How Much Does an Ultrasound Transvaginal Cost in Hawaii?
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 (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Hawaii averages $118.
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Hawaii Medicare physician rate (2026)
+0.2% vs nationalSingle statewide locality.
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.
Your ZIP in Hawaii
Enter your ZIP code for Hawaii figures, whether you live on Oahu, in Hilo or Kona on the Big Island, or on Maui or Kauai where a Honolulu trip is often part of the plan.
What ultrasound transvaginal costs at hospitals near you
Everything above is a national average. The hospital you pick in Hawaii 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 96701.
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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. In Hawaii the office and hospital physician lines for this CPT differ by $85.26.
National vs Hawaii
Where Hawaii ranks for this CPT
Ultrasound Transvaginal and how Hawaii is priced
Hawaii is priced through a single locality with geographic adjustments well above the mainland norm, driven largely by the practice expense side: rent, staff wages, and supplies all cost more across the islands. Unlike Alaska, Hawaii does not carry a special statutory floor, but its indices still place it among the higher-cost states in the fee schedule. Every island shares the same locality, so Honolulu and Hilo publish the same Medicare-approved amounts. The real variable for residents is which island the care is on, not the rate itself.
Oahu holds the bulk of Hawaii's hospital capacity and nearly all of its subspecialty care, so neighbor island residents routinely fly to Honolulu for procedures, adding airfare and hotel costs to the medical bill. A small number of systems dominate the market, and physician recruitment to the islands is a chronic challenge. For complex or rare conditions, some patients travel on to the mainland West Coast.
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 Hawaii
Ultrasound Transvaginal in other states
Ultrasound Transvaginal in Hawaii: 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 (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Hawaii averages $118. Hawaii is a single Medicare locality, so the physician rate is the same statewide.
Not on the physician fee schedule. Hawaii 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 $24 for the office physician line or $7 for the hospital physician line in Hawaii. Medigap may cover that 20%. This is not the hospital facility fee.
It depends on where the test is done. At an independent imaging center, lab or office, $117.80 is Medicare's full rate in Hawaii, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $32.54) and the hospital is paid separately, which brings the national total to about $139. Hawaii ranks #36 of 51 states on the non-hospital rate (within 2% of the national office rate of $117.57).