Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Urban Honolulu, HI

In Urban Honolulu, HI, 4 hospitals list a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $41.40 to $649.30, with a median of $168.60. The lowest listed price is at Straub Clinic & Hospital — $127.20 less than the median here. Across Hawaii, the median is $169.80 at 5 hospitals.

Cash prices at 4 facilities across 2 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 Feb 12, 2026 and Feb 12, 2026.

Lowest$41.40Straub Clinic & Hospital
Median$168.60half pay less
Highest$649.30in this market
Difference15.7×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 Urban Honolulu, HI.

median
Lowest $41.40Highest $649.30

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Straub Clinic & Hospital lowest Honolulu, HI · (808) 522-4000 US PELVIC NON-OB LIMITED/FOLLOW UP-TECH $41.40 $69.00 $33.08–$130.17 40% Feb 12, 2026
source file
Pali Momi Medical Center Aiea, HI · (808) 486-6000 US PELVIC NON-OB LIMITED/FOLLOW UP SONOSITE $167.40 $279.00 $104.21–$138.66 40% Feb 12, 2026
source file
Kapiolani Medical Center for Women & Children Honolulu, HI · (808) 983-6000 US PELVIC NON-OB LIMITED/FOLLOW UP SONOSITE $169.80 $283.00 $104.21–$116.97 40% Feb 12, 2026
source file
Straub Clinic & Hospital Honolulu, HI · (808) 522-4000 US PELVIC, LIMITED/FOLLOW UP-TECH $353.40 $589.00 $33.08–$130.17 40% Feb 12, 2026
source file
Kapiolani Medical Center for Women & Children Honolulu, HI · (808) 983-6000 US PELVIC, LIMITED/FOLLOW UP-TECH $366.00 $610.00 $104.21–$116.97 40% Feb 12, 2026
source file
Pali Momi Medical Center Aiea, HI · (808) 486-6000 US PELVIC, LIMITED/FOLLOW UP-TECH $380.40 $634.00 $33.08–$130.17 40% Feb 12, 2026
source file
Shriners Childrens - Honolulu Honolulu, HI · (808) 941-4466 US EXAM PELVIC LIMITED $649.30 $649.30 $32.12–$185.25 — —
source file

Outpatient: lowest $41.40, median $168.60, highest $649.30 — a 15.7× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $167.40. 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.