How Much Does an Ultrasound Transvaginal Cost in New Jersey?
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 New Jersey averages $131, from $127 in Rest of New Jersey to $134 in Northern Nj.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓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
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
New Jersey Medicare physician rate (2026)
+11.1% vs nationalAverage of 2 localities. Office range $127.23–$134.03.
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 New Jersey
Look up your ZIP code to see whether northern or rest-of-state New Jersey pricing applies, from Newark, Jersey City, and Bergen County down to Trenton, Cherry Hill, and the Jersey Shore.
What ultrasound transvaginal costs at hospitals near you
Everything above is a national average. The hospital you pick in New Jersey 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 07001.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
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 New Jersey the office and hospital physician lines for this CPT differ by $95.88.
National vs New Jersey
Where New Jersey ranks for this CPT
CPT 76830 by New Jersey locality
| Locality | Office |
|---|---|
| northern nj | $134.03 |
| rest of new jersey | $127.23 |
PE GPCI ranges from 1.092 to 1.160 in New Jersey. That index is why the same CPT is not one price statewide.
Ultrasound Transvaginal and how New Jersey is priced
New Jersey is split into two payment localities: northern New Jersey, which carries higher adjustments befitting its position in the New York metropolitan orbit, and the rest of the state to the south. Both localities price above the national average, but the northern one ranks among the more expensive in the country. The dividing line means a procedure in Bergen County is approved at a higher amount than the same one in Cherry Hill or along the shore. South Jersey's pricing gravity pulls toward Philadelphia even though its locality is its own.
New Jersey may be the ultimate cross-border care state: North Jersey residents flow into Manhattan hospitals, South Jersey residents into Philadelphia's academic centers, and the state's own large systems compete hard in between. Dense population means most residents have multiple hospitals within a short drive, which is real negotiating leverage for a cash-pay patient. The shore counties see seasonal population surges that strain capacity each summer.
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 New Jersey
Ultrasound Transvaginal in other states
Ultrasound Transvaginal in New Jersey: 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 New Jersey averages $131, from $127 in Rest of New Jersey to $134 in Northern Nj. Enter a ZIP for the exact New Jersey locality.
Yes. CMS splits New Jersey into 2 payment localities. For this CPT the office physician fee spans $6.80 from the lowest to highest locality. Look up your ZIP code to see whether northern or rest-of-state New Jersey pricing applies, from Newark, Jersey City, and Bergen County down to Trenton, Cherry Hill, and the Jersey Shore.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $26 for the office physician line or $7 for the hospital physician line in New Jersey. 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, $130.63 is Medicare's full rate in New Jersey, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $34.75) and the hospital is paid separately, which brings the national total to about $139. New Jersey ranks #47 of 51 states on the non-hospital rate (11% above the national office rate of $117.57).