How Much Does an Ultrasound Abdomen Cost in Pennsylvania?
Us exam abdom complete
$144Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, an ultrasound abdomen costs up to about $144 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 Pennsylvania averages $113, from $107 in Rest of Pennsylvania to $119 in Metropolitan Philadelphia.
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- ✓The add-on codes that typically land on the bill
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Pennsylvania Medicare physician rate (2026)
-1.2% vs nationalAverage of 2 localities. Office range $107.08–$118.61.
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.
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 Pennsylvania
Look up your ZIP to see whether metro Philadelphia or rest-of-state pricing applies, from Philadelphia and its collar counties to Pittsburgh, Harrisburg, Allentown, Scranton, Erie, and the rural center.
What ultrasound abdomen costs at hospitals near you
Everything above is a national average. The hospital you pick in Pennsylvania 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 15001.
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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 Pennsylvania the office and hospital physician lines for this CPT differ by $75.31.
National vs Pennsylvania
Where Pennsylvania ranks for this CPT
CPT 76700 by Pennsylvania locality
| Locality | Office |
|---|---|
| metropolitan philadelphia | $118.61 |
| rest of pennsylvania | $107.08 |
PE GPCI ranges from 0.918 to 1.041 in Pennsylvania. That index is why the same CPT is not one price statewide.
Ultrasound Abdomen and how Pennsylvania is priced
Pennsylvania's fee schedule separates metro Philadelphia from the rest of the state, giving the southeast its own higher-cost locality while Pittsburgh, Harrisburg, Allentown, Erie, and rural Pennsylvania share rest-of-state adjustments. That means the state's second-largest medical market, Pittsburgh, is priced with rural counties rather than with Philadelphia. The Philadelphia locality's premium reflects the metro's wage and rent levels, which lead the state by a wide margin. For patients, the key locality question in Pennsylvania is simply whether care happens in the Philadelphia area.
Philadelphia is one of America's historic centers of academic medicine, dense with teaching hospitals, while Pittsburgh is dominated by a pair of large integrated systems whose rivalry has defined that market for years. The rural middle of the state, sometimes called the T, has far fewer options, and hospital closures there have drawn statewide attention. Residents near the edges use New York, Baltimore, or Ohio providers when convenient.
This procedure: A complete abdominal ultrasound uses sound waves, no radiation, to examine the liver, gallbladder, pancreas, kidneys, spleen, and major vessels in one session. It is a first-line test for right-upper-belly pain, suspected gallstones, abnormal liver blood tests, and follow-up of known findings. You fast for several hours beforehand so the gallbladder is full, then lie on a table while a technologist glides a warm gel-covered probe over your abdomen for 20 to 30 minutes.
What Is Ultrasound Abdomen?
A complete abdominal ultrasound uses sound waves, no radiation, to examine the liver, gallbladder, pancreas, kidneys, spleen, and major vessels in one session. It is a first-line test for right-upper-belly pain, suspected gallstones, abnormal liver blood tests, and follow-up of known findings. You fast for several hours beforehand so the gallbladder is full, then lie on a table while a technologist glides a warm gel-covered probe over your abdomen for 20 to 30 minutes.
What Affects the Cost
- –Hospital outpatient ultrasound departments charge notably more than independent imaging centers and many physician offices.
- –The complete study covers all upper abdominal organs; a limited single-organ study is a cheaper code when only one question needs answering.
- –The sonographer's images are read by a radiologist whose professional fee may bill separately.
- –Poor views from bowel gas or body habitus occasionally force a repeat study or escalation to CT, adding cost.
- –Findings like gallstones frequently lead to surgical consultation, making this scan a common gateway to a larger episode.
Questions to Ask Before Booking
- 1.Do I need the complete study, or would a limited single-organ ultrasound answer my question at a lower price?
- 2.What are your fasting instructions so the study does not have to be repeated?
- 3.Is the radiologist reading fee included in the quote?
- 4.What does this cost at your imaging center versus the hospital location?
- 5.If views are limited, would you move to CT, and what would that cost?
Other featured procedures in Pennsylvania
Ultrasound Abdomen in other states
Ultrasound Abdomen in Pennsylvania: questions
Under 2026 Medicare rates, an ultrasound abdomen costs up to about $144 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 Pennsylvania averages $113, from $107 in Rest of Pennsylvania to $119 in Metropolitan Philadelphia. Enter a ZIP for the exact Pennsylvania locality.
Yes. CMS splits Pennsylvania into 2 payment localities. For this CPT the office physician fee spans $11.53 from the lowest to highest locality. Look up your ZIP to see whether metro Philadelphia or rest-of-state pricing applies, from Philadelphia and its collar counties to Pittsburgh, Harrisburg, Allentown, Scranton, Erie, and the rural center.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $23 for the office physician line or $8 for the hospital physician line in Pennsylvania. 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, $112.85 is Medicare's full rate in Pennsylvania, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $37.54) and the hospital is paid separately, which brings the national total to up to about $144. Pennsylvania ranks #27 of 51 states on the non-hospital rate (within 2% of the national office rate of $114.23).