CPT 76805 Radiology

How Much Does Pregnancy Ultrasound (Complete, After First Trimester) Cost?

Also known as: Ob us >/= 14 wks sngl fetus (CPT 76805)

A comprehensive ultrasound that measures the baby, checks organ development, and evaluates the placenta and amniotic fluid.

Pregnancy Ultrasound (Complete, After First Trimester) (CPT 76805) costs $136 at Medicare rates. Hospital outpatient rate: $107.

Cost Comparison by Payer

How much Ob us >/= 14 wks sngl fetus costs across different settings and payers

Medicare
Facility rate
$136
Hospital Outpatient
OPPS rate
$107
Surgery Center
ASC rate
$57
Medicare (Facility)
$136
CMS PFS 2026 national rate
Hospital Outpatient
$107
OPPS rate
Surgery Center (ASC)
$57
Ambulatory surgery center

Patient Guide: Pregnancy Ultrasound (Complete, After First Trimester)

What you need to know before your appointment

What to Expect

Gel is applied to your belly and an ultrasound wand creates detailed images of the baby. The technician measures the baby and checks all major organs.

How Long Does It Take?

30-60 minutes

Common Reasons Doctors Order This

Anatomy scan (usually around 18-20 weeks), growth check, placenta evaluation, amniotic fluid assessment

How to Prepare

Drink water before the appointment. Wear a two-piece outfit for easy access to your belly. You may be able to find out the babys sex.

Procedures Commonly Done Together

These procedures are frequently performed alongside Ob us >/= 14 wks sngl fetus

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How to Reduce Your Cost for Ob us >/= 14 wks sngl fetus

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $57, compared to $107 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.97
Work RVU
3.03
Practice Expense RVU
0.07
Malpractice RVU
4.07
Total RVU

Payment = Total RVU (4.07) x CF ($33.40) = $136

Frequently Asked Questions

How much does Ob us >/= 14 wks sngl fetus cost?

The Medicare facility rate for Ob us >/= 14 wks sngl fetus is $136. In a hospital outpatient setting, the rate is $107. At an ambulatory surgery center, the rate is $57. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Ob us >/= 14 wks sngl fetus cost without insurance?

Without insurance, the cost of Ob us >/= 14 wks sngl fetus can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Ob us >/= 14 wks sngl fetus?

Most commercial health insurance plans and Medicare cover Ob us >/= 14 wks sngl fetus when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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