CPT76830

Ultrasound Transvaginal Cost in Michigan

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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Michigan Medicare physician rate (2026)

-4.1% vs national

Average of 2 localities. Office range $109.72–$115.68.

Michigan (Hospital)
$112.70
Facility physician fee
Private plan est.
$147–$225
~130–200% of Medicare
Cash / self-pay est.
$90–$169
~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 Michigan

Enter your ZIP code to see whether Detroit-area or rest-of-state rates apply, from Detroit, Ann Arbor, and Flint to Grand Rapids, Lansing, Traverse City, and the Upper Peninsula.

What ultrasound transvaginal costs at hospitals near you

Everything above is a national average. The hospital you pick in Michigan 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 Michigan

National office$117.57
National hospital (physician)$117.57
Michigan vs national4% below the national office rate of $117.57

Where Michigan ranks for this CPT

Rank (lowest physician fee first)#22 of 51
Lowest stateArkansas ($103.46)
Highest stateDistrict of Columbia ($135.59)

CPT 76830 by Michigan locality

LocalityOffice
detroit$115.68
rest of michigan$109.72

PE GPCI ranges from 0.913 to 0.965 in Michigan. That index is why the same CPT is not one price statewide.

Ultrasound Transvaginal and how Michigan is priced

Michigan divides into a Detroit metro locality and a rest-of-state locality, so the fee schedule prices southeast Michigan above Grand Rapids, Lansing, and the northern reaches. Detroit's locality reflects the metro's higher wage and cost structure, while everywhere else in the Lower and Upper Peninsulas shares one set of lower adjustments. The result is a simple two-tier state where the main question is whether your care happens inside the Detroit area or out. Upper Peninsula residents, despite their remoteness, price the same as Grand Rapids under the rest-of-state locality.

Southeast Michigan concentrates the state's academic medicine and largest hospital systems, with Ann Arbor's university medical center serving as a top national referral destination. West Michigan has built a strong hospital hub in Grand Rapids, while the Upper Peninsula's small population depends on a few regional hospitals and sometimes crosses into Wisconsin for care. Auto-industry benefit legacies still shape how many Michiganders experience health coverage.

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 Michigan: questions

The 2026 Medicare physician office rate for CPT 76830 averages $112.70 across 2 Michigan localities, from $109.72 in REST OF MICHIGAN to $115.68 in DETROIT. The hospital physician rate averages $112.70. Enter a ZIP for the exact locality.

Yes. CMS splits Michigan into 2 payment localities. For this CPT the office physician fee spans $5.96 from the lowest to highest locality. Enter your ZIP code to see whether Detroit-area or rest-of-state rates apply, from Detroit, Ann Arbor, and Flint to Grand Rapids, Lansing, Traverse City, and the Upper Peninsula.

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 Michigan. Medigap may cover that 20%. This is not the hospital facility fee.

No. $112.70 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. Michigan ranks #22 of 51 states on the physician line (4% below 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.