Follow-up ultrasound scan of pregnant uterus
Medicare pricing data for 2,539 providers across 48 states
Prices vary significantly by location — from $38 in West Virginia to $122 in District of Columbia. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Follow-up ultrasound scan of pregnant uterus (HCPCS code 76816) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $93.39, but hospitals typically charge $337.95 — a 3.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $93.39, your out-of-pocket cost would be approximately $18.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $69.29 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $122 | $331 | 13 | 71 | +30.9% |
| Maryland | $110 | $349 | 51 | 111 | +18.0% |
| California | $110 | $417 | 112 | 306 | +17.4% |
| Rhode Island | $108 | $254 | 11 | 32 | +15.8% |
| Delaware | $107 | $301 | 9 | 29 | +14.7% |
| New York | $105 | $406 | 148 | 412 | +12.5% |
| Florida | $103 | $481 | 163 | 475 | +10.4% |
| Nevada | $103 | $386 | 21 | 82 | +10.2% |
| Montana | $103 | $223 | 8 | 19 | +10.2% |
| Oregon | $103 | $326 | 48 | 104 | +10.1% |
| Colorado | $102 | $356 | 39 | 75 | +9.5% |
| New Jersey | $102 | $367 | 48 | 111 | +9.3% |
| Georgia | $102 | $425 | 89 | 282 | +9.0% |
| Virginia | $99 | $250 | 64 | 137 | +5.8% |
| New Mexico | $97 | $287 | 18 | 59 | +4.1% |
| Washington | $97 | $308 | 46 | 121 | +4.0% |
| Texas | $97 | $399 | 177 | 453 | +3.8% |
| Alabama | $97 | $303 | 48 | 118 | +3.3% |
| South Carolina | $95 | $314 | 70 | 133 | +1.5% |
| Oklahoma | $94 | $243 | 25 | 81 | +1.1% |
| Wisconsin | $94 | $635 | 48 | 120 | +1.0% |
| North Carolina | $93 | $320 | 157 | 369 | -0.2% |
| Minnesota | $93 | $336 | 80 | 135 | -0.8% |
| Tennessee | $92 | $263 | 68 | 201 | -1.0% |
| Arizona | $92 | $282 | 42 | 95 | -1.8% |
| Kentucky | $91 | $253 | 53 | 121 | -2.8% |
| New Hampshire | $90 | $373 | 20 | 39 | -4.0% |
| Arkansas | $88 | $230 | 33 | 71 | -6.2% |
| Indiana | $87 | $263 | 81 | 158 | -7.0% |
| Louisiana | $86 | $344 | 34 | 71 | -8.2% |
| Nebraska | $86 | $291 | 33 | 96 | -8.3% |
| Illinois | $84 | $338 | 63 | 148 | -10.1% |
| Iowa | $83 | $282 | 40 | 80 | -11.1% |
| Kansas | $80 | $292 | 29 | 89 | -13.8% |
| Mississippi | $80 | $228 | 25 | 64 | -13.9% |
| Michigan | $80 | $225 | 101 | 199 | -14.5% |
| Missouri | $80 | $283 | 46 | 90 | -14.7% |
| Connecticut | $79 | $349 | 39 | 109 | -15.1% |
| Idaho | $78 | $286 | 12 | 30 | -16.6% |
| Pennsylvania | $77 | $201 | 96 | 255 | -17.5% |
| Massachusetts | $77 | $271 | 78 | 212 | -17.5% |
| Utah | $70 | $307 | 16 | 28 | -24.6% |
| South Dakota | $68 | $211 | 13 | 38 | -27.0% |
| Ohio | $62 | $222 | 83 | 155 | -33.2% |
| North Dakota | $40 | $142 | 13 | 39 | -57.1% |
| Vermont | $40 | $132 | 15 | 40 | -57.4% |
| Maine | $40 | $224 | 16 | 71 | -57.6% |
| West Virginia | $38 | $149 | 12 | 35 | -59.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber