Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Philadelphia, PA

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 22 hospitals list a cash price for Pelvic ultrasound (not pregnancy), limited or follow-up: from $102.00 to $2,952.88, with a median of $381.85. The lowest listed price is at Lower Bucks Hospital — $279.85 less than the median here. Across Pennsylvania, the median is $400.80 at 63 hospitals.

Cash prices at 22 facilities across 19 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 Mar 24, 2026 and Sep 1, 2026.

Lowest$102.00Lower Bucks Hospital
Median$381.85half pay less
Highest$2,952.88in this market
Difference28.9×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $102.00Highest $2,952.88

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Lower Bucks Hospital lowest Bristol, PA Hc Us Pelvis Nonobst Limited/Fu $102.00 $928.43 $19.00–$742.74 89% Sep 1, 2026
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Roxborough Memorial Hospital East Norriton, PA Hc Us Pelvis Nonobst Limited/Fu $106.00 $720.69 $19.00–$699.07 85% Sep 1, 2026
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Roxborough Memorial Hospital East Norriton, PA Hc Us Pelvis Nonobst Limited/Fu $106.00 $720.69 $19.00–$699.07 85% Sep 1, 2026
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Nazareth Hospital Philadelphia, PA PR US Pelvis Non-Obstetric Limited/Follow Up $168.60 — $13.00–$168.60 — Mar 31, 2026
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Mercy Fitzgerald Hospital Darby, PA PR US Pelvis Non-Obstetric Limited/Follow Up $168.60 — $13.00–$168.60 — Mar 31, 2026
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Virtua_West_Jersey_Health_System_Inc Voorhees, NJ HC Ultrasound Pelvis Limited or Follow Up $245.30 $2,453.00 $105.02–$383.04 90% —
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Virtua_Willingboro_Hospital_Inc Willinboro, NJ HC Ultrasound Pelvis Limited or Follow Up $245.30 $2,453.00 $105.02–$383.04 90% —
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Virtua_West_Jersey_Health_System_Inc Voorhees, NJ HC Ultrasound Pelvis Limited or Follow Up $245.30 $2,453.00 $105.02–$383.04 90% —
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Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ HC Ultrasound Pelvis Limited or Follow Up $245.30 $2,453.00 $105.02–$383.04 90% —
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Virtua_Memorial_Hospital_Inc | Mount Holly, NJ HC Ultrasound Pelvis Limited or Follow Up $245.30 $2,453.00 $105.02–$383.04 90% —
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St. Francis Hospital Inc Wilmington, DE HC US Pelvis Non-Obstetric Limited/Follow Up $257.40 $396.00 $101.78–$380.16 35% Mar 31, 2026
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Mercy Fitzgerald Hospital Darby, PA HC US Pelvis Non-Obstetric Limited/Follow Up $267.15 $411.00 $31.20–$411.00 35% Mar 31, 2026
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St Mary Medical Center Langhorne, PA HC US Pelvis Non-Obstetric Limited/Follow Up $274.30 $422.00 $31.20–$400.90 35% Mar 31, 2026
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Inspira Health Center Woodbury Woodbury, NJ US PELVIC NON-OB LTD/F-U $381.85 $381.85 $65.74–$280.66 — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ US PELVIC NON-OB LTD/F-U $381.85 $381.85 $69.49–$280.66 — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ US PELVIC NON-OB LTD/F-U $381.85 $381.85 $64.34–$280.66 — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ US PELVIC NON-OB LTD/F-U $381.85 $381.85 $69.49–$280.66 — Mar 24, 2026
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Riddle Memorial Hospital Media, PA Hc Us Pelvis Non Ob Limited/Follow Up $446.80 $1,117.00 — 60% Apr 1, 2026
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Bryn Mawr Rehabilitation Hospital Malvern, PA Hc Us Pelvis Non Ob Limited/Follow Up $446.80 $1,117.00 — 60% —
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Lankenau Medical Center Wynnewood, PA Hc Us Pelvis Non Ob Limited/Follow Up $446.80 $1,117.00 — 60% Apr 1, 2026
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The Bryn Mawr Hospital Bryn Mawr, PA Hc Us Pelvis Non Ob Limited/Follow Up $446.80 $1,117.00 — 60% —
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Paoli Hospital Paoli, PA Hc Us Pelvis Non Ob Limited/Follow Up $446.80 $1,117.00 — 60% Apr 1, 2026
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Nazareth Hospital Philadelphia, PA HC US Pelvis Non-Obstetric Limited/Follow Up $487.50 $750.00 $36.24–$735.00 35% Mar 31, 2026
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Shriners Childrens - Philadelphia Philadelphia, PA US EXAM PELVIC LIMITED $605.70 $605.70 $24.00–$150.37 — —
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Nemours Children's Hospital Wilmington, DE Uls Pelvic Limited/Follow Up $643.00 $643.00 — — —
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Nemours Children's Hospital Wilmington, DE Uls Pelvic Limited/Follow Up $643.00 $643.00 — — —
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Children's Hospital of Philadelphia, The Philadelphia, PA US Pelvic, Limited $2,952.88 $2,952.88 $25.65–$2,657.59 — —
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Children's Hospital of Philadelphia, The Philadelphia, PA IR US Pelvic , Limited $2,952.88 $2,952.88 $25.65–$2,657.59 — —
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Children's Hospital of Philadelphia, The Philadelphia, PA IR US Pelvic, Limited With Contrast $2,952.88 $2,952.88 $25.65–$2,657.59 — —
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Children's Hospital of Philadelphia, The Philadelphia, PA Contrast Enhanced US Ovaries $2,952.88 $2,952.88 $25.65–$2,657.59 — —
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Children's Hospital of Philadelphia, The Philadelphia, PA Usf Pelvic, Limited $2,952.88 $2,952.88 $25.65–$2,657.59 — —
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Outpatient: lowest $102.00, median $381.85, highest $2,952.88 — a 28.9× difference within the same market.

As an inpatient, the same code is billed by 14 facilities here, median $381.85. 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 8 of 16 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.