CPT76856

Ultrasound Pelvis Cost in Oregon

Us exam pelvic complete

$212Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Oregon Medicare physician rate (2026)

+3.9% vs national

Average of 2 localities. Office range $104.39–$114.15.

Oregon (Hospital)
$109.27
Facility physician fee
Private plan est.
$142–$219
~130–200% of Medicare
Cash / self-pay est.
$87–$164
~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
$162
$105 physician + $57 facility
Physician fee alone
$105
Only 50% of the hospital total

Choosing a surgery centre over a hospital saves about $50 on the Medicare allowed amount for ultrasound pelvis. Ask whether your procedure can be done at an ambulatory surgery centre.

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. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Oregon

Enter your ZIP code to see whether Portland-area or rest-of-state pricing applies, from Portland and Salem to Eugene, Bend, Medford, the coast, and eastern Oregon.

What ultrasound pelvis costs at hospitals near you

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

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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 Oregon

National office$105.21
National hospital (physician)$105.21
Oregon vs national4% above the national office rate of $105.21

Where Oregon ranks for this CPT

Rank (lowest physician fee first)#42 of 51
Lowest stateArkansas ($92.96)
Highest stateDistrict of Columbia ($121.06)

CPT 76856 by Oregon locality

LocalityOffice
portland$114.15
rest of oregon$104.39

PE GPCI ranges from 0.996 to 1.111 in Oregon. That index is why the same CPT is not one price statewide.

Ultrasound Pelvis and how Oregon is priced

Oregon splits into a Portland metro locality and a rest-of-state locality, so the fee schedule prices the Willamette Valley's biggest market above Eugene, Bend, Medford, and the rural east. Portland's higher wages and office costs justify the premium, while the rest-of-state locality covers everything from the coast to the high desert at lower adjustments. The two-tier structure means an identical procedure is approved at different amounts on either side of the metro boundary. Oregon's overall indices sit somewhat above the national midpoint, led by the Portland side.

Portland concentrates the state's academic medicine and subspecialty care, drawing patients from all of Oregon and southwest Washington. Bend has grown into a notable central Oregon hub, and Medford serves the southern counties, but the eastern two thirds of the state remains sparsely served, with some residents closer to Boise than to Portland. Coastal communities also face limited local procedure options.

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 Oregon: questions

The 2026 Medicare physician office rate for CPT 76856 averages $109.27 across 2 Oregon localities, from $104.39 in REST OF OREGON to $114.15 in PORTLAND. The hospital physician rate averages $109.27. Enter a ZIP for the exact locality.

Yes. CMS splits Oregon into 2 payment localities. For this CPT the office physician fee spans $9.76 from the lowest to highest locality. Enter your ZIP code to see whether Portland-area or rest-of-state pricing applies, from Portland and Salem to Eugene, Bend, Medford, the coast, and eastern Oregon.

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 Oregon. Medigap may cover that 20%. This is not the hospital facility fee.

No. $109.27 is only the physician's share. Adding Medicare's facility payment brings the total to about $212 in a hospital outpatient department, or about $162 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Oregon ranks #42 of 51 states on the physician line (4% above 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.