Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 83 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $42.30 to $2,089.00, with a median of $135.36. The lowest listed price is at Englewood Health — $93.06 less than the median here. Across New York, the median is $301.10 at 114 hospitals.

  • The median here, $135.36, is 64% below the US median of $373.13.
  • That is 1.3× Medicare's 2026 national rate for the same service ($106.81).
  • New York, NY has the lowest median of 2 metro areas in New York with at least 10 hospitals pricing this code.
  • 17 of 83 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 83 facilities across 57 cities for code 76857, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Apr 22, 2025 and Sep 28, 2026.

Lowest$42.30Englewood Health
Median$135.36half of hospitals charge less
Highest$2,089.00in this market
Difference49.4×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $42.30Highest $2,089.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Englewood Health lowest Englewood, NJ · (201) 894-3000 US Pelvic Nonobstetric Image Dcmtn Limited/F/U File of Feb 2, 2026 · source file $42.30 $423.00 $30.92–$338.40 90%
Trinitas Regional Medical Center Elizabeth, NJ · (908) 994-5000 HC US Pelvis Ltd Non-OB File of Mar 4, 2026 · source file $74.70 $398.00 $25.44–$486.33 81%
Community Medical Center Toms River, NJ · (732) 557-8000 HC US Pelvis Ltd Non-OB File of Mar 4, 2026 · source file $82.54 $398.00 $49.39–$364.13 79%
Jersey City Medical Center Jersey City, NJ · (201) 915-2000 HC US Pelvis Ltd Non-OB File of Mar 4, 2026 · source file $82.70 $398.00 $32.92–$361.26 79%
Robert Wood Johnson University Hospital Rahway Rahway, NJ · (732) 381-4200 HC US Pelvis Ltd Non-OB File of Mar 4, 2026 · source file $84.23 $653.00 $72.16–$438.81 87%
Newark Beth Israel Medical Center Newark, NJ · (973) 926-7000 HC US Pelvis Ltd Non-OB File of Mar 4, 2026 · source file $84.56 $406.00 $26.19–$378.91 79%
Cooperman Barnabas Medical Center Livingston, NJ · (973) 322-5000 HC US Pelvis Ltd Non-OB File of Mar 4, 2026 · source file $86.03 $406.00 $64.26–$345.10 79%
Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ · (732) 828-3000 HC US Pelvis Ltd Non-OB File of Mar 4, 2026 · source file $86.59 $406.00 $55.13–$337.79 79%
Monmouth Medical Center Long Branch, NJ · (732) 222-5200 HC US Pelvis Ltd Non-OB File of Mar 4, 2026 · source file $87.08 $398.00 $70.38–$384.90 78%
Good Samaritan Hospital Medical Center West Islip, NY · (631) 376-3000 HC US PELVIC NON OB LIMITED OR FOLLOWUP File of Feb 19, 2026 · source file $87.91 $589.00 $40.40–$808.00 85%
St. Francis Hospital Roslyn, NY HC US PELVIC NON OB LIMITED OR FOLLOWUP File of Feb 19, 2026 · source file $87.91 $566.00 $40.40–$630.00 84%
Chsli St Joseph Hospital Bethpage, NY · (516) 759-6000 HC US PELVIC NON OB LIMITED OR FOLLOWUP File of Feb 19, 2026 · source file $87.91 $566.00 $40.40–$1,063.00 84%
Mercy Medical Center Rockville Centre, NY · (516) 705-2525 HC US PELVIC NON OB LIMITED OR FOLLOWUP File of Feb 19, 2026 · source file $87.91 $566.00 $40.40–$1,096.00 84%
St. Catherine of Siena Medical Center Smithtown, NY · (631) 862-3000 HC US PELVIC NON OB LIMITED OR FOLLOWUP File of Feb 19, 2026 · source file $87.91 $566.00 $40.40–$866.00 84%
Monmouth Medical Center Southern Campus Lakewood, NJ · (732) 363-1900 HC US Pelvis Ltd Non-OB File of Mar 3, 2026 · source file $94.60 $398.00 $70.38–$386.49 76%
JFK University Medical Center Edison, NJ · (732) 321-7000 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $106.34 $413.00 $78.68–$351.05 74%
Ocean Medical Center Brick, NJ · (732) 840-2200 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $106.34 $413.00 $78.68–$351.05 74%
St Joseph's Hospital, Yonkers Yonkers, NY · (914) 378-7000 US EXAM, PELVIC, LIMITED+4 more lines at this price File of Jul 13, 2026 · source file $106.81 — $18.47–$641.54 —
Robert Wood Johnson University Hospital Somerset Somerville, NJ · (908) 685-2200 HC US Pelvis Ltd Non-OB File of Mar 4, 2026 · source file $110.86 $656.00 $26.94–$960.00 83%
