Scans and imaging CPT 76857 Inpatient — admitted to hospital

Pelvic ultrasound (limited) cost in Lebanon, NH — inpatient

In Lebanon-Claremont, NH-VT, 2 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $300.30 to $300.49, with a median of $300.40. The lowest listed price is at Valley Regional Hospital — $0.10 less than the median here. Across New Hampshire, the median is $301.35 at 6 hospitals.

Cash prices at 2 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 Jun 6, 2026 and Jun 6, 2026.

Lowest$300.30Valley Regional Hospital
Median$300.40half pay less
Highest$300.49in this market
Difference1.0×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 Lebanon-Claremont, NH-VT.

median
Lowest $300.30Highest $300.49

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Valley Regional Hospital lowest Claremont, NH · (603) 542-7771 PELVIC LIMITED ULTRS REAL TIME $300.30 $546.00 $31.18–$546.00 45% Jun 6, 2026
source file
Valley Regional Hospital lowest Claremont, NH · (603) 542-7771 US EXAM PELVIC LIMITED $300.30 $546.00 $31.18–$546.00 45% Jun 6, 2026
source file
Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 US PELVIC NONOBSTETRIC IMAGE DOCUMENTATION LIMITED/F/U $300.49 $982.00 $338.79–$932.90 69% —
source file

Inpatient: lowest $300.30, median $300.40, highest $300.49.

As an outpatient, the same code is billed by 2 facilities here, median $300.40 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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.