Scans and imaging CPT 76857 Inpatient — admitted to hospital

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

In Manchester-Nashua, NH, 3 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $302.20 to $411.07, with a median of $320.97. The lowest listed price is at Monadnock Community Hospital — $18.77 less than the median here. Across New Hampshire, the median is $301.35 at 6 hospitals.

Cash prices at 3 facilities across 3 cities for code 76857, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$302.20Monadnock Community Hospital
Median$320.97half pay less
Highest$411.07in this market
Difference1.4×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 Manchester-Nashua, NH.

median
Lowest $302.20Highest $411.07

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Monadnock Community Hospital lowest Peterborough, NH · (603) 924-7191 US BLADDER OR LTD PELVIS $302.20 $503.67 — 40% Apr 1, 2026
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Monadnock Community Hospital lowest Peterborough, NH · (603) 924-7191 US PELVIS LIMITED $302.20 $503.67 — 40% Apr 1, 2026
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Monadnock Community Hospital lowest Peterborough, NH · (603) 924-7191 US BLADDER $302.20 $503.67 — 40% Apr 1, 2026
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St Joseph Hospital of Nashua Nashua, NH · (603) 882-3000 HC US PELVIS LIMITED $320.97 $823.00 — 61% —
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Elliot Hospital Manchester, NH · (603) 669-5300 Hc Us Pelvis Limited $411.07 $1,111.00 — 63% Apr 1, 2026
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Elliot Hospital Manchester, NH · (603) 669-5300 Hc Pelvic Limited Non-Obs $411.07 $1,111.00 — 63% Apr 1, 2026
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Elliot Hospital Manchester, NH · (603) 669-5300 Hc Pelvic Limited Non-Obs (76857) $411.07 $1,111.00 — 63% Apr 1, 2026
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Inpatient: lowest $302.20, median $320.97, highest $411.07 — a 1.4× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $320.97 — 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.