Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Dayton, OH

In Dayton-Kettering-Beavercreek, OH, 5 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $94.00 to $721.00, with a median of $94.00. The lowest listed price is at Greene Memorial Hospital and 2 other hospitals. Across Ohio, the median is $403.50 at 97 hospitals.

Cash prices at 5 facilities across 3 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$94.00Greene Memorial Hospital + 2 more
Median$94.00half pay less
Highest$721.00in this market
Difference7.7×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 Dayton-Kettering-Beavercreek, OH.

median
Lowest $94.00Highest $721.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Greene Memorial Hospital lowest Xenia, OH · (937) 352-2000 Hc Us Pelvic Non Ob Limited Urod $94.00 $235.00 — 60% Apr 1, 2026
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Dayton Osteopathic Hospital lowest Dayton, OH Hc Us Pelvic Non Ob Limited Urod $94.00 $235.00 — 60% Apr 1, 2026
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Kettering Medical Center lowest Troy, OH · (937) 980-7000 Hc Us Pelvic Non Ob Limited Urod $94.00 $235.00 — 60% Apr 1, 2026
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Dayton Osteopathic Hospital Dayton, OH Hc Us Pelvis Ltd (Spec Instr) $368.40 $921.00 — 60% Apr 1, 2026
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Kettering Medical Center Troy, OH · (937) 980-7000 Hc Us Pelvis Ltd (Spec Instr) $368.40 $921.00 — 60% Apr 1, 2026
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Greene Memorial Hospital Xenia, OH · (937) 352-2000 Hc Us Pelvis Ltd (Spec Instr) $368.40 $921.00 — 60% Apr 1, 2026
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Shriners Childrens Ohio Dayton, OH · (937) 641-5509 US EXAM PELVIC LIMITED $585.20 $585.20 $32.00–$212.68 — —
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Dayton Childrens Hospital Dayton, OH · (937) 641-5509 US EXAM PELVIC LIMITED $721.00 $1,030.00 $101.96–$152.94 30% —
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Outpatient: lowest $94.00, median $94.00, highest $721.00 — a 7.7× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $94.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 0 of 2 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.