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Pennsylvania

Cost of a Pregnancy Ultrasound Visit
in Pennsylvania

Reviewed by Momentary Medical Group West PC

Pennsylvania's healthcare landscape spans from Philadelphia's dense medical corridors to rural counties where provider access can be limited, creating significant cost variations for Pregnancy Ultrasound services. Patients typically pay between $42.50 and $327.74 for an ultrasound visit, with a median out-of-pocket cost of $85.00 across Pennsylvania's 1,801 active providers. The Commonwealth's mix of large health systems like UPMC and Geisinger alongside independent practices offers patients multiple options when browsing providers throughout Pennsylvania.

Average

$152

Median

$85

Lowest

$43

Highest

$328

Providers

1,801

National avg: $151Pennsylvania: $152

0% above national average

Compare Similar Procedures

How does ob ultrasound compare to related procedures in Pennsylvania?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$323$1,8301,067
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$373$2,1171,414
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$469$2,3381,327
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$90$274$7151,120
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$273$1,6471,592
ECG / EKG

12-lead electrocardiogram with interpretation

93000$13$55$902,207
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$61$155$6771,469

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 76805Ultrasound, pregnant uterus, complete). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 76805 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 76805 (Ultrasound, pregnant uterus, complete), as mandated by the CMS Price Transparency Rule.

What CPT 76805 covers: the provider's professional fee for ob ultrasound. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Pregnancy Ultrasound Visit Costs Vary Across Pennsylvania

Pennsylvania's healthcare costs run approximately 9% above the national average, reflecting the state's mix of expensive urban markets and more affordable rural regions. The Commonwealth's concentration of medical facilities in Philadelphia and Pittsburgh creates pricing disparities that can significantly impact patient costs depending on location.

Urban vs. Rural Provider Availability

Pennsylvania's geography creates stark differences in provider access, with dense concentration in the Philadelphia and Pittsburgh metropolitan areas while rural counties often have limited options. Rural patients may need to travel significant distances for specialized ultrasound services, sometimes adding transportation costs to their healthcare expenses. This geographic disparity often forces rural residents to seek care in higher-cost urban centers.

Facility Type and Overhead Costs

Large health systems like UPMC, Geisinger, and Penn Medicine dominate Pennsylvania's healthcare landscape, typically charging higher facility fees than independent practices. Hospital-based outpatient imaging centers carry substantial overhead costs that are passed on to patients through higher pricing. Independent women's health clinics and standalone imaging centers often offer more competitive pricing due to lower operational costs.

Insurance Market Competition in Pennsylvania

The presence of major insurers including Highmark, Independence Blue Cross, and UnitedHealthcare creates moderate competition in most Pennsylvania markets. Western Pennsylvania sees strong Highmark presence while Independence Blue Cross dominates the eastern regions, affecting negotiated rates differently across the state. This regional insurer concentration can limit patient choices and influence pricing power in specific geographic areas.

Physician Supply and Demand in Pennsylvania

With 1,801 active Pregnancy Ultrasound providers, Pennsylvania maintains relatively good specialist availability compared to many states. This adequate supply helps moderate pricing in urban areas, though rural regions still face provider shortages that can drive up costs. The concentration of medical schools and residency programs in Pennsylvania helps maintain steady physician supply, particularly in metropolitan areas.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Pregnancy Ultrasound Costs in Pennsylvania

What is the average cost of a Pregnancy Ultrasound visit in Pennsylvania without insurance?

Without insurance, Pregnancy Ultrasound visits in Pennsylvania typically range from $42.50 to $327.74, with a median cost of $85.00. The wide price variation depends on factors like facility type, geographic location, and complexity of the ultrasound performed. Independent imaging centers usually offer lower prices than hospital-based facilities, and many providers offer cash-pay discounts that can reduce these costs by 30-50%.

Does Pennsylvania Medicaid cover Pregnancy Ultrasound visits?

Yes, Pennsylvania's expanded Medicaid program covers Pregnancy Ultrasound visits as part of essential prenatal care services. Coverage includes routine prenatal monitoring, diagnostic ultrasounds when medically necessary, and specialized imaging for high-risk pregnancies. Patients should verify that their chosen provider accepts Pennsylvania Medicaid and confirm any prior authorization requirements for specific types of ultrasound procedures.

