How Much Does an Ultrasound Abdomen Cost in Vermont?
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 Vermont averages $112.
- ✓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
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- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
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- ✓Printable PDF download
Vermont Medicare physician rate (2026)
-1.6% vs nationalSingle statewide locality.
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 Vermont
Enter a ZIP code for your part of Vermont, whether Burlington and Chittenden County, Montpelier, Rutland, Brattleboro, or the Northeast Kingdom.
What ultrasound abdomen costs at hospitals near you
Everything above is a national average. The hospital you pick in Vermont 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 05001.
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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 Vermont the office and hospital physician lines for this CPT differ by $75.73.
National vs Vermont
Where Vermont ranks for this CPT
Ultrasound Abdomen and how Vermont is priced
Vermont, with the second-smallest population in the country, is priced as one statewide locality with indices close to the national average, higher than northern New England's rural profile might suggest. Burlington and the smallest Northeast Kingdom towns share the same Medicare-approved amounts. No subdivision has ever been warranted for a state without a single large metro. The fee schedule's simplicity contrasts with the real-world challenge of delivering specialty care across the Green Mountains.
The state's academic medical center in Burlington handles most complex care and also serves northern New York across Lake Champlain, while community hospitals cover the rest of the state with limited procedure menus. Vermonters in the south and east regularly use Dartmouth-area or Boston providers over the border. An aging population, among the oldest in the nation, keeps Medicare central to the state's health economy.
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 Vermont
Ultrasound Abdomen in other states
Ultrasound Abdomen in Vermont: 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 Vermont averages $112. Vermont is a single Medicare locality, so the physician rate is the same statewide.
Not on the physician fee schedule. Vermont 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 $7 for the hospital physician line in Vermont. 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, $112.38 is Medicare's full rate in Vermont, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $36.65) and the hospital is paid separately, which brings the national total to up to about $144. Vermont ranks #26 of 51 states on the non-hospital rate (within 2% of the national office rate of $114.23).