Scans and imaging CPT 76857 Inpatient — admitted to hospital

Pelvic ultrasound (limited) cost in Grand Rapids, MI — inpatient

In Grand Rapids-Wyoming-Kentwood, MI, 5 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $321.00 to $595.00, with a median of $336.00. The lowest listed price is at Mary Free Bed Rehabilitation Hospital — $15.00 less than the median here. Across Michigan, the median is $336.00 at 60 hospitals.

Cash prices at 5 facilities across 4 cities for code 76857, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$321.00Mary Free Bed Rehabilitation Hospital
Median$336.00half pay less
Highest$595.00in this market
Difference1.9×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 $321.00Highest $595.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mary Free Bed Rehabilitation Hospital lowest Grand Rapids, MI HCHG US PELVIC NON OB LIMITED $321.00 $321.00 $202.71–$307.20 — —
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Corewell Health Zeeland Community Hospital Zeeland, MI Hc Us Pelvis Limited/Follow Up $336.00 $336.00 — — —
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Corewell Health Greenville Hospital Greenville, MI Hc Us Pelvis Limited/Follow Up $336.00 $336.00 — — —
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Corewell Health Butterworth Hospital Grand Rapids, MI Hc Us Pelvis Limited/Follow Up $595.00 $595.00 — — —
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Corewell Health Butterworth Hospital Grand Rapids, MI 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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Inpatient: lowest $321.00, median $336.00, highest $595.00 — a 1.9× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $465.50 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not 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.