Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 49 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $42.30 to $921.00, with a median of $141.90. The lowest listed price is at Englewood Health — $99.60 less than the median here. Across New York, the median is $200.36 at 64 hospitals.

Cash prices at 49 facilities across 37 cities for code 76857, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 25, 2026; the hospital files themselves were last updated between Oct 28, 2025 and Sep 5, 2026.

Lowest$42.30Englewood Health
Median$141.90half pay less
Highest$921.00in this market
Difference21.8×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $42.30Highest $1,011.77

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Englewood Health lowest Englewood, NJ · (201) 894-3000 US Pelvic Nonobstetric Image Dcmtn Limited/F/U $42.30 $423.00 $30.92–$338.40 90% Feb 2, 2026
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St. Barnabas Hospital Bronx, NY · (212) 960-9000 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $56.64 $204.51 $39.71–$127.64 72% Feb 27, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 ECHO OF PELVIS F/U $65.00 $65.00 — — Apr 1, 2026
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Ocean Medical Center Brick, NJ · (732) 840-2200 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $106.34 $413.00 $78.68–$351.05 74% Dec 31, 2025
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Hmh Hospitals Edison, NJ US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $106.34 $413.00 $78.68–$351.05 74% Dec 31, 2025
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New York City Health and Hospitals Jamaica, NY CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $106.81 $160.00 $36.84–$79.00 33% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $106.81 $160.00 $36.84–$79.00 33% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $106.81 $160.00 $36.84–$79.00 33% Sep 5, 2026
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New York City Health and Hospitals New York, NY CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $106.81 $160.00 $36.84–$79.00 33% Sep 5, 2026
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Newton Medical Center Newton, NJ · (973) 383-2121 US Pelvic Lmt $116.20 $1,605.00 — 93% —
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Newton Medical Center Newton, NJ · (973) 383-2121 US Pelvic Lmt $116.20 $1,605.00 — 93% —
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Southern Ocean Medical Center Manahawkin, NJ · (609) 597-6011 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $116.22 $583.00 $104.94–$532.98 80% Dec 31, 2025
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Ocean Medical Center Brick, NJ · (732) 840-2200 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $116.22 $583.00 $82.79–$524.70 80% Dec 31, 2025
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Bayshore Medical Center Holmdel, NJ · (732) 739-5900 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $117.70 $583.00 $95.61–$524.70 80% Dec 31, 2025
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Hmh Hospitals Red Bank, NJ US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $117.70 $583.00 $82.20–$524.70 80% Dec 31, 2025
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Hmh Hospitals Neptune City, NJ US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $117.70 $413.00 $68.56–$413.00 72% Dec 31, 2025
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Hmh Hospitals Edison, NJ US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $117.81 $413.00 $66.49–$383.80 71% Dec 31, 2025
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Hmh Hospitals Old Bridge, NJ US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $117.81 $583.00 $77.54–$563.18 80% Dec 31, 2025
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Raritan Bay Medical Center Perth Amboy, NJ · (732) 324-5000 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $117.81 $583.00 $77.54–$563.18 80% Dec 31, 2025
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Saint Marys Hospital Passaic, NJ · (973) 365-4300 Hc Us Pelvis Nonobst Limited/Fu $123.00 $460.35 $87.88–$391.30 73% Sep 1, 2026
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Palisades Medical Center North Bergen, NJ · (201) 854-5000 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $125.23 $583.00 $99.69–$539.86 79% Dec 31, 2025
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Hackensack University Medical Center Hackensack, NJ · (551) 996-2000 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $125.23 $413.00 $74.34–$402.76 70% Dec 31, 2025
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT $125.84 $565.44 $1.00–$1,193.00 78% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT $125.84 $565.44 $1.00–$1,193.00 78% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT $125.84 $394.06 $1.00–$1,193.00 68% Sep 5, 2026
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New York City Health and Hospitals New York, NY HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT $125.84 $394.06 $1.00–$1,193.00 68% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT $125.84 $565.44 $1.00–$1,193.00 78% Sep 5, 2026
