Pelvic ultrasound (limited) cost in Appleton, WI
In Appleton, WI, 4 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $197.22 to $470.25, with a median of $215.71. The lowest listed price is at Ascension NE Wisconsin - St Elizabeth Campus — $18.49 less than the median here. Across Wisconsin, the median is $272.50 at 78 hospitals.
Cash prices at 4 facilities across 2 cities for code 76857, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
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.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Ascension NE Wisconsin - St Elizabeth Campus lowest Appleton, WI · (920) 738-2000 HC US NON-OB PELVIC LTD /FOLLOW UP | $197.22 | $346.00 | $24.95–$183.00 | 43% | — source file |
| ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC US Pelvic Limited | $215.71 | $385.20 | $50.08–$414.41 | 44% | — source file |
| ThedaCare Regional Medical Center-Appleton Appleton, WI HC US Pelvic Limited | $215.71 | $385.20 | $50.08–$414.41 | 44% | — source file |
| ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC US PELVIC LIMITED | $222.21 | $396.80 | $50.08–$414.41 | 44% | — source file |
| ThedaCare Regional Medical Center-Appleton Appleton, WI HC US PELVIC LIMITED | $222.21 | $396.80 | $50.08–$414.41 | 44% | — source file |
| ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 US PELVIC LIMITED | $235.48 | $420.50 | $28.09–$391.07 | 44% | — source file |
| ThedaCare Regional Medical Center-Appleton Appleton, WI US PELVIC LIMITED | $235.48 | $420.50 | $28.09–$391.07 | 44% | — source file |
| Ascension Calumet Hospital Chilton, WI · (920) 849-2386 HC US NON-OB PELVIC LTD /FOLLOW UP | $470.25 | $825.00 | $24.95–$183.00 | 43% | — source file |
Outpatient: lowest $197.22, median $215.71, highest $470.25 — a 2.4× difference within the same market.
Cash or insurance?
At 2 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
A limited pelvic ultrasound looks at one question in the pelvis, such as following up an ovarian cyst or checking the bladder.
What the price covers
The price usually covers the scan. The radiologist's reading may be billed separately.