CPT 76817 Radiology

How Much Does Transvaginal Ultrasound Cost?

Also known as: Transvaginal us obstetric (CPT 76817)

An ultrasound performed with a slim wand inserted into the vagina for close-up images of the uterus and ovaries.

Transvaginal Ultrasound (CPT 76817) costs $93 at Medicare rates. Hospital outpatient rate: $107.

Cost Comparison by Payer

How much Transvaginal us obstetric costs across different settings and payers

Medicare
Facility rate
$93
Hospital Outpatient
OPPS rate
$107
Medicare (Facility)
$93
CMS PFS 2026 national rate
Hospital Outpatient
$107
OPPS rate

Patient Guide: Transvaginal Ultrasound

What you need to know before your appointment

What to Expect

A slim, lubricated ultrasound wand is gently inserted into the vagina. It provides very clear images of the uterus, ovaries, and early pregnancy.

How Long Does It Take?

15-30 minutes

Common Reasons Doctors Order This

Early pregnancy evaluation, ovarian cyst, abnormal bleeding, infertility evaluation, ectopic pregnancy concern

How to Prepare

Empty your bladder before the exam. The procedure may be mildly uncomfortable but should not be painful.

Procedures Commonly Done Together

These procedures are frequently performed alongside Transvaginal us obstetric

Loading related procedures...

How to Reduce Your Cost for Transvaginal us obstetric

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.

0.73
Work RVU
2.00
Practice Expense RVU
0.05
Malpractice RVU
2.78
Total RVU

Payment = Total RVU (2.78) x CF ($33.40) = $93

Frequently Asked Questions

How much does Transvaginal us obstetric cost?

The Medicare facility rate for Transvaginal us obstetric is $93. 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 Transvaginal us obstetric cost without insurance?

Without insurance, the cost of Transvaginal us obstetric 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 Transvaginal us obstetric?

Most commercial health insurance plans and Medicare cover Transvaginal us obstetric 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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