Scans and imaging CPT 76805 Outpatient

Pregnancy ultrasound after 14 weeks, one baby in Appleton, WI

In Appleton, WI, 4 hospitals list a cash price for Pregnancy ultrasound after 14 weeks, one baby: from $180.69 to $502.82, with a median of $488.15. The lowest listed price is at Ascension NE Wisconsin, Inc..

Cash prices at 4 facilities across 2 cities for code 76805, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$180.69Ascension NE Wisconsin, Inc.
Median$488.15half pay less
Highest$502.82in this market
Difference2.8×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Appleton, WI.

median
Lowest $180.69Highest $502.82

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
Ascension NE Wisconsin, Inc. lowest Appleton, WI HC US OB 14 WKS / > SINGLE FETUS $180.69 $317.00 43%
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Ascension Calumet Hospital, Inc. Chilton, WI HC US OB 14 WKS / > SINGLE FETUS $431.49 $757.00 43%
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Thedacare Regional Medical Center-Appleton Inc. Appleton, WI HC US OB >14 Weeks, Single Fetus $488.15 $871.70 44%
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Thedacare Regional Medical Center-Appleton Inc Appleton, WI HC US OB >14 Weeks, Single Fetus $488.15 $871.70 44%
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Thedacare Regional Medical Center-Appleton Inc. Appleton, WI HC US OB >14 WEEKS, SINGLE FETUS $502.82 $897.90 44%
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Thedacare Regional Medical Center-Appleton Inc Appleton, WI HC US OB >14 WEEKS, SINGLE FETUS $502.82 $897.90 44%
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Outpatient: lowest $180.69, median $488.15, highest $502.82 — a 2.8× difference within the same market.

What it is

This is a standard pregnancy ultrasound through the belly done at 14 weeks or later for one baby. It checks the baby's growth, position, heartbeat, the placenta and amniotic fluid. The detailed anatomy scan around 18 to 22 weeks is often billed under this code or a more detailed one.

What the price covers

The hospital price usually covers the ultrasound exam. The reading by a radiologist or maternal-fetal medicine doctor may be billed separately, and it may or may not be part of a global maternity package.