Scans and imaging CPT 76857 Inpatient — admitted to hospital

Pelvic ultrasound (limited) cost in Portland, ME — inpatient

In Portland-South Portland, ME, 4 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $59.40 to $568.40, with a median of $86.85. The lowest listed price is at MaineHealth — $27.45 less than the median here. Across Maine, the median is $109.80 at 17 hospitals.

Cash prices at 4 facilities across 4 cities for code 76857, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Sep 9, 2025 and Sep 9, 2025.

Lowest$59.40MaineHealth
Median$86.85half pay less
Highest$568.40in this market
Difference9.6×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 Portland-South Portland, ME.

median
Lowest $59.40Highest $660.25

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
MaineHealth lowest Portland, ME · (207) 662-0111 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $59.40 $59.40 $43.69–$55.84 — Sep 9, 2025
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MaineHealth Biddeford, ME CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $63.90 $63.90 $47.00–$60.07 — Sep 9, 2025
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York Hospital York, ME · (207) 351-2478 US EXAM PELVIC LIMITED $109.80 $183.00 — 40% —
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York Hospital York, ME · (207) 351-2478 W-US PELVIC F/U LTD 76857 $258.00 $430.00 — 40% —
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York Hospital York, ME · (207) 351-2478 US PELVIC F/U LTD 76857 $258.00 $430.00 — 40% —
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York Hospital York, ME · (207) 351-2478 W-US BLADDER 76857 $258.00 $430.00 — 40% —
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York Hospital York, ME · (207) 351-2478 US BLADDER 76857 $258.00 $430.00 — 40% —
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MaineHealth Biddeford, ME HC US PELVIC LIMITED OR F/U REAL TIME $483.90 $483.90 $355.96–$454.87 — Sep 9, 2025
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MaineHealth Brunswick, ME · (207) 729-0181 HC US PELVIC LIMITED OR F/U REAL TIME $568.40 $568.40 $401.29–$536.57 — Sep 9, 2025
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MaineHealth Portland, ME · (207) 662-0111 HC US PELVIC LIMITED OR F/U REAL TIME $660.25 $660.25 $485.68–$620.64 — Sep 9, 2025
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Inpatient: lowest $59.40, median $86.85, highest $568.40 — a 9.6× difference within the same market.

As an outpatient, the same code is billed by 5 facilities here, median $109.80 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 0 of 3 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.