Scans and imaging CPT 76857 Inpatient — admitted to hospital

Pelvic ultrasound (limited) cost in Salem, OR — inpatient

In Salem, OR, 3 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $91.00 to $419.23, with a median of $419.23. The lowest listed price is at Legacy Silverton Medical Center — $328.23 less than the median here. Across Oregon, the median is $260.25 at 37 hospitals.

Cash prices at 3 facilities across 3 cities for code 76857, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$91.00Legacy Silverton Medical Center
Median$419.23half pay less
Highest$419.23in this market
Difference4.6×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 Salem, OR.

median
Lowest $91.00Highest $434.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Legacy Silverton Medical Center lowest Silverton, OR · (503) 873-1500 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $91.00 $140.00 — 35% Apr 1, 2026
source file
Salem Hospital Salem, OR · (503) 561-5200 HCHRG US PELVIS-LIMITED OR F/U $419.23 $791.00 — 47% Apr 1, 2026
source file
West Valley Hospital Dallas, OR · (503) 623-8301 HCHRG US PELVIS-LIMITED OR F/U $419.23 $791.00 — 47% Apr 1, 2026
source file
Legacy Silverton Medical Center Silverton, OR · (503) 873-1500 HC PELVIS LIMITED ULTRASOUND $434.20 $668.00 — 35% Apr 1, 2026
source file

Inpatient: lowest $91.00, median $419.23, highest $419.23 — a 4.6× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $419.23 — 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.