Scans and imaging CPT 76857 Indiana Outpatient

Pelvic ultrasound (limited) cost in Indiana

In Indiana, 62 hospitals publish a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $41.91 to $1,114.26, with a median of $304.00. The lowest price is at La Porte Hospital (La Porte). The highest price is 26.6× the lowest.

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 Sep 24, 2026.

Lowest$41.91La Porte Hospital
Median$304.00half pay less
Highest$1,114.26in Indiana
Lowest saves$262.09vs the median

Hospitals in Indiana, cheapest first

HospitalCash price List priceFile date
La Porte Hospital lowest La Porte · Michigan City-La Porte, IN 76857 US Pelvis Non OB Limited AMB $41.91 $127.00 Apr 1, 2026
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Pulaski Memorial Hospital Winamac · Winamac, IN Limited ultrasound scan of pelvis $48.23 $68.90 Jul 7, 2026
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Deaconess Hospital Newburgh · Evansville, IN CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $49.35 $141.00 Feb 13, 2026
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Gibson General Hospital Princeton · Princeton, IN CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $49.35 $141.00 Feb 11, 2026
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Memorial Hospital and Health Care Center Jasper · Jasper, IN CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $49.35 $141.00 Feb 13, 2026
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Bluffton Regional Medical Center Bluffton · Fort Wayne, IN 76857 US Pelvis Non OB FU AMB $86.88 $362.00 Apr 1, 2026
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Johnson Memorial Hospital Franklin · Indianapolis-Carmel-Greenwood, IN Limited ultrasound scan of pelvis $92.00 $115.00 May 5, 2026
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Dupont Hospital Fort Wayne · Fort Wayne, IN 76857 US Pelvis Non OB FU AMB $97.74 $362.00 Apr 1, 2026
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Lutheran Musculoskeletal Center Fort Wayne · Fort Wayne, IN 76857 US Pelvis Non OB Limited AMB $97.74 $362.00 Apr 1, 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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Lutheran Hospital of Indiana Fort Wayne · Fort Wayne, IN 76857 US Pelvis Non OB FU AMB $108.60 $362.00 Apr 1, 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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Riverview Health Noblesville · Indianapolis-Carmel-Greenwood, IN US PELVIC NON OB LIMITED F/U $151.20 $252.00 —
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Norton Kings Daughters Health Madison · Madison, IN HB US GYN LTD $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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Dukes Memorial Hospital Peru · Peru, IN 76857 US Pelvis Non OB Limited AMB $181.00 $362.00 Apr 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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St. Vincent Salem Hospital Salem · Louisville/Jefferson County, KY-IN US PELVIC NONOB LTD/FOLLOW-UP $242.40 $404.00 —
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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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Major Hospital Shelbyville · Indianapolis-Carmel-Greenwood, IN Limited ultrasound scan of pelvis $253.58 $818.00 Apr 7, 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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Ascension St Vincent Kokomo Kokomo · Kokomo, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 —
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Carmel AmbSurg Carmel · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 —
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Endo Surgery Center Carmel · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 —
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Naab Road Surgery Center Indianapolis · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 —
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St. Vincent Anderson Regional Hospital Anderson · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 —
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St. Vincent Carmel Hospital Carmel · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 —
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St. Vincent Fishers Hospital Fishers · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 —
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St. Vincent Seton Specialty Hospital Indianapolis · Indianapolis-Carmel-Greenwood, IN US PELVIC NONOB LTD/FOLLOW-UP $295.20 $492.00 —
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Columbus Regional Hospital Columbus · Columbus, IN HC US Pelvic Non-OB Limited $312.80 $391.00 —
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Parkview Logansport Hospital Logansport · Logansport, IN HC U/S PELVIC LIMITED $320.00 $640.00 —
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Putnam County Hospital Greencastle · Greencastle, IN Limited ultrasound scan of pelvis $344.51 $405.31 Jun 30, 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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Parkview Whitley Hospital Columbia City · Fort Wayne, IN HC U/S PELVIC LIMITED $402.50 $805.00 —
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Parkview Huntington Hospital Huntington · Huntington, IN HC ED US PELVIC WALL LIMITED $403.00 $806.00 —
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Parkview LaGrange Hospital LaGrange · LaGrange, IN HC U/S PELVIC LIMITED $405.00 $810.00 —
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Parkview DeKalb Hospital Auburn · Auburn, IN HC U/S SOFT TISSUE PELVIS $409.00 $818.00 —
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Parkview Noble Hospital Kendallville · Kendallville, IN HC U/S PELVIC LIMITED $410.50 $821.00 —
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Parkview Wabash Hospital Wabash · Wabash, IN HC ED US PELVIC WALL LIMITED $415.00 $830.00 —
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Parkview Ortho Hospital Fort Wayne · Fort Wayne, IN HC U/S PELVIC LIMITED $423.00 $846.00 —
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Parkview Regional Medical Center Fort Wayne · Fort Wayne, IN HC U/S SOFT TISSUE PELVIS $423.00 $846.00 —
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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 —
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St. Vincent Williamsport Hospital Williamsport · Lafayette-West Lafayette, IN US PELVIC NONOB LTD/FOLLOW-UP $451.80 $753.00 —
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Greene County General Hospital Linton · Linton, IN US PELVIS LTD $463.59 $772.65 —
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Perry County Memorial Hospital Tell City · Tell City, IN US PELVIS LMT OR FOL $476.70 $681.00 Jun 8, 2026
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St. Vincent Randolph Hospital Winchester · Winchester, IN US PELVIC NONOB LTD/FOLLOW-UP $508.80 $848.00 —
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St. Vincent Clay Hospital Brazil · Terre Haute, IN US PELVIC NONOB LTD/FOLLOW-UP $518.40 $864.00 —
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St. Vincent Jennings Hospital North Vernon · North Vernon, IN US PELVIC NONOB LTD/FOLLOW-UP $518.40 $864.00 —
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Ascension St Vincent Evansville Evansville · Evansville, IN US PELVIC NONOB LTD/FOLLOW-UP $544.20 $907.00 —
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Ascension St Vincent Warrick Boonville · Evansville, IN US PELVIC NONOB LTD/FOLLOW-UP $544.20 $907.00 —
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Eskenazi Health Indianapolis · Indianapolis-Carmel-Greenwood, IN HC US Pelvic Nonobstetric Image Dcmtn Limited/F/U $570.60 $634.00 —
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Decatur County Memorial Hospital Greensburg · Greensburg, IN Limited ultrasound scan of pelvis $572.25 $763.00 Sep 2, 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 Methodist Hospitals Gary · Chicago-Naperville-Elgin, IL-IN US Pelvis Limited $746.90 $1,067.00 —
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The Methodist Hospitals Merrillville · Chicago-Naperville-Elgin, IL-IN US Pelvis Limited $746.90 $1,067.00 —
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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 15, 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 Mar 31, 2026
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By metro area

