Scans and imaging CPT 76857 Inpatient — admitted to hospital

Pelvic ultrasound (limited) cost in Traverse City, MI — inpatient

In Traverse City, MI, 3 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $103.70 to $564.40, with a median of $538.05. The lowest listed price is at Kalkaska Memorial Health Center — $434.35 less than the median here. Across Michigan, the median is $336.00 at 60 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 17, 2026 and Apr 17, 2026.

Lowest$103.70Kalkaska Memorial Health Center
Median$538.05half pay less
Highest$564.40in this market
Difference5.4×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 Traverse City, MI.

median
Lowest $103.70Highest $564.40

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Kalkaska Memorial Health Center lowest Kalkaska, MI · (231) 258-7500 Echography pelvic nonobstetric Bscan real time w image documentation limited or fu eg for follicles $103.70 $122.00 $14.91–$156.98 15% Apr 17, 2026
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Kalkaska Memorial Health Center Kalkaska, MI · (231) 258-7500 US BLADDER $216.75 $255.00 $188.70–$852.12 15% Apr 17, 2026
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Kalkaska Memorial Health Center Kalkaska, MI · (231) 258-7500 US Exams $216.75 $255.00 $188.70–$852.12 15% Apr 17, 2026
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Kalkaska Memorial Health Center Kalkaska, MI · (231) 258-7500 US FOLLICULAR $216.75 $255.00 $188.70–$852.12 15% Apr 17, 2026
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Kalkaska Memorial Health Center Kalkaska, MI · (231) 258-7500 US PELVIS SOFT TISSUE $272.00 $320.00 $236.80–$852.12 15% Apr 17, 2026
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Kalkaska Memorial Health Center Kalkaska, MI · (231) 258-7500 Echography pelvic nonobstetric Bscan real time w image documentation limited or fu eg for follicles $521.90 $614.00 $454.36–$852.12 15% Apr 17, 2026
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Munson Medical Center Traverse City, MI · (231) 935-5000 US Exams $538.05 $633.00 $336.25–$1,350.00 15% Apr 17, 2026
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Munson Medical Center Traverse City, MI · (231) 935-5000 Echography pelvic nonobstetric Bscan real time w image documentation limited or fu eg for follicles $538.05 $633.00 $336.25–$1,350.00 15% Apr 17, 2026
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Munson Medical Center Traverse City, MI · (231) 935-5000 US BLADDER $538.05 $633.00 $336.25–$1,350.00 15% Apr 17, 2026
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Munson Medical Center Traverse City, MI · (231) 935-5000 US FOLLICULAR $538.05 $633.00 $336.25–$1,350.00 15% Apr 17, 2026
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Munson Medical Center Traverse City, MI · (231) 935-5000 US PELVIS SOFT TISSUE $538.05 $633.00 $336.25–$1,350.00 15% Apr 17, 2026
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Paul Oliver Memorial Hospital Frankfort, MI · (231) 352-2200 Echography pelvic nonobstetric Bscan real time w image documentation limited or fu eg for follicles $564.40 $664.00 $482.06–$630.80 15% Apr 17, 2026
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Paul Oliver Memorial Hospital Frankfort, MI · (231) 352-2200 US BLADDER $564.40 $664.00 $482.06–$630.80 15% Apr 17, 2026
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Paul Oliver Memorial Hospital Frankfort, MI · (231) 352-2200 US Exams $564.40 $664.00 $482.06–$630.80 15% Apr 17, 2026
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Paul Oliver Memorial Hospital Frankfort, MI · (231) 352-2200 US FOLLICULAR $564.40 $664.00 $482.06–$630.80 15% Apr 17, 2026
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Paul Oliver Memorial Hospital Frankfort, MI · (231) 352-2200 US PELVIS SOFT TISSUE $564.40 $664.00 $482.06–$630.80 15% Apr 17, 2026
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Inpatient: lowest $103.70, median $538.05, highest $564.40 — a 5.4× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $538.05 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 3 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.