Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Charles City, IA

In Charles City, IA, 1 hospital lists a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $229.83 to $229.83, with a median of $229.83. Across Iowa, the median is $353.00 at 69 hospitals.

Cash prices at 1 facility for code 76857, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Aug 31, 2026 and Aug 31, 2026.

Lowest$229.83Floyd County Memorial Hospital Commission
Median$229.83half pay less
Highest$229.83in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Floyd County Memorial Hospital Commission Charles City, IA · (641) 228-6830 Limited ultrasound scan of pelvis $229.83 $574.58 $206.85–$497.01 60% Aug 31, 2026
source file

Outpatient: lowest $229.83, median $229.83, highest $229.83.

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.