Ultrasound Pelvis Cost in Idaho
Us exam pelvic complete
$212Hospital 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
Idaho Medicare physician rate (2026)
-7.0% 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 pelvis. Ask whether your procedure can be done at an ambulatory surgery centre.
Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in Idaho
Check your ZIP code for local context across Idaho, from Boise and the Treasure Valley to Coeur d'Alene, Idaho Falls, Pocatello, Twin Falls, and the remote central mountains.
What ultrasound pelvis costs at hospitals near you
Everything above is a national average. The hospital you pick in Idaho 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 Idaho
Where Idaho ranks for this CPT
Ultrasound Pelvis and how Idaho is priced
All of Idaho shares a single payment locality, and its geographic indices are among the lowest in the West, so Medicare-approved amounts here undercut those in neighboring Washington and Oregon metro localities. Boise's rapid growth has not changed the statewide pricing structure; the fee schedule treats the Treasure Valley the same as the Panhandle or the eastern farm counties. For patients, that uniformity makes the statewide figures on this site a reliable guide anywhere in Idaho. Cross-border care is where pricing gets more interesting, since adjacent metro localities price higher.
Boise anchors the state's largest medical market, while the Panhandle looks to Spokane, Washington for much of its specialty care and eastern Idaho leans on Idaho Falls, Pocatello, and sometimes Salt Lake City. That means many Idahoans actually receive care priced under another state's locality. Rural and mountain communities face long drives for anything beyond primary care.
This procedure: A complete pelvic ultrasound scans the bladder, uterus, and ovaries through the lower abdomen using a probe on the skin, requiring a full bladder to push bowel out of the way and create a clear acoustic window. It evaluates pelvic pain, fibroids, and masses, and in males or by protocol it examines the bladder and surrounding structures. The exam takes 15 to 30 minutes; the full-bladder requirement is most patients' only complaint.
What Is Ultrasound Pelvis?
A complete pelvic ultrasound scans the bladder, uterus, and ovaries through the lower abdomen using a probe on the skin, requiring a full bladder to push bowel out of the way and create a clear acoustic window. It evaluates pelvic pain, fibroids, and masses, and in males or by protocol it examines the bladder and surrounding structures. The exam takes 15 to 30 minutes; the full-bladder requirement is most patients' only complaint.
What Affects the Cost
- –It is commonly paired with a transvaginal study (76830) in one appointment, producing two billed exams.
- –Hospital imaging departments price this study well above independent centers and office-based machines.
- –An inadequately filled bladder can force rebooking, effectively costing a second visit.
- –A limited pelvic ultrasound is a cheaper code when only one structure needs a follow-up look.
- –Separate professional reading fees apply where radiologists interpret off-site.
Questions to Ask Before Booking
- 1.Is a complete study needed, or is this a follow-up that qualifies for the cheaper limited code?
- 2.Will a transvaginal exam likely be added during the visit, and what would both together cost?
- 3.What are the bladder-filling instructions so I am not rebooked?
- 4.What is the price difference between your office, an imaging center, and the hospital?
- 5.What diagnosis is on the order to support coverage?
Other featured procedures in Idaho
Ultrasound Pelvis in other states
Ultrasound Pelvis in Idaho: questions
Idaho is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 76856 is $97.84 in an office and $97.84 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. Idaho 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 $20 for the office physician line or $20 for the hospital physician line in Idaho. Medigap may cover that 20%. This is not the hospital facility fee.
No. $97.84 is only the physician's share. Adding Medicare's facility payment brings the total to about $212 in a hospital outpatient department, or about $162 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Idaho ranks #10 of 51 states on the physician line (7% below the national office rate of $105.21).