Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Rochester, NY

In Rochester, NY, 8 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $39.00 to $456.76, with a median of $223.90. The lowest listed price is at F.F. Thompson Hospital — $184.90 less than the median here. Across New York, the median is $200.36 at 64 hospitals.

Cash prices at 8 facilities across 5 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$39.00F.F. Thompson Hospital
Median$223.90half pay less
Highest$456.76in this market
Difference11.7×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 Rochester, NY.

median
Lowest $39.00Highest $501.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
F.F. Thompson Hospital lowest Canandaigua, NY · (585) 396-6000 HB US Pelvic Nonobstetric Image Dcmtn Limited/F/U (Pro) $39.00 — — — —
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Nicholas H. Noyes Memorial Hospital Dansville, NY · (585) 335-6001 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $39.95 $67.00 — 40% —
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F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $46.51 $78.00 — 40% —
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $52.50 $105.00 $40.12–$240.54 50% —
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Nicholas H. Noyes Memorial Hospital Dansville, NY · (585) 335-6001 HB US Pelvic Nonobstetric Image Dcmtn Limited/F/U (Pro) $94.00 — — — —
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Highland Hospital Rochester, NY · (585) 341-6711 Us exam pelvic limited $124.09 — $123.84–$221.63 — —
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 Us exam pelvic limited $124.09 — $127.08–$258.50 — —
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Nicholas H. Noyes Memorial Hospital Dansville, NY · (585) 335-6001 HB US Pelvic Nonobstetric Image Dcmtn Limited/F/U $158.00 — — — —
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F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 HB US Pelvic Nonobstetric Image Dcmtn Limited/F/U $183.00 — — — —
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Clifton Springs Hospital And Clinic Clifton Springs, NY · (315) 462-9561 HC ULTRASOUND PELVIC _NONOBSTETRIC_ LIMITED OR F_U $323.71 $498.02 — 35% Apr 1, 2026
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Newark-Wayne Community Hospital Newark, NY · (315) 332-2022 HC ULTRASOUND PELVIC _NONOBSTETRIC_ LIMITED OR F_U $425.45 $654.54 — 35% Apr 1, 2026
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Rochester General Hospital Rochester, NY · (585) 922-4000 HC ULTRASOUND PELVIC _NONOBSTETRIC_ LIMITED OR F_U $425.45 $654.54 — 35% Apr 1, 2026
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The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC ULTRASOUND PELVIC _NONOBSTETRIC_ LIMITED OR F_U $456.76 $570.95 — 20% Apr 1, 2026
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 HB US Pelvic Nonobstetric Image Dcmtn Limited/F/U $501.50 — $40.40–$479.70 — —
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Highland Hospital Rochester, NY · (585) 341-6711 HB US Pelvic Nonobstetric Image Dcmtn Limited/F/U $501.50 — $40.40–$392.74 — —
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Outpatient: lowest $39.00, median $223.90, highest $456.76 — a 11.7× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $323.71. 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 2 of 2 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.