Scans and imaging CPT 76857 Indiana Outpatient

Pelvic ultrasound (limited) cost in Indiana

In Indiana, 86 hospitals publish a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $48.23 to $1,330.96, with a median of $340.01. The lowest price is at Pulaski Memorial Hospital (Winamac). The highest price is 27.6× the lowest.

  • The median here, $340.01, is 9% below the US median of $372.00.
  • That is 3.2× Medicare's 2026 national rate for the same service ($106.81).
  • Indiana ranks 24th of 51 states by median, cheapest first.
  • 2 of 86 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 76857. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 12, 2026. See them on a map

Lowest$48.23Pulaski Memorial Hospital
Median$340.01half of hospitals charge less
Highest$1,330.96in Indiana
Lowest saves$291.78vs the median

Hospitals in Indiana, cheapest first

HospitalCash priceList priceFile date
Pulaski Memorial Hospital lowest Winamac · Winamac, IN Limited ultrasound scan of pelvis $48.23 $68.90 Jul 7, 2026
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Johnson Memorial Hospital Franklin · Indianapolis-Carmel-Greenwood, IN Limited ultrasound scan of pelvis $92.00 $115.00 Oct 22, 2026
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Henry County Memorial Hospital New Castle · New Castle, IN Limited ultrasound scan of pelvis $99.75 $142.50 Jun 3, 2026
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Norton Clark Hospital Jeffersonville · Louisville/Jefferson County, KY-IN HB US PELVIC NON OB LTD $102.90 $735.00 Jun 3, 2026
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Monroe Hospital Bloomington · Bloomington, IN US PELVIC LIMITED FOLLICLE STUDY $110.00 $288.93 Mar 17, 2026
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Deaconess Hospital Newburgh · Evansville, IN HC US PELVIS NON OB LIMITED ED $133.98 $406.00 Feb 11, 2026
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Riverview Health Noblesville · Indianapolis-Carmel-Greenwood, IN US PELVIC NON OB LIMITED F/U $151.20 $252.00 Apr 1, 2026
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Franciscan Health Rensselaer Rensselaer · Chicago-Naperville-Elgin, IL-IN Bedside US Exam Pelvic Limited $157.88 $441.00 Jan 1, 2026
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Norton Kings Daughters Health Madison · Madison, IN HB US SFT TISS PELVIS NONOB POCUS $164.78 $749.00 May 5, 2026
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Norton Scott Hospital Scottsburg · Scottsburg, IN HB US PELVIC NON OB LTD $175.80 $879.00 Jun 3, 2026
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Franciscan Health Munster Munster · Chicago-Naperville-Elgin, IL-IN Bedside US Exam Pelvic Limited $185.52 $871.00 Jan 1, 2026
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Hendricks Regional Health Danville · Indianapolis-Carmel-Greenwood, IN HB US PELVIS (NONOB) LIMIT OR F/U $200.80 $502.00 May 20, 2026
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Franciscan Health Michigan City Michigan City · Michigan City-La Porte, IN Bedside US Exam Pelvic Limited $212.78 $1,023.00 Jan 1, 2026
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Franciscan Health Michigan City LaPorte La Porte · Michigan City-La Porte, IN Bedside US Exam Pelvic Limited $212.78 $1,023.00 Jan 1, 2026
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Franciscan Health Lafayette Lafayette · Lafayette-West Lafayette, IN US Exam Pelvic Limited $232.49 $1,052.00 Jan 1, 2026
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Community Hospital of Bremen Bremen · Plymouth, IN US Pelvic LTD $235.95 $363.00 Jan 1, 2026
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Memorial Hospital of South Bend South Bend · South Bend-Mishawaka, IN-MI US Pelvic LTD $235.95 $363.00 Jan 1, 2026
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Northwest Health - Porter Valparaiso · Chicago-Naperville-Elgin, IL-IN US-PELVIS NON OB FU $238.42 $883.05 Dec 19, 2024
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St. Vincent Salem Hospital Salem · Louisville/Jefferson County, KY-IN US PELVIC NONOB LTD/FOLLOW-UP $242.40 $404.00 Jan 1, 2026
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Lutheran Hospital of Indiana Fort Wayne · Fort Wayne, IN US-PELVIS NON OB FU $244.80 $816.00 Dec 17, 2024
