Scans and imaging CPT 76857 Inpatient — admitted to hospital

Pelvic ultrasound (limited) cost in Jamestown, NY — inpatient

In Jamestown-Dunkirk, NY, 2 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $122.40 to $467.22, with a median of $294.81. The lowest listed price is at UPMC Chautauqua — $172.41 less than the median here. Across New York, the median is $200.36 at 64 hospitals.

Cash prices at 2 facilities across 2 cities for code 76857, as an inpatient (admitted to hospital) . Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 14, 2026 and Apr 14, 2026.

Lowest$122.40UPMC Chautauqua
Median$294.81half pay less
Highest$467.22in this market
Difference3.8×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 Jamestown-Dunkirk, NY.

median
Lowest $122.40Highest $467.22

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UPMC Chautauqua lowest Jamestown, NY · (716) 487-0141 US PELVIC LTD/FOLLOW UP $122.40 $204.00 $132.60–$153.00 40% —
source file
Westfield Memorial Hospital Westfield, NY HC US PELVIS LTD/FU $467.22 $599.00 — 22% Apr 14, 2026
source file

Inpatient: lowest $122.40, median $294.81, highest $467.22 — a 3.8× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $294.81 — 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 below the highest rate a health plan has negotiated and 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.