CPT 76815 Radiology

How Much Does Limited Pregnancy Ultrasound Cost?

Also known as: Ob us limited fetus(s) (CPT 76815)

A focused ultrasound to check a specific concern during pregnancy, not a full anatomy scan.

Limited Pregnancy Ultrasound (CPT 76815) costs $82 at Medicare rates. Hospital outpatient rate: $107.

Cost Comparison by Payer

How much Ob us limited fetus(s) costs across different settings and payers

Medicare
Facility rate
$82
Hospital Outpatient
OPPS rate
$107
Medicare (Facility)
$82
CMS PFS 2026 national rate
Hospital Outpatient
$107
OPPS rate

Patient Guide: Limited Pregnancy Ultrasound

What you need to know before your appointment

What to Expect

A brief ultrasound focused on answering a specific question, such as checking babys position, fluid levels, or heartbeat.

How Long Does It Take?

10-20 minutes

Common Reasons Doctors Order This

Checking baby position, amniotic fluid level, heartbeat check, bleeding evaluation, growth concern

How to Prepare

May need a full bladder. Follow your providers instructions.

Procedures Commonly Done Together

These procedures are frequently performed alongside Ob us limited fetus(s)

Loading related procedures...

How to Reduce Your Cost for Ob us limited fetus(s)

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.

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.

0.63
Work RVU
1.76
Practice Expense RVU
0.05
Malpractice RVU
2.44
Total RVU

Payment = Total RVU (2.44) x CF ($33.40) = $81

Frequently Asked Questions

How much does Ob us limited fetus(s) cost?

The Medicare facility rate for Ob us limited fetus(s) is $82. In a hospital outpatient setting, the rate is $107. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Ob us limited fetus(s) cost without insurance?

Without insurance, the cost of Ob us limited fetus(s) 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 limited fetus(s)?

Most commercial health insurance plans and Medicare cover Ob us limited fetus(s) 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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