Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Bloomington, IN

In Bloomington, IN, 1 hospital lists a cash price for Pelvic ultrasound (not pregnancy), limited or follow-up: from $110.00 to $110.00, with a median of $110.00. Across Indiana, the median is $304.00 at 62 hospitals.

Cash prices at 1 facility for code 76857, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Mar 17, 2026 and Mar 17, 2026.

Lowest$110.00Monroe Hospital
Median$110.00half pay less
Highest$110.00in this market
Difference1.0×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 Bloomington, IN.

median
Lowest $110.00Highest $110.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Monroe Hospital lowest Bloomington, IN US PELVIC LIMITED FOLLICLE STUDY $110.00 $288.93 $86.68–$1,022.71 62% Mar 17, 2026
source file
Monroe Hospital lowest Bloomington, IN US PELVIC LIMITED $110.00 $1,022.71 $86.68–$1,022.71 89% Mar 17, 2026
source file

Outpatient: lowest $110.00, median $110.00, highest $110.00.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.