SelfPayRates — hospital cash prices, from the source
Cash prices at 21 facilities across 19 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 Mar 24, 2026 and Sep 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Lower Bucks Hospital
BRISTOL, PA Hc Us, Ob >/= 14 Wks, Sngl Fetus |
$102.00 | $924.94 | 89% | Sep 1, 2026 file |
|
| Roxborough Memorial Hospital
EAST NORRITON, PA Hc Us, Ob >/= 14 Wks, Sngl Fetus |
$106.00 | $1,159.44 | 91% | Sep 1, 2026 file |
|
| Roxborough Memorial Hospital
EAST NORRITON, PA Hc Us, Ob >/= 14 Wks, Sngl Fetus |
$106.00 | $1,159.44 | 91% | Sep 1, 2026 file |
|
| Mercy Fitzgerald Hospital
DARBY, PA HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation |
$285.35 | $439.00 | 35% | Mar 31, 2026 file |
|
| St Mary Medical Center
LANGHORNE, PA PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation |
$328.54 | — | — | Mar 31, 2026 file |
|
| Virtua_Willingboro_Hospital_Inc
WILLINBORO, NJ HC Ultrasound > 14 Weeks First Gestation |
$355.50 | $3,555.00 | 90% | — file |
|
| Virtua_West_Jersey_Health_System_Inc
VOORHEES, NJ HC Ultrasound > 14 Weeks First Gestation |
$355.50 | $3,555.00 | 90% | — file |
|
| Virtua_West_Jersey_Health_System_Inc
VOORHEES, NJ HC Ultrasound > 14 Weeks First Gestation |
$355.50 | $3,555.00 | 90% | — file |
|
| Virtua_Memorial_Hospital_Inc |
MOUNT HOLLY, NJ HC Ultrasound > 14 Weeks First Gestation |
$355.50 | $3,555.00 | 90% | — file |
|
| Virtua_Our_Lady_of_Lourdes_Inc
CAMDEN, NJ HC Ultrasound > 14 Weeks First Gestation |
$355.50 | $3,555.00 | 90% | — file |
|
| St Mary Medical Center
LANGHORNE, PA HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation |
$482.95 | $743.00 | 35% | Mar 31, 2026 file |
|
| Inspira Medical Center Elmer
ELMER, NJ US OB =>14 WKS 1ST FETUS |
$570.61 | $570.61 | — | Mar 24, 2026 file |
|
| Inspira Medical Center Elmer
ELMER, NJ US OB =>14 WKS 1ST FETUS 550 |
$570.61 | $570.61 | — | Mar 24, 2026 file |
|
| Inspira Medical Center Mannington
SALEM, NJ US OB =>14 WKS 1ST FETUS |
$570.61 | $570.61 | — | Mar 24, 2026 file |
|
| Inspira Medical Center Mannington
SALEM, NJ US OB =>14 WKS 1ST FETUS 550 |
$570.61 | $570.61 | — | Mar 24, 2026 file |
|
| Inspira Medical Center Mullica Hill
MULLICA HILL, NJ US OB =>14 WKS 1ST FETUS |
$570.61 | $570.61 | — | Mar 24, 2026 file |
|
| Inspira Medical Center Mullica Hill
MULLICA HILL, NJ US OB =>14 WKS 1ST FETUS 550 |
$570.61 | $570.61 | — | Mar 24, 2026 file |
|
| Inspira Health Center Woodbury
WOODBURY, NJ US OB =>14 WKS 1ST FETUS 550 |
$570.61 | $570.61 | — | Mar 24, 2026 file |
|
| Inspira Health Center Woodbury
WOODBURY, NJ US OB =>14 WKS 1ST FETUS |
$570.61 | $570.61 | — | Mar 24, 2026 file |
|
| Lankenau Medical Center
WYNNEWOOD, PA Hc Us Preg Uterus >= 14 Wk Transab Sgl/1St |
$645.20 | $1,613.00 | 60% | Apr 1, 2026 file |
|
| Riddle Memorial Hospital
MEDIA, PA Hc Us Preg Uterus >= 14 Wk Transab Sgl/1St |
$645.20 | $1,613.00 | 60% | Apr 1, 2026 file |
|
| The Bryn Mawr Hospital
BRYN MAWR, PA Hc Us Preg Uterus >= 14 Wk Transab Sgl/1St |
$645.20 | $1,613.00 | 60% | — file |
|
| Bryn Mawr Rehabilitation Hospital
MALVERN, PA Hc Us Preg Uterus >= 14 Wk Transab Sgl/1St |
$645.20 | $1,613.00 | 60% | — file |
|
| Paoli Hospital
PAOLI, PA Hc Us Preg Uterus >= 14 Wk Transab Sgl/1St |
$645.20 | $1,613.00 | 60% | Apr 1, 2026 file |
|
| Nazareth Hospital
PHILADELPHIA, PA HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation |
$877.50 | $1,350.00 | 35% | Mar 31, 2026 file |
|
| St. Francis Hospital Inc
WILMINGTON, DE HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation |
$1,098.50 | $1,690.00 | 35% | Mar 31, 2026 file |
|
| NEMOURS CHILDREN'S HOSPITAL
WILMINGTON, DE Uls OB Uterus Ftl/Mtrnl Eval Transabdo After 1st Tri Single/First Gest |
$1,371.00 | $1,371.00 | — | — file |
|
| NEMOURS CHILDREN'S HOSPITAL
WILMINGTON, DE Uls OB Uterus Ftl/Mtrnl Eval Transabdo After 1st Tri Single/First Gest |
$1,371.00 | $1,371.00 | — | — file |
|
| Children's Hospital of Philadelphia, The
PHILADELPHIA, PA Usf OB Scan >= 14wks Sngl/First Gest |
$3,077.89 | $3,077.89 | — | — file |
Outpatient: lowest $102.00, median $570.61, highest $3,077.89 — a 30.2× difference within the same market.
As an inpatient, the same code is billed by 14 facilities here, median $570.61. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.