Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Phoenix, AZ

In Phoenix-Mesa-Chandler, AZ, 23 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $91.56 to $651.00, with a median of $270.76. The lowest listed price is at Banner Heart Hospital — $179.20 less than the median here. Across Arizona, the median is $270.76 at 33 hospitals.

Cash prices at 23 facilities across 13 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 2, 2026 and Jun 28, 2026.

Lowest$91.56Banner Heart Hospital
Median$270.76half pay less
Highest$651.00in this market
Difference7.1×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 Phoenix-Mesa-Chandler, AZ.

median
Lowest $91.56Highest $651.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Banner Heart Hospital lowest Mesa, AZ · (480) 854-5050 US PELVIS NON OB LTD $91.56 $654.00 $79.00–$490.50 86% Mar 2, 2026
source file
Banner Boswell Medical Center Sun City, AZ · (623) 832-4000 US PELVIS NON OB LTD $96.79 $654.00 $79.00–$523.20 85% Mar 2, 2026
source file
Banner Goldfield Medical Center Apache Junction, AZ · (480) 733-3300 US PELVIS NON OB LTD $116.41 $654.00 $66.67–$490.50 82% Mar 2, 2026
source file
Valleywise Health Medical Center Phoenix, AZ · (602) 344-5011 HC US PELVIS LIMITED NON OB $128.29 $1,100.00 $111.56–$223.12 88% Jun 28, 2026
source file
Banner Casa Grande Medical Center Casa Grande, AZ · (520) 381-6300 US PELVIS NON OB LTD $178.54 $654.00 $61.85–$490.50 73% Mar 2, 2026
source file
Banner Baywood Medical Center Mesa, AZ · (480) 321-2000 US PELVIS NON OB LTD $209.28 $654.00 $79.00–$490.50 68% Mar 2, 2026
source file
Banner Del E Webb Medical Center Sun City West, AZ · (623) 524-4000 US PELVIS NON OB LTD $225.63 $654.00 $41.09–$523.20 66% Mar 2, 2026
source file
Banner Gateway Medical Center Gilbert, AZ · (480) 543-2000 US PELVIS NON OB LTD $226.28 $654.00 $79.00–$490.50 65% May 1, 2026
source file
Banner University Medical Center Phoenix Phoenix, AZ · (602) 839-2000 US PELVIS NON OB LTD $228.25 $654.00 $41.09–$551.65 65% Mar 2, 2026
source file
Banner University Medical Center Phoenix Phoenix, AZ · (602) 839-2000 ED US PELVIS NON OB LTD $228.25 $654.00 $41.09–$551.65 65% Mar 2, 2026
source file
Banner Ocotillo Medical Center Chandler, AZ · (480) 256-7000 US PELVIS NON OB LTD $256.37 $654.00 $79.00–$490.50 61% Mar 2, 2026
source file
Banner Estrella Medical Center Phoenix, AZ · (623) 327-4000 US PELVIS NON OB LTD $260.29 $654.00 $79.00–$490.50 60% Mar 2, 2026
source file
Banner Thunderbird Medical Center Glendale, AZ · (602) 865-4470 ED US PELVIS NON OB LTD $270.76 $654.00 $41.09–$551.65 59% Mar 2, 2026
source file
Banner Thunderbird Medical Center Glendale, AZ · (602) 865-4470 US PELVIS NON OB LTD $270.76 $654.00 $41.09–$551.65 59% Mar 2, 2026
source file
Banner Ironwood Medical Center San Tan Valley, AZ · (480) 394-4000 US PELVIS NON OB LTD $274.68 $654.00 $79.00–$490.50 58% Mar 2, 2026
source file
Banner Desert Medical Center Mesa, AZ · (480) 412-3000 ED US PELVIS NON OB LTD $283.84 $654.00 $79.00–$551.65 57% Mar 2, 2026
source file
Banner Desert Medical Center Mesa, AZ · (480) 412-3000 US PELVIS NON OB LTD $283.84 $654.00 $79.00–$551.65 57% Mar 2, 2026
source file
HonorHealth Tempe Medical Center Tempe, AZ Hc Echo Exam Of Pelvis; Limited/Follow Up $651.00 $651.00 — — Apr 1, 2026
source file
HonorHealth Scottsdale Thompson Peak Med Center Scottsdale, AZ · (480) 324-7001 Hc Echo Exam Of Pelvis; Limited/Follow Up $651.00 $651.00 — — Apr 1, 2026
source file
HonorHealth Scottsdale Osborn Medical Center Scottsdale, AZ · (480) 882-4004 Hc Echo Exam Of Pelvis; Limited/Follow Up $651.00 $651.00 — — Apr 1, 2026
source file
HonorHealth Sonoran Crossing Medical Center Phoenix, AZ · (480) 882-4327 Hc Echo Exam Of Pelvis; Limited/Follow Up $651.00 $651.00 — — Apr 1, 2026
source file
HonorHealth Scottsdale Shea Medical Center Scottsdale, AZ · (480) 323-3000 Hc Echo Exam Of Pelvis; Limited/Follow Up $651.00 $651.00 — — Apr 1, 2026
source file
HonorHealth John C. Lincoln Medical Center Phoenix, AZ · (602) 943-2381 Hc Echo Exam Of Pelvis; Limited/Follow Up $651.00 $651.00 — — Apr 1, 2026
source file
HonorHealth Four Peaks Medical Center Mesa, AZ · (480) 358-6100 Hc Echo Exam Of Pelvis; Limited/Follow Up $651.00 $651.00 — — Apr 1, 2026
source file
HonorHealth Deer Valley Medical Center Phoenix, AZ · (623) 879-6100 Hc Echo Exam Of Pelvis; Limited/Follow Up $651.00 $651.00 — — Apr 1, 2026
source file
HonorHealth Florence Medical Center Florence, AZ Hc Echo Exam Of Pelvis; Limited/Follow Up $651.00 $651.00 — — Apr 1, 2026
source file

Outpatient: lowest $91.56, median $270.76, highest $651.00 — a 7.1× difference within the same market.

As an inpatient, the same code is billed by 24 facilities here, median $279.26. 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 14 of 14 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.