $282 | $302 | $283 | — | — | — |
| KANE COUNTY HOSPITAL KANAB |
$247 | $46.44 | $275 | $261 | $275 | $275 | — | $46.44 | — |
| INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL - TAYLORSVILLE TAYLORSVILLE |
$289 | $23.18 | $23.18 | — | — | — | — | $102 | — |
| INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL - LEHI LEHI |
$289 | $23.18 | $23.18 | — | — | — | — | $102 | — |
| INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL SALT LAKE CITY |
$289 | $23.18 | $23.18 | — | — | — | — | $102 | — |
| UNIVERSITY OF UTAH HOSPITAL SALT LAKE CITY |
$315 | — | — | — | — | — | — | — | — |
| UNIVERSITY ORTHOPAEDIC CENTER SALT LAKE CITY |
$315 | — | — | — | — | — | — | — | — |
| UNIVERSITY OF UTAH HOSPITAL - HUNTSMAN CANCER INSTITUTE SALT LAKE CITY |
$315 | — | — | — | — | — | — | — | — |
| HUNTSMAN MENTAL HEALTH INSTITUTE SALT LAKE CITY |
$315 | — | — | — | — | — | — | — | — |
| SAN JUAN HOSPITAL MONTICELLO |
$327 | $95.00 | $466 | $90.00 | $95.00 | $90.00 | $80.00 | $75.00 | $466 |
| SAN JUAN HEALTH SPANISH VALLEY CLINIC MONTICELLO |
$336 | — | — | — | $23.78 | — | — | $23.78 | — |
| SAN JUAN HEALTH BLANDING CLINIC MONTICELLO |
$336 | — | — | — | $23.78 | — | — | $23.78 | — |
| SAN JUAN HEALTH MONTICELLO CLINIC MONTICELLO |
$336 | — | — | — | $23.78 | — | — | $23.78 | — |
| COMMONSPIRIT HOLY CROSS HOSPITAL - JORDAN VALLEY WEST JORDAN |
$345 | $97.54 | $20.52 | $20.52 | $23.66 | $112 | $595 | — | $23.66 |
| COMMONSPIRIT HOLY CROSS HOSPITAL - JORDAN VALLEY WEST WEST VALLEY CITY |
$345 | $97.54 | $20.52 | $381 | $23.66 | $112 | $595 | — | $23.66 |
| COMMONSPIRIT - HOLY CROSS HOSPITAL - SALT LAKE SALT LAKE CITY |
$345 | $97.54 | $55.40 | $381 | $23.66 | $112 | $595 | — | $23.66 |
| COMMONSPIRIT HOLY CROSS HOSPITAL - MOUNTAIN POINT LEHI |
$345 | $97.54 | $20.52 | $381 | $23.66 | $112 | $595 | — | $23.66 |
| COMMONSPIRIT - HOLY CROSS HOSPITAL - DAVIS LAYTON |
$345 | $625 | $55.40 | $381 | $23.66 | $112 | $595 | — | $23.66 |
| CASTLEVIEW HOSPITAL PRICE |
$366 | $74.90 | $100 | $74.40 | $100 | $63.90 | $95.00 | $100 | $100 |
| ASHLEY REGIONAL MEDICAL CENTER VERNAL |
$411 | $77.70 | $98.00 | $74.20 | $95.00 | $63.90 | $97.00 | $100 | $100 |
| ST. MARKS HOSPITAL SALT LAKE CITY |
$453 | $245 | $138 | $145 | — | $181 | $285 | — | — |
| UINTAH BASIN MEDICAL CENTER ROOSEVELT |
$487 | $98.00 | $98.00 | $95.00 | $95.00 | $90.00 | $95.00 | — | — |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL PANGUITCH |
$492 | — | $23.18 | $23.18 | — | $313 | — | — | $23.18 |
| INTERMOUNTAIN HEALTH FILLMORE COMMUNITY HOSPITAL FILLMORE |
$492 | $23.18 | $23.18 | $23.18 | $23.18 | $313 | — | — | — |
| INTERMOUNTAIN HEALTH PARK CITY HOSPITAL PARK CITY |
$492 | $23.18 | $23.18 | $23.18 | $23.18 | $313 | — | — | — |
| INTERMOUNTAIN HEALTH LOGAN REGIONAL HOSPITAL LOGAN |
$492 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| INTERMOUNTAIN HEALTH CEDAR CITY HOSPITAL CEDAR CITY |
$492 | $23.18 | $23.18 | $23.18 | $23.18 | $313 | — | — | — |
| INTERMOUNTAIN HEALTH SEVIER VALLEY HOSPITAL RICHFIELD |
$492 | $23.18 | $23.18 | $23.18 | $23.18 | $313 | — | — | — |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL DELTA |
$492 | $23.18 | $23.18 | $23.18 | $23.18 | $313 | — | — | — |