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NYC New York City Health and Hospitals New York, NY HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT $125.84 $394.06 $1.00–$1,193.00 68% Sep 5, 2026
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New York City Health and Hospitals New York, NY HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT $125.84 $565.44 $1.00–$1,193.00 78% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT $125.84 $394.06 $1.00–$1,193.00 68% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT $125.84 $565.44 $1.00–$1,193.00 78% Sep 5, 2026
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New York City Health and Hospitals Broadway Elmhurst, NY HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT $125.84 $394.06 $1.00–$1,193.00 68% Sep 5, 2026
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New York City Health and Hospitals Jamaica, NY HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT $125.84 $565.44 $1.00–$1,193.00 78% Sep 5, 2026
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 US EXAM PELVIC LIMITED $132.30 $189.00 $40.52–$62.40 30% Oct 28, 2025
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 US Pelvic Lmt $135.36 $506.00 — 73% —
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 US Pelvic Lmt $135.36 $666.00 — 80% —
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 US Pelvic Lmt $135.36 $506.00 — 73% —
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University Hospital Newark, NJ · (973) 972-4300 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $140.12 $446.33 $35.96–$424.01 69% Aug 13, 2026
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Overlook Medical Center Summit, NJ · (908) 522-2000 US Pelvic Lmt $141.90 $713.00 — 80% —
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Morristown Medical Center Morristown, NJ · (973) 971-5450 US Pelvic Lmt $141.90 $726.00 — 80% —
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 US Pelvic Lmt $141.90 $673.00 — 79% —
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Morristown Medical Center Morristown, NJ · (973) 971-5450 US Pelvic Lmt $141.90 $726.00 — 80% —
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Overlook Medical Center Summit, NJ · (908) 522-2000 US Pelvic Lmt $141.90 $713.00 — 80% —
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Memorial Hospital for Cancer and Allied Diseases Middletown, NJ US Pelvic Nonobstetric Image Dcmtn Limited/F/U|PROFESSIONAL COMPONENT $145.00 $145.00 $25.08–$130.50 — Dec 1, 2025
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 ECHO EXAM OF PELVIS F/U $145.00 $145.00 — — Apr 1, 2026
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Memorial Hospital for Cancer and Allied Diseases Brooklyn, NY US Pelvic Nonobstetric Image Dcmtn Limited/F/U $145.00 $145.00 $25.08–$243.74 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Brooklyn, NY US Pelvic Nonobstetric Image Dcmtn Limited/F/U|PROFESSIONAL COMPONENT $145.00 $145.00 $25.08–$130.50 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Middletown, NJ US Pelvic Nonobstetric Image Dcmtn Limited/F/U $145.00 $145.00 $25.08–$243.74 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Montvale, NJ US Pelvic Nonobstetric Image Dcmtn Limited/F/U $145.00 $145.00 $25.08–$243.74 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Montvale, NJ US Pelvic Nonobstetric Image Dcmtn Limited/F/U|PROFESSIONAL COMPONENT $145.00 $145.00 $25.08–$130.50 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Floor Hauppauge, NY US Pelvic Nonobstetric Image Dcmtn Limited/F/U $145.00 $145.00 $25.08–$243.74 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Floor Hauppauge, NY US Pelvic Nonobstetric Image Dcmtn Limited/F/U|PROFESSIONAL COMPONENT $145.00 $145.00 $25.08–$130.50 — Dec 1, 2025
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Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 US EXAM PELVIC LIMITED $254.00 $254.00 $23.00–$1,912.00 — —
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Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 US EXAM PELVIC LIMITED $254.00 $254.00 $23.00–$1,912.00 — —
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The Valley Hospital Health Plaza Paramus, NJ · (201) 447-8000 US EXAM PELVIC LIMITED $255.60 $426.00 $52.87–$319.50 40% —
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NYU Langone New York, NY · (212) 263-7300 HC US EXAM, PELVIC, LIMITED $271.55 $1,429.20 $27.08–$25,798.00 81% Jan 1, 2026
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NYU Langone Brooklyn, NY HC US EXAM, PELVIC, LIMITED $271.55 $1,429.20 $27.08–$25,798.00 81% Jan 1, 2026
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NYU Langone Mineola, NY HC US EXAM, PELVIC, LIMITED $271.55 $1,429.20 $27.08–$25,798.00 81% Jan 1, 2026
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NYU Langone Hospital?Suffolk Patchogue, NY HC US EXAM, PELVIC, LIMITED $271.55 $1,429.20 $27.08–$25,798.00 81% Jan 1, 2026
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NYU Langone New York, NY · (212) 263-7300 HC US EXAM, PELVIC, LIMITED $271.55 $1,429.20 $27.08–$25,798.00 81% Jan 1, 2026
