Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Adel, GA

In Adel, GA, 1 hospital lists a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $67.50 to $67.50, with a median of $67.50. Across Georgia, the median is $391.00 at 59 hospitals.

Cash prices at 1 facility for code 76857, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 28, 2026; the hospital files themselves were last updated between Aug 11, 2026 and Aug 11, 2026.

Lowest$67.50Southwell Medical Center
Median$67.50half pay less
Highest$67.50in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Southwell Medical Center Adel, GA · (229) 896-8077 US BLADDER $67.50 $135.00 $22.13–$150.32 50% Aug 11, 2026
source file

Outpatient: lowest $67.50, median $67.50, highest $67.50.

As an inpatient, the same code is billed by 1 facility here, median $67.50. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.