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Limited Ultrasound Scan of Pelvis Cost in Wisconsin
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 93 Wisconsin hospitals. CPT 76857. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $352
📉 Low $31.56
📈 High $908
🏥 93 hospitals
🏛️ 63 with insurance contracts
🇺🇸 Medicare $48.78
Hospital comparison — Wisconsin
Sorted by cash price (lowest first). Showing top 60 of 93 hospitals.
Billed more than $352 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Cigna | Molina | Humana | MultiPlan | First Health | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| WESTFIELDS HOSPITAL NEW RICHMOND |
$31.56 | — | — | — | — | — | — | — | — |
| ST CROIX REGIONAL MEDICAL CENTER SAINT CROIX FALLS |
$35.69 | — | — | — | — | $26.07 | — | — | — |
| EDGERTON HOSPITAL FULTON SQUARE CLINIC EDGERTON |
$50.37 | $32.28 | $55.00 | — | — | — | — | — | — |
| EDGERTON HOSPITAL WHITEWATER CLINIC SUITE C |
$50.37 | $32.28 | $55.00 | — | — | — | — | — | — |
| AMERY HOSPITAL AMERY |
$55.79 | — | — | — | — | — | — | — | — |
| SAUK PRAIRIE HOSPITAL PRAIRIE DU SAC |
$76.31 | $21.92 | — | — | — | $21.92 | — | — | — |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER - JANESVILLE JANESVILLE |
$80.11 | — | $105 | — | — | — | — | — | — |
| HUDSON HOSPITAL HUDSON |
$82.55 | — | — | — | — | — | — | — | — |
| ASPIRUS WISCONSIN RAPIDS HOSPITAL WISCONSIN RAPIDS |
$122 | $24.56 | $102 | $401 | — | $20.80 | $528 | — | — |
| ASPIRUS PLOVER HOSPITAL STEVENS POINT |
$122 | — | $102 | — | — | — | — | — | — |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC MEDFORD |
$122 | $20.86 | — | — | — | — | — | $171 | — |
| ASPIRUS WAUSAU HOSPITAL WAUSAU |
$122 | $20.86 | $102 | — | — | — | — | — | — |
| ASPIRUS STEVENS POINT HOSPITAL STEVENS POINT |
$122 | — | $102 | — | — | — | — | — | — |
| ASPIRUS EAGLE RIVER HOSPITAL EAGLE RIVER |
$122 | — | — | — | — | — | — | — | — |
| HOWARD YOUNG MEDICAL CENTER WOODRUFF |
$122 | $21.96 | $102 | — | — | — | — | — | — |
| ASPIRUS DIVINE SAVIOR HOSPITAL PORTAGE |
$122 | $21.96 | $102 | — | — | $21.52 | — | — | — |
| ASPIRUS MERRILL HOSPITAL MERRILL |
$122 | — | — | — | — | — | — | — | — |
| ASPIRUS TOMAHAWK HOSPITAL TOMAHAWK |
$122 | — | — | — | — | — | — | — | — |
| ASPIRUS RHINELANDER HOSPITAL RHINELANDER |
$122 | $24.56 | $102 | $57.00 | — | $21.52 | $192 | — | — |
| ASPIRUS LANGLADE HOSPITAL ANTIGO |
$122 | $19.63 | — | — | — | — | — | — | — |
| ASPIRUS STANLEY HOSPITAL STANLEY |
$122 | — | — | — | — | — | — | — | — |
| UNITYPOINT HEALTH MERITER MADISON |
$126 | $21.96 | — | $44.24 | — | $23.06 | — | — | — |
| HOLY FAMILY MEMORIAL MANITOWOC |
$148 | $101 | — | $194 | $101 | $101 | $216 | $238 | $162 |
| RICHLAND HOSPITAL CLINIC RICHLAND CENTER |
$174 | $19.63 | $184 | $184 | — | $26.16 | — | — | — |
| CUMBERLAND HEALTHCARE CUMBERLAND |
$186 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM NORTHLAND BARRON |
$224 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY BLOOMER |
$224 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM EAU CLAIRE EAU CLAIRE |
$224 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM RED CEDAR MENOMONIE |
$224 | — | — | — | — | — | — | — | — |
| MAYO CLINIC HEALTH SYSTEM OAKRIDGE OSSEO PO BOX 70 |
$224 | — | — | — | — | — | — | — | — |
| AURORA MEDICAL CENTER SHEBOYGAN SHEBOYGAN |
$250 | $421 | $301 | $423 | $392 | — | — | — | — |
| FROEDTERT PLEASANT PRARIE HOSPITAL PLEASANT PRAIRIE |
$254 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. CLARE HOSPITAL BARABOO |
$257 | — | — | — | — | — | — | — | — |
| BLACK RIVER MEMORIAL HOSPITAL BLACK RIVER FALLS |
$270 | — | — | — | — | — | — | — | — |
