CPT76830

Ultrasound Transvaginal Cost in Maryland

Transvaginal us non-ob

$224Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Maryland Medicare physician rate (2026)

+3.8% vs national

Average of 2 localities. Office range $118.75–$125.21.

Maryland (Hospital)
$121.98
Facility physician fee
Private plan est.
$159–$244
~130–200% of Medicare
Cash / self-pay est.
$98–$183
~80–150% of Medicare

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.

Surgery centre, total
$175
$118 physician + $57 facility
Physician fee alone
$118
Only 52% of the hospital total

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 Maryland

A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.

What ultrasound transvaginal costs at hospitals near you

Everything above is a national average. The hospital you pick in Maryland moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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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 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 Maryland

National office$117.57
National hospital (physician)$117.57
Maryland vs national4% above the national office rate of $117.57

Where Maryland ranks for this CPT

Rank (lowest physician fee first)#41 of 51
Lowest stateArkansas ($103.46)
Highest stateDistrict of Columbia ($135.59)

CPT 76830 by Maryland locality

LocalityOffice
baltimore/surr. cntys$125.21
rest of maryland$118.75

PE GPCI ranges from 1.012 to 1.073 in Maryland. That index is why the same CPT is not one price statewide.

Ultrasound Transvaginal and how Maryland is priced

Maryland's Medicare physician pricing is split geographically: Baltimore and its surrounding counties form one locality, the rest of the state another, and, unusually, the Washington suburbs including Montgomery and Prince George's counties are priced inside the District of Columbia's high-cost locality rather than either Maryland one. That three-way carve means a Rockville procedure is approved at DC-area rates while an identical one in Frederick or Salisbury is not. Baltimore-area adjustments sit above rest-of-state levels but below the DC locality. Few states have their pricing shaped this much by a neighboring jurisdiction.

Maryland is also the only state with an all-payer rate-setting system for hospital services, so hospital-side billing works differently here than anywhere else in the country, though physician fees still follow the standard Medicare schedule. Baltimore's academic medical centers rank among the most prominent in the world and draw patients globally. The Eastern Shore and western Maryland are far more rural, with patients often traveling to Baltimore, Annapolis, or across state lines.

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?

Ultrasound Transvaginal in Maryland: questions

The 2026 Medicare physician office rate for CPT 76830 averages $121.98 across 2 Maryland localities, from $118.75 in REST OF MARYLAND to $125.21 in BALTIMORE/SURR. CNTYS. The hospital physician rate averages $121.98. Enter a ZIP for the exact locality.

Yes. CMS splits Maryland into 2 payment localities. For this CPT the office physician fee spans $6.46 from the lowest to highest locality. A ZIP lookup matters in Maryland because three different locality treatments are in play: check whether you fall in the Baltimore area, the DC suburbs like Bethesda and Silver Spring, or rest-of-state regions like Frederick, Hagerstown, and the Eastern Shore.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $24 for the office physician line or $24 for the hospital physician line in Maryland. Medigap may cover that 20%. This is not the hospital facility fee.

No. $121.98 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. Maryland ranks #41 of 51 states on the physician line (4% above the national office rate of $117.57).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.