Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Grand Rapids, MI

In Grand Rapids-Wyoming-Kentwood, MI, 4 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $336.00 to $595.00, with a median of $465.50. The lowest listed price is at Corewell Health Zeeland Community Hospital and 1 other hospital — $129.50 less than the median here. Across Michigan, the median is $336.00 at 60 hospitals.

Cash prices at 4 facilities across 4 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 —.

Lowest$336.00Corewell Health Zeeland Community Hospital + 1 more
Median$465.50half pay less
Highest$595.00in this market
Difference1.8×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 Grand Rapids-Wyoming-Kentwood, MI.

median
Lowest $336.00Highest $595.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Corewell Health Zeeland Community Hospital lowest Zeeland, MI · (616) 772-4644 Hc Us Pelvis Limited/Follow Up $336.00 $336.00 — — —
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Corewell Health Greenville Hospital lowest Greenville, MI · (616) 754-4691 Hc Us Pelvis Limited/Follow Up $336.00 $336.00 — — —
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Corewell Health Butterworth Hospital Grand Rapids, MI · (616) 391-1774 Hc Us Pelvis Limited/Follow Up $595.00 $595.00 — — —
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Corewell Health Butterworth Hospital Grand Rapids, MI · (616) 391-1774 Hc Us Pelvis Limited/Follow Up $595.00 $595.00 — — —
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Corewell Health Blodgett Hospital East Grand Rapids, MI Hc Us Pelvis Limited/Follow Up $595.00 $595.00 — — —
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Outpatient: lowest $336.00, median $465.50, highest $595.00 — a 1.8× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $336.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.