| INTERMOUNTAIN HEALTH ST. GEORGE REGIONAL HOSPITAL SAINT GEORGE |
$492 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL MOUNT PLEASANT |
$492 | $23.18 | $23.18 | $23.18 | $23.18 | $313 | — | — | — |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL HEBER |
$492 | $313 | — | — | — | $313 | — | — | — |
| INTERMOUNTAIN HEALTH BEAR RIVER VALLEY HOSPITAL TREMONTON |
$492 | $23.18 | $23.18 | $23.18 | $23.18 | $313 | — | — | — |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL SANDY |
$579 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| INTERMOUNTAIN HEALTH RIVERTON HOSPITAL RIVERTON |
$579 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| INTERMOUNTAIN HEALTH MCKAY-DEE HOSPITAL OGDEN |
$579 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| INTERMOUNTAIN HEALTH OREM COMMUNITY HOSPITAL OREM |
$579 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL LAYTON |
$579 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL PROVO |
$579 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| INTERMOUNTAIN HEALTH AMERICAN FORK HOSPITAL AMERICAN FORK |
$579 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL SPANISH FORK |
$579 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| INTERMOUNTAIN HEALTH LDS HOSPITAL C ST E |
$579 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| INTERMOUNTAIN HEALTH INTERMOUNTAIN MEDICAL CENTER MURRAY |
$579 | $23.18 | $23.18 | $23.18 | $23.18 | — | — | — | — |
| CACHE VALLEY HOSPITAL NORTH LOGAN |
$598 | $245 | $182 | $221 | — | $239 | $401 | — | — |
| TIMPANOGOS REGIONAL HOSPITAL OREM |
$661 | $245 | $201 | $212 | — | $264 | $416 | — | — |
| BRIGHAM CITY COMMUNITY HOSPITAL BRIGHAM CITY |
$693 | $245 | $211 | $194 | — | $277 | $568 | — | — |
| LAKEVIEW HOSPITAL BOUNTIFUL |
$944 | $245 | $287 | $274 | — | $286 | $632 | — | — |
| HERRIMAN EMERGENCY CENTER HERRIMAN |
$997 | $245 | $303 | $319 | — | $286 | $628 | — | — |
| LONE PEAK HOSPITAL DRAPER |
$997 | $245 | $303 | $319 | — | $286 | $628 | — | — |
| OGDEN REGIONAL MEDICAL CENTER OGDEN |
$1,269 | $245 | $386 | $381 | — | $286 | $800 | — | — |
| PLEASANT VIEW EMERGENCY CENTER PLEASANT VIEW |
$1,269 | $245 | $386 | $381 | — | $286 | $800 | — | — |
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 $492 for this?
That is the median of what the 53 Utah 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 Utah, Medicare reimburses about $48.96 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Utah range from $50.00 to $1,269 — that means hospital cash prices are typically 10.0x 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 Utah?
- Cash prices for limited ultrasound scan of pelvis (CPT 76857) in Utah range from $50.00 to $1,269, with a median of $492. Prices vary widely by hospital.
- Where can I find the cheapest limited ultrasound scan of pelvis in Utah?
- The cheapest Utah hospital published cash price for this procedure is $50.00. 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
Other procedures in Utah
Methodology. Cash prices and insurance-negotiated rates published by each Utah facility under federal price transparency rules (45 CFR § 180). CPT code 76857 (Imaging). Data refreshed regularly; verify with the facility before any procedure.