Scans and imaging CPT 76857 Outpatient

Pelvic ultrasound (limited) cost in Wellsville, NY

In Wellsville, NY, 1 hospital lists a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $40.00 to $40.00, with a median of $40.00. Across New York, the median is $200.36 at 64 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 — and —.

Lowest$40.00Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp
Median$40.00half pay less
Highest$40.00in 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 Wellsville, NY.

median
Lowest $40.00Highest $202.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp lowest Wellsville, NY · (585) 593-1100 HB US Pelvic Nonobstetric Image Dcmtn Limited/F/U (Pro) $40.00 — — — —
source file
Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY · (585) 593-1100 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $47.11 $79.00 — 40% —
source file
Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY · (585) 593-1100 HB US Pelvic Nonobstetric Image Dcmtn Limited/F/U $202.00 — — — —
source file

Outpatient: lowest $40.00, median $40.00, highest $40.00.

As an inpatient, the same code is billed by 1 facility here, median $47.11. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.