How Much Does an Ultrasound Transvaginal Cost in Missouri?
Transvaginal us non-ob
$139Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, an ultrasound transvaginal costs about $139 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 Missouri averages $110, from $105 in Rest of Missouri to $113 in Metropolitan St. Louis.
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Missouri Medicare physician rate (2026)
-6.5% vs nationalAverage of 3 localities. Office range $104.66–$113.10.
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.
This is Medicare's separate payment to the facility on top of the physician's fee. 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 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 ultrasound transvaginal costs at hospitals near you
Everything above is a national average. The hospital you pick in Missouri 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.
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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 Missouri the office and hospital physician lines for this CPT differ by $78.21.
National vs Missouri
Where Missouri ranks for this CPT
CPT 76830 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $113.10 |
| metropolitan kansas city | $111.84 |
| rest of missouri | $104.66 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
Ultrasound Transvaginal 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 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 Missouri
Ultrasound Transvaginal in other states
Ultrasound Transvaginal in Missouri: questions
Under 2026 Medicare rates, an ultrasound transvaginal costs about $139 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 Missouri averages $110, from $105 in Rest of Missouri to $113 in Metropolitan St. Louis. Enter a ZIP for the exact Missouri locality.
Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $8.44 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.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $22 for the office physician line or $6 for the hospital physician line in Missouri. 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, $109.87 is Medicare's full rate in Missouri, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $31.66) and the hospital is paid separately, which brings the national total to about $139. Missouri ranks #15 of 51 states on the non-hospital rate (7% below the national office rate of $117.57).