Pelvic ultrasound (limited) cost in San Jose, CA
In San Jose-Sunnyvale-Santa Clara, CA, 5 hospitals list a cash price for Pelvic ultrasound (not pregnancy), limited or follow-up: from $203.50 to $1,205.50, with a median of $616.00. The lowest listed price is at Stanford Health Care — $412.50 less than the median here. Across California, the median is $520.00 at 100 hospitals.
Cash prices at 5 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 Mar 31, 2026 and Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in San Jose-Sunnyvale-Santa Clara, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Stanford Health Care lowest Stanford, CA US Pel Nonob B-Scan&/R-T Img Lmtd/F-Up+C97 | $203.50 | $407.00 | $61.74–$407.00 | 50% | Apr 1, 2026 source file |
| Stanford Health Care lowest Stanford, CA US Pel Nonob B-Scan&/R-T Img Lmtd/F-Up+C97 | $203.50 | $407.00 | $73.80–$407.00 | 50% | Apr 1, 2026 source file |
| El Camino Hospital Mountain View, CA HC US PELVIS SCAN-LIMITED | $347.00 | $1,388.00 | — | 75% | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Santa Clara Santa Clara, CA US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U | $616.00 | $1,100.00 | $142.00–$445.00 | 44% | — source file |
| Kaiser Foundation Hospital - San Jose San Jose, CA US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U | $616.00 | $1,100.00 | $142.00–$445.00 | 44% | — source file |
| Stanford Health Care Stanford, CA US Pelvic Non OB Ltd | $962.40 | $2,406.00 | — | 60% | Apr 1, 2026 source file |
| Stanford Health Care Stanford, CA US Pelv Non-OB Limited | $962.40 | $2,406.00 | — | 60% | Apr 1, 2026 source file |
| Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA HC US Pelvis Limited | $1,205.50 | $2,411.00 | $1,017.44–$1,171.50 | 50% | Mar 31, 2026 source file |
Outpatient: lowest $203.50, median $616.00, highest $1,205.50 — a 5.9× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $481.50. 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 1 of 4 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.