Ultrasound Transvaginal Cost in District of Columbia
Transvaginal us non-ob
$224Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre 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
District of Columbia Medicare physician rate (2026)
+15.3% vs nationalSingle statewide locality.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Choosing a surgery centre over a hospital saves about $50 on the Medicare allowed amount for ultrasound transvaginal. Ask whether your procedure can be done at an ambulatory surgery centre.
This is Medicare's separate payment to the facility on top of the physician's fee. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in District of Columbia
Enter a ZIP code to see how the DC locality applies to your address, whether you are in the District itself, Bethesda or Silver Spring on the Maryland side, or Arlington and Alexandria in Virginia.
What ultrasound transvaginal costs at hospitals near you
Everything above is a national average. The hospital you pick in District of Columbia 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.
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 centre 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.
National vs District of Columbia
Where District of Columbia ranks for this CPT
Ultrasound Transvaginal and how District of Columbia is priced
The District of Columbia is unusual in the fee schedule: it forms its own high-cost locality that reaches beyond the city line to cover close-in Maryland and Virginia suburbs, including areas such as Montgomery and Prince George's counties and the Arlington and Alexandria side of the Potomac. Its geographic indices are among the highest in the country, reflecting the region's wages and office costs. As a result, DC-area Medicare-approved amounts run well above those in the rest of Maryland or Virginia, and the boundary of that locality can matter more than the state line. A patient in Bethesda is priced with Washington, not with Baltimore.
The Washington area is dense with hospitals, including multiple academic medical centers and large regional systems competing across the district and its suburbs. That density gives patients real choice within a short distance, which is rare in American health care. Federal employment also means an unusually well-insured population, so cash-pay and Medicare-rate comparisons are most useful for those outside employer coverage.
This procedure: 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 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.
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?
Other featured procedures in District of Columbia
Ultrasound Transvaginal in other states
Ultrasound Transvaginal in District of Columbia: questions
District of Columbia is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 76830 is $135.59 in an office and $135.59 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. District of Columbia uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $27 for the office physician line or $27 for the hospital physician line in District of Columbia. Medigap may cover that 20%. This is not the hospital facility fee.
No. $135.59 is only the physician's share. Adding Medicare's facility payment brings the total to about $224 in a hospital outpatient department, or about $175 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. District of Columbia ranks #51 of 51 states on the physician line (15% above the national office rate of $117.57).