Newton Medical Center Newton, NJ · (973) 383-2121 US Pelvic Lmt+1 more line at this price File of Apr 1, 2026 · source file $116.20 $1,605.00 — 93%
Ocean Medical Center Brick, NJ · (732) 840-2200 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $116.22 $583.00 $82.79–$524.70 80%
Southern Ocean Medical Center Manahawkin, NJ · (609) 597-6011 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $116.22 $583.00 $104.94–$532.98 80%
Bayshore Medical Center Holmdel, NJ · (732) 739-5900 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $117.70 $583.00 $95.61–$524.70 80%
Riverview Medical Center Red Bank, NJ · (732) 741-2700 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $117.70 $583.00 $82.20–$524.70 80%
Jersey Shore University Medical Center Neptune City, NJ · (732) 775-5500 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $117.70 $413.00 $68.56–$413.00 72%
Raritan Bay Medical Center Perth Amboy, NJ · (732) 324-5000 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $117.81 $583.00 $77.54–$563.18 80%
Old Bridge Medical Center Old Bridge, NJ US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $117.81 $583.00 $77.54–$563.18 80%
JFK University Medical Center Edison, NJ · (732) 321-7000 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $117.81 $413.00 $66.49–$383.80 71%
Saint Marys Hospital Passaic, NJ · (973) 365-4300 Hc Us Pelvis Nonobst Limited/Fu File of Sep 1, 2026 · source file $123.00 $460.35 $87.88–$391.30 73%
Hackensack University Medical Center Hackensack, NJ · (551) 996-2000 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $125.23 $413.00 $74.34–$402.76 70%
Palisades Medical Center North Bergen, NJ · (201) 854-5000 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Dec 31, 2025 · source file $125.23 $583.00 $99.69–$539.86 79%
North Central Bronx Hospital Bronx, NY HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT File of Sep 5, 2026 · source file $125.84 $565.44 $1.00–$1,193.00 78%
South Brooklyn Health Brooklyn, NY · (718) 616-4834 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT File of Sep 5, 2026 · source file $125.84 $394.06 $1.00–$1,193.00 68%
Elmhurst Hospital Center Broadway Elmhurst, NY · (718) 334-1141 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT File of Sep 5, 2026 · source file $125.84 $394.06 $1.00–$1,193.00 68%
Queens Hospital Center Jamaica, NY · (718) 883-3000 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT File of Sep 5, 2026 · source file $125.84 $565.44 $1.00–$1,193.00 78%
Bellevue Hospital Center New York, NY · (212) 561-4132 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT File of Sep 5, 2026 · source file $125.84 $565.44 $1.00–$1,193.00 78%
Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT File of Sep 5, 2026 · source file $125.84 $565.44 $1.00–$1,193.00 78%
Lincoln Medical & Mental Health Center Bronx, NY · (718) 579-5000 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT File of Sep 5, 2026 · source file $125.84 $394.06 $1.00–$1,193.00 68%
Jacobi Medical Center Bronx, NY · (718) 918-5000 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT File of Sep 5, 2026 · source file $125.84 $565.44 $1.00–$1,193.00 78%
Woodhull Medical & Mental Health Center Brooklyn, NY · (718) 963-8100 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT File of Sep 5, 2026 · source file $125.84 $565.44 $1.00–$1,193.00 78%
Harlem Hospital Center New York, NY · (212) 939-1000 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT File of Sep 5, 2026 · source file $125.84 $394.06 $1.00–$1,193.00 68%
Metropolitan Hospital Center New York, NY · (212) 423-6262 HC ULTRASOUND, PELVIC, REAL TIME WITH IMAGE DOCUMENTATION; LIMIT File of Sep 5, 2026 · source file $125.84 $394.06 $1.00–$1,193.00 68%
Clara Maass Medical Center Belleville, NJ · (973) 450-2000 HC US Pelvis Ltd Non-OB File of Mar 4, 2026 · source file $130.47 $656.00 $72.16–$626.21 80%
CentraState Medical Center Freehold Township, NJ · (732) 294-7012 US Pelvic Lmt+1 more line at this price File of Apr 1, 2026 · source file $135.36 $506.00 — 73%
