CPT76856

How Much Does an Ultrasound Pelvis Cost in Nebraska?

Us exam pelvic complete

$139Hospital outpatient total2026 Medicare, physician + facility

Under 2026 Medicare rates, an ultrasound pelvis costs up to 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 Nebraska averages $98.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 68001.
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Nebraska Medicare physician rate (2026)

-6.9% vs national

Single statewide locality.

Nebraska (Hospital)
$30.90
Physician reading only
Private plan est.
$127–$196
~130–200% of Medicare
Cash / self-pay est.
$78–$147
~80–150% of Medicare

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.

Physician reading alone
$32
Only 23% of the hospital total

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 Nebraska

Try a ZIP lookup for your part of Nebraska, from Omaha and Lincoln to Grand Island, Kearney, North Platte, Scottsbluff, and the Sandhills.

What ultrasound pelvis costs at hospitals near you

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

Locked

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

For example 68001.

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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 Nebraska the office and hospital physician lines for this CPT differ by $67.02.

National vs Nebraska

National office$105.21
National hospital (physician)$32.40
Nebraska vs national7% below the national office rate of $105.21

Where Nebraska ranks for this CPT

Rank (lowest physician fee first)#11 of 51
Lowest stateArkansas ($92.96)
Highest stateDistrict of Columbia ($121.06)

Ultrasound Pelvis and how Nebraska is priced

One locality prices all of Nebraska, with low geographic indices typical of the Plains, so Omaha, Lincoln, and the Sandhills ranch country share the same Medicare-approved amounts. The statewide setup means Nebraska's largest metro carries no fee schedule premium over its most remote village. Practice costs in Omaha do run above the rural average, but CMS averages that into one set of factors. Patients can treat the statewide numbers here as applicable anywhere in Nebraska.

Omaha is the state's medical anchor, with an academic medical center of national standing and a market that also serves western Iowa, while Lincoln adds a second urban hub. Outstate Nebraska depends heavily on critical access hospitals, and residents of the Panhandle often find Denver or Rapid City closer than Omaha for specialty care. Long travel distances are simply part of rural care planning here.

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?

Ultrasound Pelvis in Nebraska: questions

Under 2026 Medicare rates, an ultrasound pelvis costs up to 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 Nebraska averages $98. Nebraska is a single Medicare locality, so the physician rate is the same statewide.

Not on the physician fee schedule. Nebraska uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $20 for the office physician line or $6 for the hospital physician line in Nebraska. 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, $97.92 is Medicare's full rate in Nebraska, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $30.90) and the hospital is paid separately, which brings the national total to up to about $139. Nebraska ranks #11 of 51 states on the non-hospital rate (7% below the national office rate of $105.21).

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.