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

Metro areaHospitals LowestMedian
Indianapolis-Carmel-Greenwood, IN 13 $92.00 $295.20
Fort Wayne, IN 7 $86.88 $108.60
Louisville/Jefferson County, KY-IN 4 $102.90 $245.10
Chicago-Naperville-Elgin, IL-IN 3 $746.90 $746.90
Evansville, IN 3 $49.35 $544.20
Plymouth, IN 2 $235.95 $332.15
South Bend-Mishawaka, IN-MI 2 $235.95 $332.15
Terre Haute, IN 2 $518.40 $610.20
Auburn, IN 1 $409.00 $409.00
Bloomington, IN 1 $110.00 $110.00
Columbus, IN 1 $312.80 $312.80
Decatur, IN 1 $374.00 $374.00
Elkhart-Goshen, IN 1 $255.50 $255.50
Greencastle, IN 1 $344.51 $344.51
Greensburg, IN 1 $572.25 $572.25
Huntington, IN 1 $403.00 $403.00
Jasper, IN 1 $49.35 $49.35
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
Lafayette-West Lafayette, IN 1 $451.80 $451.80
Logansport, IN 1 $320.00 $320.00
Madison, IN 1 $164.78 $164.78
Michigan City-La Porte, IN 1 $41.91 $41.91
North Vernon, IN 1 $518.40 $518.40
New Castle, IN 1 $99.75 $99.75
Princeton, IN 1 $49.35 $49.35
Peru, IN 1 $181.00 $181.00
Scottsburg, IN 1 $175.80 $175.80
Tell City, IN 1 $476.70 $476.70
Winamac, IN 1 $48.23 $48.23
Winchester, IN 1 $508.80 $508.80
Wabash, IN 1 $415.00 $415.00

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.

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

Median cash price across the state's hospitals.