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Kosciusko Community Hospital Warsaw · Warsaw, IN US-PELVIS NON OB FU $246.96 $1,176.00 Dec 17, 2024
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Harrison County Hospital Corydon · Louisville/Jefferson County, KY-IN Limited ultrasound scan of pelvis $247.80 $413.00 Jul 16, 2026
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Franciscan Health Crown Point Crown Point · Chicago-Naperville-Elgin, IL-IN US Exam Pelvic Limited $249.23 $966.00 Jan 1, 2026
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Major Hospital Shelbyville · Indianapolis-Carmel-Greenwood, IN Limited ultrasound scan of pelvis $253.58 $818.00 Oct 26, 2026
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Goshen Hospital Goshen · Elkhart-Goshen, IN Us exam pelvic limited $255.50 $365.00 Aug 14, 2026
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Franciscan Health Dyer Dyer · Chicago-Naperville-Elgin, IL-IN US Exam Pelvic Limited $257.31 $953.00 Jan 1, 2026
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Franciscan Health Crawfordsville Crawfordsville · Crawfordsville, IN Bedside US Exam Pelvic Limited $268.02 $989.00 Jan 1, 2026
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Franciscan Health Indianapolis Indianapolis · Indianapolis-Carmel-Greenwood, IN Bedside US Exam Pelvic Limited $270.73 $1,172.00 Jan 1, 2026
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Franciscan St Francis Health - Carmel Carmel · Indianapolis-Carmel-Greenwood, IN Bedside US Exam Pelvic Limited $270.73 $1,172.00 Jan 1, 2026
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Northwest Health - Starke Knox · Knox, IN US Pelvis Non OB Limited $291.62 $1,080.07 Dec 18, 2024
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Ascension St Vincent Kokomo Kokomo · Kokomo, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 Jan 1, 2026
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Ascension St. Vincent Anderson Hospital Anderson · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 Jan 1, 2026
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Ascension St. Vincent Seton Speciality Hospital Indianapolis · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 Jan 1, 2026
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Carmel AmbSurg Carmel · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 Jan 1, 2026
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Endo Surgery Center Carmel · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 Jan 1, 2026
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Naab Road Surgery Center Indianapolis · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 Jan 1, 2026
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St. Vincent Carmel Hospital Carmel · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 Jan 1, 2026
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St. Vincent Fishers Hospital Fishers · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 Jan 1, 2026
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Franciscan Health Mooresville Mooresville · Indianapolis-Carmel-Greenwood, IN Bedside US Exam Pelvic Limited $297.69 $1,172.00 Jan 1, 2026
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Columbus Regional Hospital Columbus · Columbus, IN HC US Pelvic Non-OB Limited $312.80 $391.00 Apr 1, 2026
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Gibson General Hospital Princeton · Princeton, IN HC US PELVIS NON OB LIMITED $316.94 $598.00 Feb 11, 2026
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Parkview Logansport Hospital Logansport · Logansport, IN HC U/S SOFT TISSUE PELVIS $320.00 $640.00 Sep 1, 2026
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Northwest Health - La Porte La Porte · Michigan City-La Porte, IN US Pelvis Non OB Limited $339.45 $1,028.64 Dec 22, 2024
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Lutheran Downtown Hospital Fort Wayne · Fort Wayne, IN US-PELVIS NON OB FU $340.56 $1,419.00 Dec 17, 2024
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Putnam County Hospital Greencastle · Greencastle, IN Limited ultrasound scan of pelvis $353.13 $415.45 Oct 14, 2026
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Good Samaritan Hosptial Vincennes · Vincennes, IN HC US PELVIS NON OB LIMITED $363.60 $606.00 Apr 1, 2026
