Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Middlebury, VT

In Middlebury, VT, 1 hospital lists a cash price for Pelvic ultrasound (not pregnancy), limited or follow-up: from $263.00 to $263.00, with a median of $263.00. Across Vermont, the median is $222.00 at 7 hospitals.

Cash prices at 1 facility 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 Apr 28, 2026 and Apr 28, 2026.

Lowest$263.00Porter Hospital Inc
Median$263.00half pay less
Highest$263.00in 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 Middlebury, VT.

median
Lowest $263.00Highest $524.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Porter Hospital Inc lowest Middlebury, VT CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $263.00 $263.00 — — Apr 28, 2026
source file
Porter Hospital Inc Middlebury, VT HC - US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $524.00 $524.00 $101.02–$518.76 — Apr 28, 2026
source file

Outpatient: lowest $263.00, median $263.00, highest $263.00.

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.