Hackensack Meridian Mountainside Medical Center Montclair, NJ · (973) 429-6000 Limited ultrasound scan of pelvis File of Feb 12, 2026 · source file $137.20 $651.00 $68.36–$651.00 79%
University Hospital Newark, NJ · (973) 972-4300 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U File of Aug 13, 2026 · source file $140.12 $446.33 $35.96–$424.01 69%
Morristown Medical Center Morristown, NJ · (973) 971-5450 US Pelvic Lmt+1 more line at this price File of Apr 1, 2026 · source file $141.90 $726.00 — 80%
Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 US Pelvic Lmt File of Apr 1, 2026 · source file $141.90 $673.00 — 79%
Overlook Medical Center Summit, NJ · (908) 522-2000 US Pelvic Lmt+1 more line at this price File of Apr 1, 2026 · source file $141.90 $713.00 — 80%
Interfaith Medical Center Brooklyn, NY HC ECHO EXAM OF PELVIS-F/UP LTD(N File of Aug 1, 2026 · source file $174.81 $264.00 $113.54–$393.33 34%
Brookdale Hospital Medical Center Brooklyn, NY · (718) 240-5966 HC ECHO EXAM OF PELVIS-F/UP LTD(N File of Aug 1, 2026 · source file $174.81 $264.00 $54.00–$393.33 34%
Kingsbrook Jewish Medical Center Brooklyn, NY HC ECHO EXAM OF PELVIS-F/UP LTD(N File of Aug 1, 2026 · source file $174.81 $264.00 $113.54–$393.33 34%
Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 US EXAM PELVIC LIMITED File of Nov 19, 2025 · source file $200.00 $500.00 $35.00–$500.00 60%
University Hospital of Brooklyn Brooklyn, NY · (718) 270-1000 76857 - US EXAM PELVIC LIMITED File of Apr 22, 2025 · source file $222.00 $222.00 $14.00–$76.00 —
Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 US EXAM PELVIC LIMITED File of Mar 25, 2026 · source file $254.00 $254.00 $23.00–$1,912.00 —
Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 US EXAM PELVIC LIMITED File of Mar 25, 2026 · source file $254.00 $254.00 $23.00–$1,912.00 —
The Valley Hospital Paramus, NJ · (201) 447-8000 US EXAM PELVIC LIMITED File of May 6, 2026 · source file $255.60 $426.00 $52.87–$319.50 40%
NYU Langone Brooklyn, NY HC US EXAM, PELVIC, LIMITED File of Jan 1, 2026 · source file $271.55 $1,429.20 $27.08–$25,798.00 81%
NYU Langone – Tisch Hospital New York, NY · (212) 263-7300 HC US EXAM, PELVIC, LIMITED File of Jan 1, 2026 · source file $271.55 $1,429.20 $27.08–$25,798.00 81%
NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC US EXAM, PELVIC, LIMITED File of Jan 1, 2026 · source file $271.55 $1,429.20 $27.08–$25,798.00 81%
NYU Langone Mineola, NY HC US EXAM, PELVIC, LIMITED File of Jan 1, 2026 · source file $271.55 $1,429.20 $27.08–$25,798.00 81%
NYU Langone – Orthopedic Hospital New York, NY HC US EXAM, PELVIC, LIMITED File of Jan 1, 2026 · source file $271.55 $1,429.20 $27.08–$25,798.00 81%
BronxCare Hospital Center - Fulton Campus Bronx, NY · (212) 588-7000 US PELV B-SCAN W/IMAG DOC; LTD File of May 5, 2026 · source file $289.61 $289.61 $33.53–$260.65 —
Bronx-Lebanon Hospital Center - Concourse Division Bronx, NY · (212) 588-7000 US PELV B-SCAN W/IMAG DOC; LTD File of Apr 17, 2026 · source file $289.61 $289.61 $33.53–$260.65 —
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Us Pelvic (Non-Ob) Ltd/Foll Up+1 more line at this price File of Oct 28, 2025 · source file $294.00 $420.00 $29.07–$420.00 30%
The Valley Hospital Paramus, NJ · (201) 447-8000 US PELVIC NOB LIMIT/FUP File of May 6, 2026 · source file $303.60 $506.00 $52.87–$379.50 40%
The Valley Hospital Paramus, NJ · (201) 447-8000 PELVIC (FOLLOW-UP File of May 6, 2026 · source file $336.60 $561.00 $52.87–$420.75 40%
Hudson Regional Hospital Secaucus, NJ · (201) 392-3200 Limited ultrasound scan of pelvis File of Sep 23, 2026 · source file $380.40 $380.40 $174.35–$717.81 —
Montefiore Medical Center Bronx, NY · (718) 920-4321 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U+1 more line at this price File of Sep 28, 2026 · source file $392.40 $600.00 $20.33–$360.00 35%
St Johns Episcopal Hospital Far Rockaway, NY · (718) 869-7000 US EXAM PELVIC LIMITED File of Apr 7, 2026 · source file $392.61 $461.89 $24.00–$438.00 15%
Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 US Pelvic Lmt File of Apr 1, 2026 · source file $408.98 $1,252.00 — 67%
Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 US EXAM PELVIC LIMITED File of Jul 27, 2026 · source file $455.07 $455.07 $103.89–$704.00 —
Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 76857 US EXAM PELVIC LIMIT/ F/U File of Nov 19, 2025 · source file $487.00 $547.00 $35.00–$547.00 11%
Mount Sinai Morningside New York, NY HC US Pelvic Non OB Limited+1 more line at this price File of Apr 1, 2026 · source file $526.50 $585.00 — 10%
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 HC US Pelvic Non OB Limited+1 more line at this price File of Apr 1, 2026 · source file $526.50 $585.00 — 10%
The Mount Sinai Hospital New York, NY · (212) 241-7981 HC US Pelvic Non OB Limited+1 more line at this price File of Apr 1, 2026 · source file $526.50 $585.00 — 10%
Mount Sinai Queens Long Island, NY HC US Pelvic Non OB Limited+1 more line at this price File of Apr 1, 2026 · source file $526.50 $585.00 — 10%
New York Community Hospital of Brooklyn Brooklyn, NY · (718) 692-5302 PELVIS ULTRA-LIMITED File of Apr 1, 2026 · source file $545.15 $545.15 — —
Montefiore Mount Vernon Hospital Mount Vernon, NY · (914) 664-8000 HC US EXAM PELVIC LIMITED File of Sep 28, 2026 · source file $551.20 $848.00 $40.40–$764.52 35%
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 US,PELVIC,NON OBSTETRIC,LTD,FU+3 more lines at this price File of Apr 1, 2026 · source file $578.00 $578.00 — —
Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 FOLLOW UP SCAN File of Nov 19, 2025 · source file $665.00 $755.00 $35.00–$755.00 12%
St Johns Riverside Hospital Park Care Pavillion Yonkers, NY · (914) 964-4444 US EXAM PELVIC LIMITED File of Mar 27, 2026 · source file $759.90 $894.00 $89.37–$3,783.00 15%
Stony Brook Southampton Hospital Southampton, NY US EXAM PELVIC LIMITED File of Jun 17, 2026 · source file $807.38 $807.38 $129.86–$168.82 —
Memorial Hospital for Cancer and Allied Diseases New York, NY HC Sono Pelvis Limited - US Pelvis Limited File of Dec 1, 2025 · source file $912.00 $912.00 $174.82–$820.80 —
Memorial Hospital for Cancer and Allied Diseases West Harrison, NY HC Sono Pelvis Limited - US Pelvis Limited File of Dec 1, 2025 · source file $912.00 $912.00 $174.82–$820.80 —
Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ HC Sono Pelvis Limited - US Pelvis Limited File of Dec 1, 2025 · source file $912.00 $912.00 $231.64–$820.80 —
Memorial Hospital for Cancer and Allied Diseases Middletown, NJ HC Sono Pelvis Limited - US Pelvis Limited File of Dec 1, 2025 · source file $912.00 $912.00 $197.12–$820.80 —
Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 LIMITED ULTRASOUND SCAN OF PELVIS File of Jun 10, 2026 · source file $921.00 $921.00 $129.86–$4,255.00 —
Stony Brook Southampton Hospital Southampton, NY LIMITED ULTRASOUND SCAN OF PELVIS File of Jun 17, 2026 · source file $921.45 $921.45 $129.86–$168.82 —
New York Community Hospital of Brooklyn Brooklyn, NY · (718) 692-5302 US EXAM PELVIC LIMITED File of Apr 1, 2026 · source file $982.21 $982.21 — —
Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 US EXAM PELVIC LIMITED File of Jun 10, 2026 · source file $985.00 $985.00 $129.86–$4,255.00 —
Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 LIMITED ULTRASOUND SCAN OF PELVIS File of Jul 27, 2026 · source file $1,011.77 $1,011.77 $103.89–$704.00 —
Westchester Medical Center Valhalla, NY · (914) 493-7000 US EXAM PELVIC LIMITED File of Jul 28, 2026 · source file $1,542.00 $1,542.00 $89.45–$1,542.00 —
Good Samaritan Hospital Suffern, NY · (914) 368-5000 US Pelvis Limited (Non OB)+1 more line at this price File of Jun 29, 2026 · source file $2,089.00 $2,089.00 $92.47–$2,664.50 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $42.30, median $135.36, highest $2,089.00 — a 49.4× difference within the same market.

As an inpatient, the same code is billed by 33 facilities here, median $271.55. 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 62 of 72 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 pelvic ultrasound (limited) is, what the price covers and why prices differ: Pelvic ultrasound (limited) explained.