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Rhode Island

Cost of a Pregnancy Ultrasound Visit
in Rhode Island

Reviewed by Momentary Medical Group West PC

Rhode Island's concentrated healthcare market, dominated by a few major health systems serving the nation's smallest state, creates unique pricing dynamics for Pregnancy Ultrasound services. Patients typically pay between $49 and $328 for ultrasound visits, with a median cost of $115 based on insurer-negotiated rates. Rhode Island has 80 active Pregnancy Ultrasound providers across the state, offering patients multiple options for prenatal care within the compact Ocean State geography.

Average

$164

Median

$115

Lowest

$50

Highest

$328

Providers

80

National avg: $151Rhode Island: $164

8% above national average

Compare Similar Procedures

How does ob ultrasound compare to related procedures in Rhode Island?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$91$423$1,83063
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$535$2,11777
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$673$2,33875
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$109$391$71858
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$418$1,64783
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$28$90108
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$64$207$89590

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 Rhode Island

Rhode Island's healthcare costs run approximately 13% above the national average, reflecting the state's higher cost of living and concentrated provider market. The Ocean State's small geographic footprint creates unique market dynamics where most specialists cluster around Providence, limiting competition in outlying areas.

Urban vs. Rural Provider Availability

Most Pregnancy Ultrasound specialists concentrate in the Providence metropolitan area, with fewer options in rural Washington and Kent counties. This geographic concentration can drive up costs in urban areas while creating access challenges for patients in South County and western Rhode Island. Travel distances remain manageable given the state's compact size, but convenience factors into pricing.

Facility Type and Overhead Costs

Hospital-based outpatient clinics affiliated with major systems like Lifespan and Care New England typically charge higher facility fees than independent practices. Rhode Island's high real estate costs affect overhead expenses for all healthcare facilities, particularly in Providence and surrounding areas. Academic medical centers associated with Brown University may carry additional teaching hospital premiums.

Insurance Market Competition in Rhode Island

Blue Cross Blue Shield of Rhode Island dominates the individual and small group markets, with UnitedHealthcare and Tufts Health Plan providing competition primarily in employer-sponsored plans. This concentrated insurer market can limit negotiating leverage for providers, though it also creates more standardized reimbursement rates. The state's small size means most providers must participate in all major networks to maintain viable practices.

Physician Supply and Demand in Rhode Island

Rhode Island's 80 active Pregnancy Ultrasound providers serve a population of just over one million, creating adequate specialist availability relative to the state's size. The presence of academic medical training programs helps maintain physician supply, though some specialists may leave for higher-paying markets in Boston or New York. This balanced supply-demand relationship helps moderate pricing compared to specialist-shortage 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 Rhode Island

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

Uninsured patients in Rhode Island can expect to pay between $49 and $328 for a Pregnancy Ultrasound visit, with a median cost of $115 based on negotiated insurance rates. Many providers offer cash-pay discounts of 20-40% off standard charges for self-pay patients. Community health centers throughout Rhode Island also provide prenatal ultrasounds on sliding fee scales based on income.

Does Rhode Island Medicaid cover Pregnancy Ultrasound visits?

Yes, Rhode Island expanded Medicaid under the Affordable Care Act, providing comprehensive prenatal coverage including all medically necessary Pregnancy Ultrasound services. Medicaid covers both routine prenatal ultrasounds and diagnostic scans without copays or deductibles. Pregnant women may qualify for emergency Medicaid coverage even if they don't meet other eligibility requirements.

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

Compare costs across hospital-based clinics and independent practices, as independent providers often charge less than hospital systems. Ask about cash-pay discounts if you're uninsured, and consider community health centers like Thundermist or Blackstone Valley Community Health Care for sliding fee options. Many Rhode Island providers offer payment plans to make prenatal care more affordable.

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

Initial Pregnancy Ultrasound consultations typically cost more than follow-up visits due to comprehensive history-taking and examination time. New patient visits often involve detailed medical history review and treatment planning, while follow-up appointments focus on monitoring established pregnancies. The cost difference can range from $50-150 depending on the complexity and duration of each visit type.

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

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for medically necessary Pregnancy Ultrasound visits in Rhode Island. Prenatal care, including diagnostic and routine ultrasounds, qualifies as eligible medical expenses under IRS guidelines. Keep receipts and documentation for tax purposes when using these pre-tax healthcare dollars.

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

While actual ultrasound imaging requires in-person visits, many Rhode Island providers offer telehealth consultations for discussing results, follow-up questions, or initial consultations at reduced rates. Telemedicine visits typically cost 20-30% less than in-person appointments and are widely covered by Rhode Island insurers. This hybrid approach can reduce overall prenatal care costs while maintaining quality care.

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