Ultrasound Pelvis Cost in Missouri
Us exam pelvic complete
Missouri Medicare physician rate (2026)
-6.4% vs nationalAverage of 3 localities. Office range $93.97–$101.32.
Your ZIP in Missouri
Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What this number is
The figures on this page are 2026 Medicare physician allowed amounts for a specific CPT code: the professional fee, adjusted by geographic practice-cost indices. They are not a hospital chargemaster price, not your insurer's contracted rate, and not a quote. Hospital facility fees, anesthesia, implants, imaging reads, and pathology are billed separately when they apply.
National vs Missouri
Where Missouri ranks for this CPT
CPT 76856 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $101.32 |
| metropolitan kansas city | $100.22 |
| rest of missouri | $93.97 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
Ultrasound Pelvis and how Missouri is priced
Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.
St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.
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 Missouri
Ultrasound Pelvis in other states
Ultrasound Pelvis in Missouri: questions
How much does ultrasound pelvis cost in Missouri?
The 2026 Medicare physician office rate for CPT 76856 averages $98.50 across 3 Missouri localities, from $93.97 in REST OF MISSOURI to $101.32 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $98.50. Enter a ZIP for the exact locality.
Does the rate change inside Missouri?
Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $7.35 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What will a Medicare patient owe for the physician fee?
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 Missouri. Medigap may cover that 20%. This is not the hospital facility fee.
Is this the full ultrasound pelvis bill in Missouri?
No. $98.50 is the Medicare physician allowed amount for CPT 76856. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #15 of 51 states on this physician line (6% below the national office rate of $105.21).