| AURORA MEDICAL CENTER FOND DU LAC FOND DU LAC |
$272 | $459 | $301 | $461 | $392 | — | — | — | — |
| AURORA MEDICAL CENTER OSHKOSH OSHKOSH |
$272 | $459 | $301 | $461 | $392 | — | — | — | — |
| BELOIT MEMORIAL HOSPITAL BELOIT |
$300 | — | — | — | — | — | — | — | — |
| AURORA MEDICAL CENTER SUMMIT SUMMIT |
$310 | $522 | $301 | $525 | $392 | — | — | — | — |
| ASCENSION WISCONSIN HOSPITAL - GREENFIELD MENOMONEE FALLS |
$331 | $46.66 | $104 | $458 | $49.00 | — | $685 | — | — |
| ASCENSION SE WISCONSIN HOSPITAL ELMBROOK W. NORTH AVE BROOKFIELD |
$334 | — | — | — | — | — | — | — | — |
| ASCENSION ST FRANCIS HOSPITAL TH ST MILWAUKEE |
$334 | — | — | — | — | — | — | — | — |
| ASCENSION ALL SAINTS HOSPITAL SPRING STREET CAMPUS SPRING ST RACINE |
$334 | — | — | — | — | — | — | — | — |
| ASCENSION SE WISCONSIN HOSPITAL FRANKLIN TH ST FRANKLIN |
$334 | — | — | — | — | — | — | — | — |
| ASCENSION SE WISCONSIN HOSPITAL ST JOSEPH W. CHAMBERS ST MILWAUKEE |
$334 | — | — | — | — | — | — | — | — |
| ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR TOWER AVE SUPERIOR |
$339 | — | — | — | — | — | — | — | — |
| AURORA MEDICAL CENTER MANITOWOC COUNTY TWO RIVERS |
$350 | $581 | $301 | $592 | $392 | — | — | — | — |
| ASCENSION SACRED HEART REHABILITATION HOSPITAL MEQUON |
$352 | $61.57 | — | — | — | $61.57 | — | — | — |
| AURORA BAYCARE MEDICAL CENTER GREEN BAY |
$375 | $581 | $301 | $634 | $392 | — | — | — | — |
| PROHEALTH MUKWONAGO HOSPITAL WAUKESHA |
$395 | $188 | $575 | $531 | — | — | $665 | $607 | — |
| PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL OCONOMOWOC |
$395 | $188 | $597 | $531 | — | — | $665 | $607 | — |
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL WAUKESHA |
$395 | $188 | $575 | $531 | — | — | $665 | $607 | — |
| SSM HEALTH ST. AGNES HOSPITAL - FOND DU LAC FOND DU LAC |
$401 | — | — | — | — | — | — | — | — |
| SSM HEALTH WAUPUN MEMORIAL HOSPITAL WAUPUN |
$401 | — | — | — | — | — | — | — | — |
| SSM HEALTH RIPON COMMUNITY HOSPITAL RIPON |
$401 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST MARYS HOSPITAL JANESVILLE JANESVILLE |
$413 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. MARY'S HOSPITAL - MADISON MADISON |
$416 | — | — | — | — | — | — | — | — |
| OAKLEAF SURGICAL HOSPITAL ALTOONA |
$440 | $80.80 | — | $90.00 | — | $104 | $87.00 | $85.00 | — |
| AURORA MEDICAL CENTER BURLINGTON BURLINGTON |
$448 | $581 | $301 | $700 | $392 | — | — | — | — |
| AURORA LAKELAND MEDICAL CENTER ELKHORN |
$448 | $581 | $301 | $700 | $392 | — | — | — | — |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER WALWORTH LAKE GENEVA |
$451 | — | — | — | — | — | — | — | — |
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 $352 for this?
That is the median of what the 93 Wisconsin 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 Wisconsin, Medicare reimburses about $48.78 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Wisconsin range from $31.56 to $908 — that means hospital cash prices are typically 7.2x 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 Wisconsin?
- Cash prices for limited ultrasound scan of pelvis (CPT 76857) in Wisconsin range from $31.56 to $908, with a median of $352. Prices vary widely by hospital.
- Where can I find the cheapest limited ultrasound scan of pelvis in Wisconsin?
- The cheapest Wisconsin hospital published cash price for this procedure is $31.56. 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 Wisconsin
Methodology. Cash prices and insurance-negotiated rates published by each Wisconsin facility under federal price transparency rules (45 CFR § 180). CPT code 76857 (Imaging). Data refreshed regularly; verify with the facility before any procedure.