How do I find an affordable Pregnancy Ultrasound near me in Pennsylvania?

Start by comparing prices between independent imaging centers and hospital-based facilities, as independents often charge significantly less. Look for community health centers that offer sliding-scale fees based on income, and ask about cash-pay discounts if you're uninsured. Many providers in Pennsylvania participate in financial assistance programs, and some offer payment plans to help manage out-of-pocket costs.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial ultrasound visits typically cost more than follow-up appointments due to the comprehensive nature of first-time evaluations and longer appointment times. While specific pricing varies by provider, initial visits often include detailed medical history review and more extensive imaging. Follow-up visits for routine monitoring are generally shorter and less expensive, though costs can increase if additional testing or specialized imaging is required.

Can I use an HSA or FSA to pay for a Pregnancy Ultrasound visit in Pennsylvania?

Yes, Pregnancy Ultrasound visits qualify as eligible medical expenses for both HSA and FSA accounts. This includes routine prenatal care, diagnostic imaging, and any related medical services during pregnancy. Keep all receipts and documentation for reimbursement purposes, and remember that HSA funds never expire while FSA funds typically must be used within the plan year.

How does telemedicine affect the cost of seeing a Pregnancy Ultrasound in Pennsylvania?

While the actual ultrasound must be performed in person, telemedicine can reduce costs for consultation visits, results review, and follow-up appointments. Pennsylvania expanded telehealth coverage during the pandemic, and many insurers now cover virtual visits at the same rate as in-person consultations. Some providers offer hybrid care models where initial consultations are virtual, potentially reducing overall pregnancy care costs while maintaining quality.

Click a state to compare costs

Average Visit Cost

$84
$457

Office visit (CPT 76805)

Compare With Other States

RankStateAverage
1Alaska
Range: $51$991
$457
2Washington
Range: $51$991
$378
3Montana
Range: $51$991
$370
4Idaho
Range: $50$591
$242
5Wisconsin
Range: $68$502
$222
6Maine
Range: $79$272
$177
7Nebraska
Range: $82$329
$176
8Wyoming
Range: $51$331
$175
9Iowa
Range: $58$329
$174
10Vermont
Range: $42$341
$169
11New Hampshire
Range: $57$317
$168
12District of Columbia
Range: $39$342
$166
13Rhode Island
Range: $50$328
$164
14Georgia
Range: $50$319
$163
15New York
Range: $36$328
$158
16Massachusetts
Range: $52$328
$153
17Pennsylvania
Range: $43$328
$152
18New Mexico
Range: $48$292
$149
19Connecticut
Range: $45$328
$148
20Utah
Range: $51$241
$145
21Colorado
Range: $51$275
$143
22Nevada
Range: $76$221
$143
23California
Range: $52$287
$143
24Indiana
Range: $45$280
$142
25North Carolina
Range: $44$272
$141
26Hawaii
Range: $54$230
$137
27Delaware
Range: $54$216
$136
28Illinois
Range: $45$257
$134
29Texas
Range: $46$237
$126
30Oregon
Range: $68$236
$124
31Kentucky
Range: $44$229
$122
32New Jersey
Range: $35$244
$121
33Maryland
Range: $37$231
$119
34South Carolina
Range: $43$221
$118
35Michigan
Range: $42$216
$115
36Tennessee
Range: $48$189
$114
37Virginia
Range: $36$215
$112
38Arkansas
Range: $49$188
$111
39West Virginia
Range: $50$215
$111
40Ohio
Range: $32$211
$110
41Arizona
Range: $51$178
$107
42Missouri
Range: $46$165
$104
43Minnesota
Range: $68$175
$103
44Alabama
Range: $39$189
$103
45Kansas
Range: $48$165
$103
46Mississippi
Range: $38$189
$102
47Oklahoma
Range: $42$175
$101
48North Dakota
Range: $68$157
$97
49Florida
Range: $35$192
$96
50Louisiana
Range: $38$159
$88
51South Dakota
Range: $68$117
$84
OB Ultrasound in Other States