Scans and imaging CPT 76857 New Hampshire Outpatient

Pelvic ultrasound (limited) cost in New Hampshire

In New Hampshire, 20 hospitals publish a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $117.00 to $1,519.00, with a median of $366.46. The lowest price is at Huggins Hospital (Wolfeboro). The highest price is 13.0× the lowest.

  • The median here, $366.46, is about the same as the US median of $373.13.
  • That is 3.4× Medicare's 2026 national rate for the same service ($106.81).
  • New Hampshire ranks 29th of 51 states by median, cheapest first.
  • 8 of 20 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 8, 2026. See them on a map

Lowest$117.00Huggins Hospital
Median$366.46half of hospitals charge less
Highest$1,519.00in New Hampshire
Lowest saves$249.46vs the median

Hospitals in New Hampshire, cheapest first

HospitalCash priceList priceFile date
Huggins Hospital lowest Wolfeboro · Wolfeboro, NH LIMITED ULTRASOUND SCAN OF PELVIS $117.00 $234.00 May 28, 2026
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Speare Memorial Hospital one side Plymouth · Lebanon-Claremont, NH-VT PlvUS (N Ob) RT w/ ImD Lm76857 $150.04 $242.00 Jul 1, 2026
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Littleton Regional Healthcare Littleton · Lebanon-Claremont, NH-VT US EXAM PELVIC LIMITED $197.20 $340.00 May 20, 2026
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Valley Regional Hospital Claremont · Lebanon-Claremont, NH-VT PELVIC LIMITED ULTRS REAL TIME $300.30 $546.00 Jun 6, 2026
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Mary Hitchcock Memorial Hospital Lebanon · Lebanon-Claremont, NH-VT US PELVIC NONOBSTETRIC IMAGE DOCUMENTATION LIMITED/F/U $300.49 $982.00 Jan 1, 2026
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Monadnock Community Hospital Peterborough · Manchester-Nashua, NH US BLADDER OR LTD PELVIS $302.20 $503.67 Apr 1, 2026
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Upper Connecticut Valley Hospital Colebrook · Colebrook, NH US EXAM PELVIC LIMITED NON OB $315.80 $569.00 Nov 5, 2026
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Weeks Medical Center Lancaster · Lancaster, NH US EXAM PELVIC LIMITED NON OB $318.64 $569.00 Nov 12, 2026
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St Joseph Hospital of Nashua Nashua · Manchester-Nashua, NH HC US PELVIS LIMITED $320.97 $823.00 Apr 1, 2026
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Androscoggin Valley Hospital Berlin · Berlin, NH US EXAM PELVIC LIMITED NON OB $358.47 $569.00 Nov 5, 2026
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Southern NH Medical Center Nashua · Manchester-Nashua, NH HC US PELVIS LIMITED $374.44 $1,012.00 Apr 1, 2026
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Elliot Hospital Manchester · Manchester-Nashua, NH Hc Us Pelvis Limited $411.07 $1,111.00 Apr 1, 2026
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The Memorial Hospital North Conway · North Conway, NH HC US PELVIC LIMITED OR F/U REAL TIME $673.85 $673.85 Sep 9, 2025
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Exeter Hospital Exeter · Boston-Cambridge-Newton, MA-NH HC US PELVIC NON OBSTETRIC IMAGE DCMTN LTD FU $729.00 $729.00 Apr 1, 2026
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Parkland Medical Center Derry · Boston-Cambridge-Newton, MA-NH US PELVIC LTD OR FU $767.25 $767.25 Sep 1, 2026
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Plaistow Fser Plaistow · Boston-Cambridge-Newton, MA-NH US PELVIC LTD OR FU $767.25 $767.25 Sep 1, 2026
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Dover Emergency Room Dover · Boston-Cambridge-Newton, MA-NH Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) $1,345.00 $1,345.00 Sep 1, 2026
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Portsmouth Regional Hospital Portsmouth · Boston-Cambridge-Newton, MA-NH Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) $1,345.00 $1,345.00 Sep 1, 2026
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Seabrook Emergency Seabrook · Boston-Cambridge-Newton, MA-NH US PELVIC LTD OR FU $1,345.00 $1,345.00 Sep 1, 2026
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Frisbie Memorial Hospital Rochester · Boston-Cambridge-Newton, MA-NH Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) $1,519.00 $1,519.00 Sep 1, 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
Boston-Cambridge-Newton, MA-NH 7 $729.00 $1,345.00
Lebanon-Claremont, NH-VT 4 $150.04 $248.75
Manchester-Nashua, NH 4 $302.20 $347.70
Berlin, NH 1 $358.47 $358.47
Colebrook, NH 1 $315.80 $315.80
Lancaster, NH 1 $318.64 $318.64
North Conway, NH 1 $673.85 $673.85
Wolfeboro, NH 1 $117.00 $117.00
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.