Ultrasound Transvaginal Cost
Transvaginal us non-ob
$139Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, an ultrasound transvaginal costs about $139 in total at a hospital outpatient department, counting both the physician and the facility. Outside a hospital, one global fee of about $118 covers the whole test, and a ZIP code adjusts every figure to your area.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
National Medicare physician rate (2026)
What the whole procedure costs
The office rate above is what an imaging center, lab or office is paid for the whole test. In a hospital, the facility bills its own fee and the physician bills only the reading. These are 2026 national Medicare amounts.
This is Medicare's separate payment to the facility on top of the physician's fee. For a test like this the physician in a hospital bills only the reading (the professional component); outside a hospital one global fee covers the whole test, shown in the office rate above. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Get the rate for your ZIP
CMS adjusts this CPT by locality. A five-digit ZIP is enough: no account, no insurance card.
What ultrasound transvaginal costs at hospitals near you
Everything above is a national average. The hospital you pick in your area moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
For example 90001.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. For this code the office and hospital physician lines differ by $85.17.
How CMS prices CPT 76830
Work is about 19% of the office total RVU; practice expense is about 79%. Localities with a high PE GPCI move this code more when practice expense is a large share.
Office vs hospital for this code
Office (non-facility) physician rate: $117.57. Hospital (facility) physician rate: $32.40.
Medicare patients typically owe 20% of the allowed amount after the Part B deductible, about $24 for the office physician fee, before any Medigap coverage. That coinsurance does not include a hospital facility fee.
Labeled private-plan and cash ranges on this page are arithmetic multiples of Medicare, not negotiated quotes. Ask the billing office for the CPT code, the site of service, and a good-faith estimate.
Ultrasound Transvaginal cost by state
2026 Medicare non-hospital rate for CPT 76830, averaged across each state's localities. Open a state for its locality table and full cost breakdown.
What Is Ultrasound Transvaginal?
A transvaginal ultrasound places a slim, covered probe a short distance into the vagina to obtain close-up images of the uterus, endometrial lining, and ovaries. Because the probe sits near these organs, it shows detail that scanning over the belly cannot, making it the standard test for abnormal bleeding, pelvic pain, ovarian cysts, and early pregnancy evaluation. The exam takes 10 to 20 minutes, involves pressure but not usually pain, and a female chaperone can be requested.
What Affects the Cost
- –It is frequently billed together with a transabdominal pelvic ultrasound (76856) in the same appointment, doubling the imaging lines on the claim.
- –OB/GYN offices performing it in-house often charge less overall than hospital imaging departments.
- –In fertility care, this scan may be repeated at multiple monitoring visits per cycle, and fertility monitoring is often billed outside regular insurance benefits.
- –The reading fee bills separately where a radiologist rather than the examining gynecologist interprets.
- –Findings such as a thickened lining commonly lead to biopsy or hysteroscopy, each a new procedure cost.
How It Is Billed
CPT 76830 covers the transvaginal study alone; when both transvaginal and transabdominal exams are medically needed the same day, both codes can legitimately appear, though payers expect documentation of why two approaches were required. In early pregnancy, obstetric ultrasound codes replace this non-obstetric code. The professional and technical components merge in office settings that own the machine and read their own images.
Insurance & Coverage Notes
Diagnostic transvaginal ultrasound for symptoms is covered under standard medical benefits with no prior authorization at most plans. Coverage changes sharply in fertility contexts: monitoring ultrasounds during fertility treatment are excluded by many plans unless you have a specific fertility benefit, so identical scans can be fully covered or fully self-pay depending on the indication written on the order. Cost sharing follows your normal deductible and coinsurance for the diagnostic version.
Questions to Ask Before Booking
- 1.Will you bill both a transvaginal and an abdominal pelvic ultrasound today, and why are both needed?
- 2.Is this scan being coded as diagnostic or as fertility monitoring, and how does my plan treat each?
- 3.Who interprets the images, and is their fee separate?
- 4.What does this cost in your office versus the hospital's imaging department?
- 5.If the scan shows a thickened lining or cyst, what follow-up procedures and costs should I expect?
Ultrasound Transvaginal (CPT 76830): questions
Under 2026 Medicare rates, an ultrasound transvaginal costs about $139 in total at a hospital outpatient department, counting both the physician and the facility. Outside a hospital, one global fee of about $118 covers the whole test, and a ZIP code adjusts every figure to your area.
Outside a hospital, one global fee pays for the equipment, the staff and the doctor's reading, so the office or imaging center rate for CPT 76830 is $117.57. In a hospital the physician bills only the reading, about $32.40, and the hospital is paid for the rest on its own claim.
A transvaginal ultrasound places a slim, covered probe a short distance into the vagina to obtain close-up images of the uterus, endometrial lining, and ovaries. Because the probe sits near these organs, it shows detail that scanning over the belly cannot, making it the standard test for abnormal bleeding, pelvic pain, ovarian cysts, and early pregnancy evaluation. The exam takes 10 to 20 minutes, involves pressure but not usually pain, and a female chaperone can be requested. CMS bills it as “Transvaginal us non-ob.”
It depends on the setting. At an independent imaging center, lab or office, $117.57 is Medicare's full national rate, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $32.40) and the hospital is paid separately, which takes the total to about $139. Private-plan allowed amounts are often higher than Medicare; your deductible and coinsurance still apply.
For cash-pay surgery shopping, use this CPT as the Medicare floor when you compare written quotes. How cash-price shopping works.