Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Massena, NY

In Massena-Ogdensburg, NY, 3 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $314.87 to $486.02, with a median of $376.81. The lowest listed price is at Canton-Potsdam Hospital — $61.94 less than the median here. Across New York, the median is $200.36 at 64 hospitals.

Cash prices at 3 facilities across 3 cities for code 76857, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$314.87Canton-Potsdam Hospital
Median$376.81half pay less
Highest$486.02in this market
Difference1.5×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 Massena-Ogdensburg, NY.

median
Lowest $314.87Highest $486.02

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Canton-Potsdam Hospital lowest Potsdam, NY · (315) 265-3300 HC ULTRASOUND PELVIC _NONOBSTETRIC_ LIMITED OR F_U $314.87 $484.42 — 35% Apr 1, 2026
source file
Slhs Massena Massena, NY · (315) 769-4234 HC ULTRASOUND PELVIC _NONOBSTETRIC_ LIMITED OR F_U $376.81 $579.71 — 35% Apr 1, 2026
source file
Gouverneur Hospital Gouverneur, NY · (315) 287-1000 HC ULTRASOUND PELVIC _NONOBSTETRIC_ LIMITED OR F_U $486.02 $747.73 — 35% —
source file

Outpatient: lowest $314.87, median $376.81, highest $486.02 — a 1.5× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $376.81. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.