Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Green Bay, WI

In Green Bay, WI, 5 hospitals list a cash price for Pelvic ultrasound (not pregnancy), limited or follow-up: from $194.00 to $482.46, with a median of $482.46. The lowest listed price is at Bellin Memorial Health Inc — $288.46 less than the median here. Across Wisconsin, the median is $272.50 at 78 hospitals.

Cash prices at 5 facilities across 2 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 Nov 21, 2025 and Jun 27, 2026.

Lowest$194.00Bellin Memorial Health Inc
Median$482.46half pay less
Highest$482.46in this market
Difference2.5×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 Green Bay, WI.

median
Lowest $194.00Highest $482.46

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Bellin Memorial Health Inc lowest Green Bay, WI HCHG 76857 US, PELVIC (NON-OB); LIMITED $194.00 $419.00 $108.10–$377.10 54% Jun 27, 2026
source file
Bellin Memorial Health Inc Green Bay, WI HCHG 76857 US, PELVIC (NON-OB); LIMITED $214.37 $463.00 $46.46–$111.85 54% Jun 27, 2026
source file
Aurora BayCare Medical Center Green Bay, WI US PELVIS LIMITED $375.00 $750.00 $300.00–$700.00 50% Nov 21, 2025
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St Clare Memorial Hospital Inc Oconto Falls, WI HC US PELVIS NON-OB LTD $482.46 $731.00 $106.81–$731.00 34% —
source file
St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI HC US PELVIS NON-OB LTD $482.46 $731.00 $50.10–$731.00 34% —
source file
St Marys Hospital Medical Center of Green Bay INC Hospital Sisters Green Bay, WI HC US PELVIS NON-OB LTD $482.46 $731.00 $48.32–$731.00 34% —
source file

Outpatient: lowest $194.00, median $482.46, highest $482.46 — a 2.5× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $482.46. 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 5 of 5 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.