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Adams County Memorial Hospital Decatur · Decatur, IN Limited ultrasound scan of pelvis $374.00 $374.00 Aug 14, 2026
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Dupont Hospital Fort Wayne · Fort Wayne, IN US-PELVIS NON OB FU $382.59 $1,417.00 Dec 17, 2024
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Bluffton Regional Medical Center Bluffton · Fort Wayne, IN US-PELVIS NON OB FU $400.32 $1,668.00 Dec 17, 2024
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Parkview Whitley Hospital Columbia City · Fort Wayne, IN HC U/S SOFT TISSUE PELVIS $402.50 $805.00 Sep 1, 2026
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Parkview Huntington Hospital Huntington · Huntington, IN HC ED US PELVIC WALL LIMITED $403.00 $806.00 Sep 1, 2026
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Parkview LaGrange Hospital LaGrange · LaGrange, IN HC U/S PELVIC LIMITED $405.00 $810.00 Sep 1, 2026
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Parkview DeKalb Hospital Auburn · Auburn, IN HC U/S PELVIC LIMITED $409.00 $818.00 Sep 1, 2026
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Parkview Noble Hospital Kendallville · Kendallville, IN HC U/S PELVIC LIMITED $410.50 $821.00 Sep 1, 2026
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Parkview Wabash Hospital Wabash · Wabash, IN HC U/S PELVIC LIMITED $415.00 $830.00 Sep 1, 2026
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Parkview Ortho Hospital Fort Wayne · Fort Wayne, IN HC U/S SOFT TISSUE PELVIS $423.00 $846.00 Sep 1, 2026
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Parkview Regional Medical Center Fort Wayne · Fort Wayne, IN HC U/S PELVIC LIMITED $423.00 $846.00 Sep 1, 2026
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Mishawaka Medical Center Mishawaka · South Bend-Mishawaka, IN-MI HC US Pelvis Non-Obstetric Limited/Follow Up $428.35 $659.00 Mar 31, 2026
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Plymouth Medical Center Plymouth · Plymouth, IN HC US Pelvis Non-Obstetric Limited/Follow Up $428.35 $659.00 Mar 31, 2026
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Ascension St Vincent Mercy Elwood · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $430.80 $718.00 Jan 1, 2026
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St. Vincent Williamsport Hospital Williamsport · Lafayette-West Lafayette, IN US PELVIC NONOB LTD/FOLLOW-UP $451.80 $753.00 Jan 1, 2026
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The Orthopedic Hospital Fort Wayne · Fort Wayne, IN US-PELVIS NON OB FU $454.14 $1,682.00 Dec 16, 2024
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Greene County General Hospital Linton · Linton, IN US PELVIS LTD $463.59 $772.65 Jun 5, 2026
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Perry County Memorial Hospital Tell City · Tell City, IN US EXAM PELVIC LIMITED $476.70 $681.00 Oct 13, 2026
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Union Hospital Regional Terre Haute · Terre Haute, IN Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) $490.80 $818.00 Jul 29, 2026
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Union Hospital Terre Haute Terre Haute · Terre Haute, IN Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) $490.80 $818.00 Aug 5, 2026
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Daviess County Hospital Washington · Washington, IN Limited ultrasound scan of pelvis $491.05 $701.50 Aug 18, 2026
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Union Hospital Clinton Clinton · Terre Haute, IN Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) $508.20 $847.00 Jul 8, 2026
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St. Vincent Randolph Hospital Winchester · Winchester, IN US PELVIC NONOB LTD/FOLLOW-UP $508.80 $848.00 Jan 1, 2026
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St. Vincent Clay Hospital Brazil · Terre Haute, IN US PELVIC NONOB LTD/FOLLOW-UP $518.40 $864.00 Jan 1, 2026
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St. Vincent Jennings Hospital North Vernon · North Vernon, IN US PELVIC NONOB LTD/FOLLOW-UP $518.40 $864.00 Jan 1, 2026
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Woodlawn Hospital Rochester · Rochester, IN Limited ultrasound scan of pelvis $522.75 $697.00 Sep 22, 2026
