Scans and imaging CPT 76857 Inpatient — admitted to hospital

Pelvic ultrasound (limited) cost in Davenport, IA — inpatient

In Davenport-Moline-Rock Island, IA-IL, 6 hospitals list a cash price for Pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $114.40 to $168.00, with a median of $164.10. The lowest listed price is at Trinity Medical Center and 1 other hospital — $49.70 less than the median here. Across Iowa, the median is $243.71 at 32 hospitals.

Cash prices at 6 facilities across 5 cities for code 76857, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Mar 31, 2026.

Lowest$114.40Trinity Medical Center + 1 more
Median$164.10half pay less
Highest$168.00in this market
Difference1.5×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 Davenport-Moline-Rock Island, IA-IL.

median
Lowest $114.40Highest $375.57

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Trinity Medical Center lowest Bettendorf, IA PR US,PELVIC (NONOBSTETRIC),REAL TIME,LIMITED $114.40 $143.00 $45.26–$120.63 20% Jan 28, 2026
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Trinity Medical Center lowest Rock Island, IL PR US,PELVIC (NONOBSTETRIC),REAL TIME,LIMITED $114.40 $143.00 $45.26–$120.63 20% Jan 28, 2026
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MercyOne Genesis Davenport West Medical Center Davenport, IA Us exam pelvic limited 76857- $160.20 $267.00 — 40% Mar 31, 2026
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MercyOne Genesis Aledo Medical Center Aledo, IL Us exam pelvic limited 76857- $168.00 $280.00 $2,970.16 40% Mar 31, 2026
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MercyOne Genesis Silvis Medical Center Silvis, IL Us exam pelvic limited 76857- $168.00 $280.00 $257.60 40% Mar 31, 2026
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MercyOne Genesis Davenport Medical Center Davenport, IA Us exam pelvic limited 76857- $168.00 $280.00 — 40% Mar 31, 2026
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MercyOne Genesis Silvis Medical Center Silvis, IL US Pelvic Ltd $213.60 $356.00 $113.92–$327.52 40% Mar 31, 2026
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MercyOne Genesis Aledo Medical Center Aledo, IL US Pelvic Ltd $213.60 $356.00 $163.76–$259.88 40% Mar 31, 2026
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Trinity Medical Center Bettendorf, IA HC US EXAM PELVIC LTD TRANSABDOMINAL $375.57 $469.46 $247.41 20% Jan 28, 2026
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Trinity Medical Center Rock Island, IL HC US EXAM PELVIC LTD TRANSABDOMINAL $375.57 $469.46 $247.41 20% Jan 28, 2026
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Inpatient: lowest $114.40, median $164.10, highest $168.00 — a 1.5× difference within the same market.

As an outpatient, the same code is billed by 6 facilities here, median $204.60 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 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 2 it is 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.