Pelvic ultrasound, complete (not pregnancy) at Samaritan Medical Center
CPT 76856 · Watertown, NY
These are Samaritan Medical Center's own posted figures from its standard-charges file dated February 2, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
The posted cash price equals the gross charge: this file shows no self-pay discount for this service.
Across 80 New York hospitals we index that post a cash price for this service: lowest $33.00, median $291.35, highest $1,912.00. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Gouverneur Hospital Gouverneur, NY | 33.1 mi | $944.78 | $1,453.51 | 2026-04-01 |
| Rome Memorial Hospital, Inc Rome, NY | 56.6 mi | $379.48 | $940.00 | 2026-08-11 |
| Crouse Hospital Syracuse, NY | 65.7 mi | $318.00 | $318.00 | 2026-05-19 |
| Canton-Potsdam Hospital Potsdam, NY | 68.5 mi | $608.90 | $936.77 | 2026-04-01 |
| Auburn Community Hospital Auburn, NY | 79.5 mi | $254.09 | $684.86 | 2025-01-19 |
| Little Falls Hospital Little Falls, NY | 80.3 mi | $302.01 | $1,118.54 | 2026-01-01 |
| Newark-Wayne Community Hospital Newark, NY | 85.8 mi | $425.45 | $654.54 | 2026-04-01 |
| Clifton Springs Hospital and Clinic Clifton Springs, NY | 93.3 mi | $323.71 | $498.02 | 2026-04-01 |
Distances are straight-line from ZIP code centers. Each hospital's figures come from its own file; files are updated on different dates.
Every row for CPT 76856 in this hospital's file
| Row in the hospital's file | Setting | Cash | Gross | Insurer min – max |
|---|---|---|---|---|
| US PELVIC NON-OB COMPLETE line 25159 | outpatient | $986.50 | $986.50 | $130.50 – $838.53 |
| US PELVIC NON-OB COMPLETE line 2107 | inpatient | $986.50 | $986.50 | $789.20 – $789.20 |
| US PELVIC NON-OB COMPLETE line 4866 | inpatient | $949.00 | $949.00 | $759.20 – $759.20 |
| US PELVIC NON-OB COMPLETE line 38834 | outpatient | $949.00 | $949.00 | $130.50 – $806.65 |
| US EXAM PELVIC COMPLETE line 310342 | both | $95.63 – $136.43 | ||
| US EXAM PELVIC COMPLETE mod 26 line 357988 | both | $29.99 – $34.73 | ||
| US EXAM PELVIC COMPLETE mod TC line 365103 | both | $65.64 – $76.00 |
The first row is the one used above. A price for one code usually covers the hospital's facility charge only; the doctor, anesthesia, pathology and other services can be billed separately. Ask the hospital for a good faith estimate before a scheduled service: if you pay yourself and the bill comes in $400 or more above the estimate, you can dispute it under the No Surprises Act.
Check a bill from this hospital All Samaritan Medical Center prices