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 Ed Us Exam Pelvic Limit $294.00 $420.00 $29.07–$420.00 30% Oct 28, 2025
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 Us Pelvic (Non-Ob) Ltd/Foll Up $294.00 $420.00 $29.07–$420.00 30% Oct 28, 2025
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The Valley Hospital Health Plaza Paramus, NJ · (201) 447-8000 US PELVIC NOB LIMIT/FUP $303.60 $506.00 $52.87–$379.50 40% —
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The Valley Hospital Health Plaza Paramus, NJ · (201) 447-8000 PELVIC (FOLLOW-UP $336.60 $561.00 $52.87–$420.75 40% —
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Helen Hayes Hospital West Haverstraw, NY · (845) 786-4000 PELVIS (NON-OBS)LTD $350.00 $350.00 $30.82–$262.50 — —
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Hudson Regional Hospital Secaucus, NJ · (201) 392-3200 Limited ultrasound scan of pelvis $380.40 $380.40 $174.35–$717.81 — Jan 19, 2026
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 US Pelvic Lmt $408.98 $1,252.00 — 67% —
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Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 US EXAM PELVIC LIMITED $455.07 $455.07 $103.89–$704.00 — —
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Mount Sinai Queens Long Island, NY US Pel Nonob B-Scan&/R-T Img Lmtd/F-Up+C97 - 76857 $526.50 $585.00 — 10% Apr 1, 2026
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The Mount Sinai Hospital New York, NY · (212) 241-7981 US Pel Nonob B-Scan&/R-T Img Lmtd/F-Up+C97 - 76857 $526.50 $585.00 — 10% Apr 1, 2026
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Mount Sinai Morningside New York, NY US Pel Nonob B-Scan&/R-T Img Lmtd/F-Up+C97 - 76857 $526.50 $585.00 — 10% Apr 1, 2026
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The Mount Sinai Hospital New York, NY · (212) 241-7981 HC US Pelvic Non OB Limited $526.50 $585.00 — 10% Apr 1, 2026
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Mount Sinai Queens Long Island, NY HC US Pelvic Non OB Limited $526.50 $585.00 — 10% Apr 1, 2026
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Mount Sinai Behavioral Health Center New York, NY HC US Pelvic Non OB Limited $526.50 $585.00 — 10% Apr 1, 2026
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Mount Sinai Behavioral Health Center New York, NY US Pel Nonob B-Scan&/R-T Img Lmtd/F-Up+C97 - 76857 $526.50 $585.00 — 10% Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY HC US Pelvic Non OB Limited $526.50 $585.00 — 10% Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY US Pel Nonob B-Scan&/R-T Img Lmtd/F-Up+C97 - 76857 $526.50 $585.00 — 10% Apr 1, 2026
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Mount Sinai Morningside New York, NY HC US Pelvic Non OB Limited $526.50 $585.00 — 10% Apr 1, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 US, PELVIC, LTD $578.00 $578.00 — — Apr 1, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 US,PELVIC,NON OBSTETRIC,LTD,FU $578.00 $578.00 — — Apr 1, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 US, PELVIC (NON-OBSTETRIC),LTD $578.00 $578.00 — — Apr 1, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 APPENDIX ULTRASOUND $578.00 $578.00 — — Apr 1, 2026
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St Johns Riverside Hospital Park Care Pavillion Yonkers, NY US EXAM PELVIC LIMITED $759.90 $894.00 $89.37–$3,783.00 15% —
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Stony Brook Southampton Hospital Southampton, NY US EXAM PELVIC LIMITED $807.38 $807.38 $129.86–$168.82 — —
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Memorial Hospital for Cancer and Allied Diseases Middletown, NJ HC Sono Pelvis Limited - US Pelvis Limited $912.00 $912.00 $197.12–$820.80 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Montvale, NJ HC Sono Pelvis Limited - US Pelvis Limited $912.00 $912.00 $231.64–$820.80 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Floor Hauppauge, NY HC Sono Pelvis Limited - US Pelvis Limited $912.00 $912.00 $174.82–$820.80 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Brooklyn, NY HC Sono Pelvis Limited - US Pelvis Limited $912.00 $912.00 $174.82–$820.80 — Dec 1, 2025
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Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 LIMITED ULTRASOUND SCAN OF PELVIS $921.00 $921.00 $129.86–$4,255.00 — —
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Stony Brook Southampton Hospital Southampton, NY LIMITED ULTRASOUND SCAN OF PELVIS $921.45 $921.45 $129.86–$168.82 — —
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Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 US EXAM PELVIC LIMITED $985.00 $985.00 $129.86–$4,255.00 — —
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Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 LIMITED ULTRASOUND SCAN OF PELVIS $1,011.77 $1,011.77 $103.89–$704.00 — —
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Outpatient: lowest $42.30, median $141.90, highest $921.00 — a 21.8× difference within the same market.

As an inpatient, the same code is billed by 26 facilities here, median $145.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 31 of 38 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.