Scans and imaging CPT 76857 Inpatient — admitted to hospital

Pelvic ultrasound (limited) cost in Green Bay, WI — inpatient

In Green Bay, WI, 5 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $50.93 to $482.46, with a median of $482.46. The lowest listed price is at Bellin Memorial Health — $431.53 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 inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Jun 27, 2026.

Lowest$50.93Bellin Memorial Health
Median$482.46half pay less
Highest$482.46in this market
Difference9.5×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 $50.93Highest $482.46

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Bellin Memorial Health lowest Green Bay, WI · (920) 433-3500 HCHG 76857 US,NON-OB,LTD,FERTILITY $50.93 $110.00 $54.45–$99.00 54% Jun 27, 2026
source file
Bellin Memorial Health Green Bay, WI · (920) 433-3500 HCHG 76857 US,NON-OB,LTD,FERTILITY $142.60 $308.00 $79.46–$277.20 54% Jun 27, 2026
source file
Bellin Memorial Health Green Bay, WI · (920) 433-3500 HCHG 76857 US, PELVIC (NON-OB); LIMITED $194.00 $419.00 $108.10–$377.10 54% Jun 27, 2026
source file
Bellin Memorial Health Green Bay, WI · (920) 433-3500 HCHG 76857 US, PELVIC (NON-OB); LIMITED $214.37 $463.00 $297.71–$416.70 54% Jun 27, 2026
source file
Aurora BayCare Medical Center Green Bay, WI · (920) 288-8000 US PELVIS LIMITED $375.00 $750.00 $450.00–$637.50 50% Nov 21, 2025
source file
St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 HC US PELVIS NON-OB LTD $482.46 $731.00 $48.32–$731.00 34% —
source file
St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC US PELVIS NON-OB LTD $482.46 $731.00 $50.10–$731.00 34% —
source file
St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC US PELVIS NON-OB LTD $482.46 $731.00 $106.81–$731.00 34% —
source file

Inpatient: lowest $50.93, median $482.46, highest $482.46 — a 9.5× difference within the same market.

As an outpatient, the same code is billed by 5 facilities here, median $482.46 — that is the price to compare if you are not being admitted.

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 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.