76830

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina

Medicare pricing data for 43,747 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $47 in Maine to $116 in New York. Where you get this procedure matters more than almost any other factor. 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

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS code 76830) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $86.40, but hospitals typically charge $287.62 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.28

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $86.40, your out-of-pocket cost would be approximately $17.28. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$86.40
Average Hospital Charge
$287.62
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$287.62
Medicare Allowed$86.40
Medicare Payment$62.92

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $62.92 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$116$3672,66355,330+34.2%
New Jersey$108$3611,17714,813+25.2%
Puerto Rico$106$1211771,028+22.1%
Maryland$105$25683911,337+21.3%
District of Columbia$99$2621371,796+14.3%
California$99$2973,86243,775+14.2%
Arizona$98$3247077,052+13.6%
Florida$97$3322,92028,329+12.5%
Connecticut$95$3077195,686+9.9%
Hawaii$92$2591311,146+5.9%
Nevada$91$3083792,420+5.8%
Virginia$88$2991,20210,783+2.0%
Alaska$87$483138851+0.9%
South Carolina$86$3077806,482-0.4%
Mississippi$85$2333432,481-1.7%
Georgia$85$2951,3849,021-2.0%
Alabama$84$1936613,639-3.1%
Colorado$83$2608475,255-4.2%
Texas$83$2872,99217,734-4.4%
North Carolina$82$2781,91911,511-4.9%
Wyoming$82$36478504-5.4%
Rhode Island$82$2741871,615-5.6%
Tennessee$79$2621,0347,075-8.3%
Delaware$74$2111161,939-13.9%
Kentucky$73$2005843,974-15.9%
Illinois$72$2911,79116,982-16.5%
Kansas$72$2114562,894-16.8%
Arkansas$72$2014222,767-17.1%
New Mexico$71$2872172,123-17.4%
Indiana$71$2339405,721-17.8%
Nebraska$69$2344372,687-19.7%
New Hampshire$69$3342552,440-20.1%
Louisiana$68$2535752,968-20.9%
Ohio$67$2301,5119,995-22.4%
Minnesota$66$2671,2546,744-23.1%
Missouri$66$2169126,324-23.7%
Washington$66$2609746,541-23.8%
Massachusetts$65$2201,03014,466-24.4%
Iowa$65$2534643,739-25.0%
West Virginia$64$2402371,886-25.6%
Michigan$63$1951,38411,378-26.9%
Montana$62$1861441,019-28.7%
Oregon$61$2095404,021-29.0%
Utah$60$1652851,302-30.2%
Pennsylvania$59$2151,66116,373-31.2%
Wisconsin$59$4681,0165,552-31.7%
Oklahoma$56$2003952,644-35.2%
Vermont$54$200741,036-37.2%
Idaho$54$2262461,483-37.8%
North Dakota$49$188137994-43.1%
South Dakota$48$1381751,021-44.4%
Maine$47$1822001,301-45.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber