Scans and imaging CPT 76857 Pennsylvania Outpatient

Pelvic ultrasound (limited) cost in Pennsylvania

In Pennsylvania, 63 hospitals publish a cash price for pelvic ultrasound (not pregnancy), limited or follow-up: from $67.00 to $2,952.88, with a median of $400.80. The lowest price is at Penn Highlands Dubois (DuBois). The highest price is 44.1× 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 23, 2026.

Lowest$67.00Penn Highlands Dubois
Median$400.80half pay less
Highest$2,952.88in Pennsylvania
Lowest saves$333.80vs the median

Hospitals in Pennsylvania, cheapest first

HospitalCash price List priceFile date
Penn Highlands Dubois lowest DuBois · DuBois, PA PC US Bladder Capacity PVR $67.00 $67.00 Aug 1, 2025
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Lower Bucks Hospital Bristol · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Us Pelvis Nonobst Limited/Fu $102.00 $928.43 Sep 1, 2026
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Roxborough Memorial Hospital Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Us Pelvis Nonobst Limited/Fu $106.00 $720.69 Sep 1, 2026
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Penn State Health Holy Spirit Medical Center Camp Hill · Harrisburg-Carlisle, PA 76857 US Pelvis Ltd w/Transvag if indicated Tech $127.09 $532.00 —
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St Joseph Regional Health Network Reading · Reading, PA US ED 76857 Pelvic Limited POC $138.37 $532.00 —
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Robert Packer Hospital Sayre · Sayre, PA US Pelvic Sono, Limited $146.80 $183.50 —
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Robert Packer Hospital, Towanda Campus Towanda · Sayre, PA US Pelvic Sono, Limited $146.80 $183.50 —
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Troy Community Hospital Troy · Sayre, PA US Pelvic Sono, Limited $146.80 $183.50 —
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Penn State Health Lancaster Medical Center Lancaster · Lancaster, PA 76857 US Pelvis-Male Limited Tech $154.23 $532.00 —
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Penn State Health Hampden Medical Center Enola · Harrisburg-Carlisle, PA 76857 US Pelvis-Male Limited Tech $167.42 $532.00 —
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Mercy Fitzgerald Hospital Darby · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD PR US Pelvis Non-Obstetric Limited/Follow Up $168.60 — Mar 31, 2026
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Nazareth Hospital Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD PR US Pelvis Non-Obstetric Limited/Follow Up $168.60 — Mar 31, 2026
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Penn State Health Milton S. Hershey Medical Center Hershey · Harrisburg-Carlisle, PA US 76857 Pelvic Limited POC $176.25 $532.00 —
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UPMC St Margaret Pittsburgh · Pittsburgh, PA US PELVIC LTD/FOLLOW UP $186.60 $311.00 —
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UPMC Greene Waynesburg · Waynesburg, PA PELVIC LIMITED (FOLLICLES) $211.61 $302.30 —
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UPMC Washington Washington · Pittsburgh, PA PELVIC LIMITED (FOLLICLES) $211.61 $302.30 —
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UPMC Pinnacle Hospitals Harrisburg · Harrisburg-Carlisle, PA HC US PELVS MD $213.00 $355.00 —
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UPMC Somerset Somerset · Somerset, PA HC US PELVS MD $213.00 $355.00 —
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UPMC Bedford Everett · Everett, PA US PELVIC LTD/FOLLOW UP $216.00 $360.00 —
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Uniontown Hospital Uniontown · Pittsburgh, PA LIMITED ULTRASOUND SCAN OF PELVIS $249.50 $499.00 —
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St Mary Medical Center Langhorne · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC US Pelvis Non-Obstetric Limited/Follow Up $274.30 $422.00 Mar 31, 2026
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UPMC Cole Coudersport · Coudersport, PA PHCUS FOLLICLE SIZE $280.20 $467.00 —
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UPMC Jameson New Castle · Pittsburgh, PA US PELVIC LTD/FOLLOW UP $312.00 $520.00 —
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UPMC Presbyterian Pittsburgh · Pittsburgh, PA US PELVIC LTD/FOLLOW UP $330.00 $550.00 Mar 6, 2026
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UPMC Kane Kane · Bradford, PA LIMITED PELVIC $348.60 $581.00 —
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UPMC Northwest Seneca · Oil City, PA US PELVIC LTD/FOLLOW UP $354.00 $590.00 —
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UPMC Magee-Womens Hospital Pittsburgh · Pittsburgh, PA HC US PELVIC LTD/FOLLOW UP $379.20 $632.00 —
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UPMC Carlisle Carlisle · Harrisburg-Carlisle, PA HC US PELVIS LIMITED $394.20 $657.00 —
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UPMC Hanover Hanover · York-Hanover, PA HC US PELVIS LIMITED $394.20 $657.00 —
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UPMC Lititz Lititz · Lancaster, PA HC US PELVIS LIMITED $394.20 $657.00 —
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UPMC Memorial York · York-Hanover, PA HC US PELVIS LIMITED $394.20 $657.00 —
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UPMC Mercy Pittsburgh · Pittsburgh, PA US PELVIC LTD/FOLLOW UP $400.80 $668.00 —
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Punxsutawney Area Hospital Punxsutawney · Punxsutawney, PA PELVIS,LIMITED $412.56 $1,146.00 Mar 2, 2026
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UPMC Childrens Hospital of Pittsburgh Pittsburgh · Pittsburgh, PA US PELVIC LTD/FOLLOW UP $437.40 $729.00 Mar 6, 2026
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UPMC Horizon - Greenville Greenville · Hermitage, PA US PELVIC LTD/FOLLOW UP $438.00 $730.00 —
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UPMC McKeesport McKeesport · Pittsburgh, PA US PELVIC LTD/FOLLOW UP $438.00 $730.00 —
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Bryn Mawr Rehabilitation Hospital Malvern · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Us Pelvis Non Ob Limited/Follow Up $446.80 $1,117.00 —
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Lankenau Medical Center Wynnewood · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Us Pelvis Non Ob Limited/Follow Up $446.80 $1,117.00 Apr 1, 2026
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Paoli Hospital Paoli · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Us Pelvis Non Ob Limited/Follow Up $446.80 $1,117.00 Apr 1, 2026
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Riddle Memorial Hospital Media · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Us Pelvis Non Ob Limited/Follow Up $446.80 $1,117.00 Apr 1, 2026
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The Bryn Mawr Hospital Bryn Mawr · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Us Pelvis Non Ob Limited/Follow Up $446.80 $1,117.00 —
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UPMC Hamot Erie · Erie, PA US PELVIC LTD/FOLLOW UP $462.00 $770.00 —
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Chambersburg Hospital Chambersburg · Chambersburg, PA Limited Ultrasound Scan of Pelvis $468.00 $585.00 —
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Ephrata Community Hospital Ephrata · Lancaster, PA Limited Ultrasound Scan of Pelvis $468.00 $585.00 —
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Gettysburg Hospital Gettysburg · Gettysburg, PA Limited Ultrasound Scan of Pelvis $468.00 $585.00 —
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Good Samaritan Hospital Lebanon · Lebanon, PA Limited Ultrasound Scan of Pelvis $468.00 $585.00 —
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Waynesboro Hospital Waynesboro · Chambersburg, PA Limited Ultrasound Scan of Pelvis $468.00 $585.00 —
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UPMC Passavant - McCandless Pittsburgh · Pittsburgh, PA HC US PELVIC LTD/FOLLOW UP $519.60 $866.00 —
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Forbes Hospital Monroeville · Pittsburgh, PA HC US PELVIS LTD/FU $560.04 $718.00 Apr 14, 2026
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AHN Wexford Hospital Wexford · Pittsburgh, PA HC US PELVIS LTD/FU $560.92 $758.00 Apr 14, 2026
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Shriners Childrens - Philadelphia Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD US EXAM PELVIC LIMITED $605.70 $605.70 —
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Jefferson Regional Medical Center Jefferson Hills · Pittsburgh, PA HC US PELVIS LTD/FU $613.98 $758.00 Apr 14, 2026
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UPMC East Monroeville · Pittsburgh, PA US PELVIC LTD/FOLLOW UP $633.60 $1,056.00 —
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UPMC Muncy Muncy · Williamsport, PA US PELVIC LTD/FOLLOW UP $718.80 $1,198.00 —
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UPMC Wellsboro Wellsboro · Wellsboro, PA US PELVIC LTD/FOLLOW UP $718.80 $1,198.00 —
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UPMC Williamsport Williamsport · Williamsport, PA US PELVIC LTD/FOLLOW UP $718.80 $1,198.00 —
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Highlands Hospital Connellsville · Pittsburgh, PA SONO/PELVIC NON-OB LIMITED $772.20 $1,287.00 —
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Monogahela Valley Hospital Monongahela · Pittsburgh, PA US BLADDER $772.20 $1,287.00 —
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Evangelical Community Hospital Lewisburg · Lewisburg, PA Limited Ultrasound Scan of Pelvis $870.60 $1,088.25 —
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Penn Highlands Brookville Brookville · Brookville, PA US Bladder Capacity PVR $1,287.00 $1,287.00 Apr 1, 2026
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Penn Highlands Elk Saint Marys · St. Marys, PA US Bladder Capacity PVR $1,287.00 $1,287.00 Apr 1, 2026
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Penn Highlands Huntingdon Huntingdon · Huntingdon, PA US Pelvis Non-OB Limited $1,287.00 $1,287.00 Apr 1, 2026
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Penn Highlands Tyrone Tyrone · Altoona, PA US Pelvis Non-OB Limited $1,287.00 $1,287.00 Apr 1, 2026
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The Children's Hospital of Philadelphia Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD IR US Pelvic , Limited $2,952.88 $2,952.88 —
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By metro area

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

Metro areaHospitals LowestMedian
Pittsburgh, PA 16 $186.60 $437.70
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 12 $102.00 $446.80
Harrisburg-Carlisle, PA 5 $127.09 $176.25
Lancaster, PA 3 $154.23 $394.20
Sayre, PA 3 $146.80 $146.80
Chambersburg, PA 2 $468.00 $468.00
Williamsport, PA 2 $718.80 $718.80
York-Hanover, PA 2 $394.20 $394.20
Altoona, PA 1 $1,287.00 $1,287.00
Brookville, PA 1 $1,287.00 $1,287.00
Bradford, PA 1 $348.60 $348.60
Coudersport, PA 1 $280.20 $280.20
DuBois, PA 1 $67.00 $67.00
Everett, PA 1 $216.00 $216.00
Erie, PA 1 $462.00 $462.00
Gettysburg, PA 1 $468.00 $468.00
Hermitage, PA 1 $438.00 $438.00
Huntingdon, PA 1 $1,287.00 $1,287.00
Lebanon, PA 1 $468.00 $468.00
Lewisburg, PA 1 $870.60 $870.60
Oil City, PA 1 $354.00 $354.00
Punxsutawney, PA 1 $412.56 $412.56
Reading, PA 1 $138.37 $138.37
Somerset, PA 1 $213.00 $213.00
St. Marys, PA 1 $1,287.00 $1,287.00
Waynesburg, PA 1 $211.61 $211.61
Wellsboro, PA 1 $718.80 $718.80

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.