CPT76830

Ultrasound Transvaginal Cost in North Carolina

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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North Carolina Medicare physician rate (2026)

-5.9% vs national

Single statewide locality.

North Carolina (Hospital)
$110.60
Facility physician fee
Private plan est.
$144–$221
~130–200% of Medicare
Cash / self-pay est.
$88–$166
~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 North Carolina

Check your ZIP code for your region of North Carolina, whether Charlotte, Raleigh-Durham and the Triangle, the Triad, Asheville and the mountains, or Wilmington and the coastal east.

What ultrasound transvaginal costs at hospitals near you

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

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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 North Carolina

National office$117.57
National hospital (physician)$117.57
North Carolina vs national6% below the national office rate of $117.57

Where North Carolina ranks for this CPT

Rank (lowest physician fee first)#18 of 51
Lowest stateArkansas ($103.46)
Highest stateDistrict of Columbia ($135.59)

Ultrasound Transvaginal and how North Carolina is priced

North Carolina's Medicare physician pricing comes from one statewide locality with indices just under the national average, so Charlotte, the Research Triangle, and the rural east and mountain west all share the same approved amounts. For a state with several fast-growing metros, the single-locality approach keeps the fee schedule simple even as local economies diverge. Nothing in the geographic adjustments distinguishes a Raleigh procedure from one in Boone or Greenville. As elsewhere, the office-versus-hospital setting decision moves prices more than geography within the state does.

North Carolina is unusually rich in academic medicine, with multiple nationally known university medical centers clustered in the Triangle and Winston-Salem, plus a major hospital system anchored in Charlotte that has grown across the Southeast. The rural east and the mountain counties are much thinner markets, and hospital consolidation has been reshaping who owns local care. Patients near the borders sometimes use Virginia or South Carolina providers.

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 North Carolina: questions

North Carolina is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 76830 is $110.60 in an office and $110.60 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. North Carolina 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 $22 for the office physician line or $22 for the hospital physician line in North Carolina. Medigap may cover that 20%. This is not the hospital facility fee.

No. $110.60 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. North Carolina ranks #18 of 51 states on the physician line (6% 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.