How Much Does Pelvic Ultrasound (Abdominal) Cost?
Also known as: Us exam pelvic complete (CPT 76856)
An ultrasound of your pelvis to evaluate the uterus, ovaries, and surrounding structures (transabdominal approach).
Pelvic Ultrasound (Abdominal) (CPT 76856) costs $105 at Medicare rates.
The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.
Patient Guide: Pelvic Ultrasound (Abdominal)
What you need to know before your appointment
What to Expect
A technologist will move an ultrasound probe over your lower abdomen with warm gel to create images of your pelvic organs.
How Long Does It Take?
30-45 minutes
Common Reasons Doctors Order This
Pelvic pain, irregular periods, ovarian cyst evaluation, uterine fibroid assessment, pregnancy confirmation
How to Prepare
Drink 32 ounces of water 1 hour before and do not urinate until after the exam. A full bladder helps create better images.
Procedures Commonly Done Together
These procedures are frequently performed alongside Us exam pelvic complete
How to Reduce Your Cost for Us exam pelvic complete
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (3.15) x CF ($33.40) = $105
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Us exam pelvic complete cost?
The Medicare facility rate for Us exam pelvic complete is $105. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Us exam pelvic complete cost without insurance?
Without insurance, the cost of Us exam pelvic complete can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Us exam pelvic complete?
Most commercial health insurance plans and Medicare cover Us exam pelvic complete when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.