Scans and imaging CPT 76857 Inpatient — admitted to hospital

Pelvic ultrasound (limited) cost in Lewiston, ME — inpatient

In Lewiston-Auburn, ME, 1 hospital lists a cash price for pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $110.58 to $110.58, with a median of $110.58. Across Maine, the median is $109.80 at 17 hospitals.

Cash prices at 1 facility for code 76857, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.

Lowest$110.58St Mary's Regional Medical Center
Median$110.58half pay less
Highest$110.58in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Mary's Regional Medical Center Lewiston, ME · (207) 777-8100 HC US PELVIS LIMITED $110.58 $291.00 — 62% —
source file

Inpatient: lowest $110.58, median $110.58, highest $110.58.

As an outpatient, the same code is billed by 2 facilities here, median $106.79 — that is the price to compare if you are not being admitted.

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.