Scans and imaging CPT 76857 Inpatient — admitted to hospital

Pelvic ultrasound (limited) cost in Damariscotta, ME — inpatient

In Damariscotta, ME, 1 hospital lists a cash price for pelvic ultrasound (not pregnancy), limited or follow-up as an inpatient: from $41.00 to $41.00, with a median of $41.00. Across Maine, the median is $109.80 at 17 hospitals.

Cash prices at 1 facility for code 76857, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Sep 9, 2025 and Sep 9, 2025.

Lowest$41.00MaineHealth
Median$41.00half pay less
Highest$41.00in this market
Difference1.0×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 Damariscotta, ME.

median
Lowest $41.00Highest $665.45

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
MaineHealth lowest Damariscotta, ME · (207) 563-1234 CHG US PELVIC NONOIMAGE DCMTN LIMITED/F/U $41.00 $41.00 $34.73–$38.59 — Sep 9, 2025
source file
MaineHealth Damariscotta, ME · (207) 563-1234 HC US PELVIC LIMITED OR F/U REAL TIME $154.00 $154.00 $47.05–$195.39 — Sep 9, 2025
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MaineHealth Damariscotta, ME · (207) 563-1234 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $195.00 $195.00 $47.05–$195.39 — Sep 9, 2025
source file
MaineHealth Damariscotta, ME · (207) 563-1234 HC US PELVIC LIMITED OR F/U REAL TIME $665.45 $665.45 $563.64–$626.25 — Sep 9, 2025
source file

Inpatient: lowest $41.00, median $41.00, highest $41.00.

As an outpatient, the same code is billed by 1 facility here, median $41.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not 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.