Ultrasound Transvaginal Cost in Maine
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
Maine Medicare physician rate (2026)
-4.2% vs nationalAverage of 2 localities. Office range $109.36–$115.99.
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 Maine
Enter a ZIP code for your part of Maine, whether the Portland area, Lewiston-Auburn, Augusta, Bangor, the midcoast, or Aroostook County in the far north.
What ultrasound transvaginal costs at hospitals near you
Everything above is a national average. The hospital you pick in Maine 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 Maine
Where Maine ranks for this CPT
CPT 76830 by Maine locality
| Locality | Office |
|---|---|
| southern maine | $115.99 |
| rest of maine | $109.36 |
PE GPCI ranges from 0.920 to 0.991 in Maine. That index is why the same CPT is not one price statewide.
Ultrasound Transvaginal and how Maine is priced
Maine is priced as a single statewide locality with indices close to, and in parts below, the national average, so Portland and the far northern county towns share one fee schedule. CMS has never needed to subdivide a state where even the largest metro is modest by national standards. The uniform pricing belies enormous differences in access between the populous southern coast and the vast interior. For Mainers, the published statewide rates are what Medicare approves everywhere from Kittery to Fort Kent.
Maine is among the most rural states in the country and has the oldest median age, a combination that concentrates specialty care in Portland and, to a lesser degree, Bangor and Lewiston. Residents of western and northern Maine can face hours of driving for procedures, and some in the far south use Boston hospitals for complex care. Consolidation has left a small number of systems covering most of the state.
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 Maine
Ultrasound Transvaginal in other states
Ultrasound Transvaginal in Maine: questions
The 2026 Medicare physician office rate for CPT 76830 averages $112.68 across 2 Maine localities, from $109.36 in REST OF MAINE to $115.99 in SOUTHERN MAINE. The hospital physician rate averages $112.68. Enter a ZIP for the exact locality.
Yes. CMS splits Maine into 2 payment localities. For this CPT the office physician fee spans $6.63 from the lowest to highest locality. Enter a ZIP code for your part of Maine, whether the Portland area, Lewiston-Auburn, Augusta, Bangor, the midcoast, or Aroostook County in the far north.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $23 for the office physician line or $23 for the hospital physician line in Maine. Medigap may cover that 20%. This is not the hospital facility fee.
No. $112.68 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. Maine ranks #21 of 51 states on the physician line (4% below the national office rate of $117.57).