Scans and imaging CPT 76857 Inpatient — admitted to hospital

Pelvic ultrasound (limited) cost in Rockford, IL — inpatient

In Rockford, IL, 1 hospital lists a cash price for pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $84.11 to $84.11, with a median of $84.11. Across Illinois, the median is $465.00 at 99 hospitals.

Cash prices at 1 facility for code 76857, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between Mar 1, 2026 and Mar 1, 2026.

Lowest$84.11Rockford Memorial Hospital
Median$84.11half pay less
Highest$84.11in this market
Difference1.0×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 Rockford, IL.

median
Lowest $84.11Highest $807.14

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Rockford Memorial Hospital lowest Rockford, IL · (815) 968-6861 HC PBB LIMITED FOLLOW-UP PELVIC US $84.11 $112.15 — 25% Mar 1, 2026
source file
Rockford Memorial Hospital lowest Rockford, IL · (815) 968-6861 HC PBB LIMITED FOLLOW-UP PELVIC US $84.11 $112.15 — 25% Mar 1, 2026
source file
Rockford Memorial Hospital Rockford, IL · (815) 968-6861 HC US SUPERFICIAL PELVIS LTD $807.14 $1,076.19 — 25% Mar 1, 2026
source file
Rockford Memorial Hospital Rockford, IL · (815) 968-6861 HC US SUPERFICIAL PELVIS LTD $807.14 $1,076.19 — 25% Mar 1, 2026
source file

Inpatient: lowest $84.11, median $84.11, highest $84.11.

As an outpatient, the same code is billed by 1 facility here, median $84.11 — that is the price to compare if you are not being admitted.

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.