How Much Does an Ultrasound Abdomen Cost in Massachusetts?
Us exam abdom complete
$144Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, an ultrasound abdomen costs up to about $144 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 Massachusetts averages $125, from $119 in Rest of Massachusetts to $132 in Metropolitan Boston.
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- ✓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
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- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
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- ✓Printable PDF download
Massachusetts Medicare physician rate (2026)
+9.7% vs nationalAverage of 2 localities. Office range $118.80–$131.75.
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.
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. 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 Massachusetts
Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.
What ultrasound abdomen costs at hospitals near you
Everything above is a national average. The hospital you pick in Massachusetts 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 01001.
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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 Massachusetts the office and hospital physician lines for this CPT differ by $86.14.
National vs Massachusetts
Where Massachusetts ranks for this CPT
CPT 76700 by Massachusetts locality
| Locality | Office |
|---|---|
| metropolitan boston | $131.75 |
| rest of massachusetts | $118.80 |
PE GPCI ranges from 1.053 to 1.194 in Massachusetts. That index is why the same CPT is not one price statewide.
Ultrasound Abdomen and how Massachusetts is priced
Massachusetts is priced through two localities: metro Boston and the rest of the state. Boston's locality carries clearly higher geographic adjustments, reflecting some of the highest medical wages and office costs in the nation, while Worcester, Springfield, and the Cape share the lower rest-of-state factors. The split means the fee schedule itself acknowledges what everyone in the state already knows about Boston prices. Even so, rest-of-state Massachusetts still prices above most of the country.
Boston has arguably the densest concentration of academic medical centers anywhere, and its teaching hospitals pull referrals from all of New England and beyond. That prestige comes with a high-cost market structure that state policymakers have scrutinized for years. Western Massachusetts operates more like a regional market centered on Springfield, and Cape and islands residents contend with seasonal capacity strain.
This procedure: A complete abdominal ultrasound uses sound waves, no radiation, to examine the liver, gallbladder, pancreas, kidneys, spleen, and major vessels in one session. It is a first-line test for right-upper-belly pain, suspected gallstones, abnormal liver blood tests, and follow-up of known findings. You fast for several hours beforehand so the gallbladder is full, then lie on a table while a technologist glides a warm gel-covered probe over your abdomen for 20 to 30 minutes.
What Is Ultrasound Abdomen?
A complete abdominal ultrasound uses sound waves, no radiation, to examine the liver, gallbladder, pancreas, kidneys, spleen, and major vessels in one session. It is a first-line test for right-upper-belly pain, suspected gallstones, abnormal liver blood tests, and follow-up of known findings. You fast for several hours beforehand so the gallbladder is full, then lie on a table while a technologist glides a warm gel-covered probe over your abdomen for 20 to 30 minutes.
What Affects the Cost
- –Hospital outpatient ultrasound departments charge notably more than independent imaging centers and many physician offices.
- –The complete study covers all upper abdominal organs; a limited single-organ study is a cheaper code when only one question needs answering.
- –The sonographer's images are read by a radiologist whose professional fee may bill separately.
- –Poor views from bowel gas or body habitus occasionally force a repeat study or escalation to CT, adding cost.
- –Findings like gallstones frequently lead to surgical consultation, making this scan a common gateway to a larger episode.
Questions to Ask Before Booking
- 1.Do I need the complete study, or would a limited single-organ ultrasound answer my question at a lower price?
- 2.What are your fasting instructions so the study does not have to be repeated?
- 3.Is the radiologist reading fee included in the quote?
- 4.What does this cost at your imaging center versus the hospital location?
- 5.If views are limited, would you move to CT, and what would that cost?
Other featured procedures in Massachusetts
Ultrasound Abdomen in other states
Ultrasound Abdomen in Massachusetts: questions
Under 2026 Medicare rates, an ultrasound abdomen costs up to about $144 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 Massachusetts averages $125, from $119 in Rest of Massachusetts to $132 in Metropolitan Boston. Enter a ZIP for the exact Massachusetts locality.
Yes. CMS splits Massachusetts into 2 payment localities. For this CPT the office physician fee spans $12.95 from the lowest to highest locality. Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $25 for the office physician line or $8 for the hospital physician line in Massachusetts. 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, $125.28 is Medicare's full rate in Massachusetts, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $39.14) and the hospital is paid separately, which brings the national total to up to about $144. Massachusetts ranks #45 of 51 states on the non-hospital rate (10% above the national office rate of $114.23).