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Dukes Memorial Hospital Peru · Peru, IN US-PELVIS NON OB FU $523.00 $1,046.00 Dec 18, 2024
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Ascension St Vincent Evansville Evansville · Evansville, IN US PELVIC NONOB LTD/FOLLOW-UP $544.20 $907.00 Jan 1, 2026
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Ascension St Vincent Warrick Boonville · Evansville, IN US PELVIC NONOB LTD/FOLLOW-UP $544.20 $907.00 Jan 1, 2026
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Hancock Regional Hospital Greenfield · Indianapolis-Carmel-Greenwood, IN Limited ultrasound scan of pelvis $550.40 $688.00 Oct 16, 2026
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Eskenazi Health Indianapolis · Indianapolis-Carmel-Greenwood, IN HC US Pelvic Nonobstetric Image Dcmtn Limited/F/U $570.60 $634.00 Mar 1, 2026
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Decatur County Memorial Hospital Greensburg · Greensburg, IN Limited ultrasound scan of pelvis $572.25 $763.00 Oct 27, 2026
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Sullivan County Community Hospital Sullivan · Terre Haute, IN Limited ultrasound scan of pelvis $702.00 $936.00 Jun 10, 2026
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The Women's Hospital Newburgh · Evansville, IN HC US PELVIS NON OB LIMITED $731.27 $1,239.44 Feb 13, 2026
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Methodist Hospital-Southlake Merrillville · Chicago-Naperville-Elgin, IL-IN US Pelvis Limited $746.90 $1,067.00 Aug 18, 2026
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The Methodist Hospitals Gary · Chicago-Naperville-Elgin, IL-IN US Pelvis Limited $746.90 $1,067.00 Aug 18, 2026
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Baptist Health Floyd New Albany · Louisville/Jefferson County, KY-IN Limited ultrasound scan of pelvis $942.66 $1,256.88 Sep 25, 2026
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Uchicago Medicine Northwest Indiana Crown Point · Chicago-Naperville-Elgin, IL-IN HC ULTRASOUND, PELVIC (NON-OB), REAL TIME WITH IMAGE DOCUMENTATION, LIMITED/FOLLOW-UP $1,078.00 $1,078.00 Apr 1, 2026
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Witham Memorial Hospital Lebanon · Indianapolis-Carmel-Greenwood, IN Limited ultrasound scan of pelvis $1,114.26 $1,591.80 Oct 26, 2026
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Rush Memorial Hospital Rushville · Rushville, IN Limited ultrasound scan of pelvis $1,330.96 $1,774.61 Oct 23, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Indianapolis-Carmel-Greenwood, IN 18 $92.00 $295.20
Chicago-Naperville-Elgin, IL-IN 8 $157.88 $253.27
Fort Wayne, IN 8 $244.80 $401.41
Terre Haute, IN 5 $490.80 $508.20
Evansville, IN 4 $133.98 $544.20
Louisville/Jefferson County, KY-IN 4 $102.90 $245.10
Michigan City-La Porte, IN 3 $212.78 $212.78
Lafayette-West Lafayette, IN 2 $232.49 $342.14
Plymouth, IN 2 $235.95 $332.15
South Bend-Mishawaka, IN-MI 2 $235.95 $332.15
Auburn, IN 1 $409.00 $409.00
Bloomington, IN 1 $110.00 $110.00
Columbus, IN 1 $312.80 $312.80
Crawfordsville, IN 1 $268.02 $268.02
Decatur, IN 1 $374.00 $374.00
Elkhart-Goshen, IN 1 $255.50 $255.50
Greencastle, IN 1 $353.13 $353.13
Greensburg, IN 1 $572.25 $572.25
Huntington, IN 1 $403.00 $403.00
Knox, IN 1 $291.62 $291.62
Kendallville, IN 1 $410.50 $410.50
Kokomo, IN 1 $295.20 $295.20
LaGrange, IN 1 $405.00 $405.00
Linton, IN 1 $463.59 $463.59
Logansport, IN 1 $320.00 $320.00
Madison, IN 1 $164.78 $164.78
North Vernon, IN 1 $518.40 $518.40
New Castle, IN 1 $99.75 $99.75
Princeton, IN 1 $316.94 $316.94
Peru, IN 1 $523.00 $523.00
Rochester, IN 1 $522.75 $522.75
Rushville, IN 1 $1,330.96 $1,330.96
Scottsburg, IN 1 $175.80 $175.80
Tell City, IN 1 $476.70 $476.70
Vincennes, IN 1 $363.60 $363.60
Winamac, IN 1 $48.23 $48.23
Winchester, IN 1 $508.80 $508.80
Wabash, IN 1 $415.00 $415.00
Warsaw, IN 1 $246.96 $246.96
Washington, IN 1 $491.05 $491.05
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What pelvic ultrasound (limited) is, what the price covers and why prices differ: Pelvic ultrasound (limited) explained.

Pelvic ultrasound (not pregnancy), limited or follow-up in other states

Median cash price across the state's hospitals.