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Vermont

Cost of a Pregnancy Ultrasound Visit
in Vermont

Reviewed by Momentary Medical Group West PC

Vermont's small but stable healthcare market serves a population with one of the nation's lowest uninsured rates, thanks to robust Medicaid expansion and strong community health networks. Pregnancy Ultrasound visits in Vermont show considerable variation, with negotiated rates ranging from $42 to $341 and a median cost of $124 based on insurer contract data. The Green Mountain State maintains 337 active Pregnancy Ultrasound providers across its rural and urban communities, giving patients multiple options when browsing providers throughout Vermont.

Average

$169

Median

$124

Lowest

$42

Highest

$341

Providers

337

National avg: $151Vermont: $169

12% above national average

Compare Similar Procedures

How does ob ultrasound compare to related procedures in Vermont?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$106$347$801334
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$317$537$1,042337
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$333$553$1,096337
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$211$362$673325
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$273$476$907339
ECG / EKG

12-lead electrocardiogram with interpretation

93000$11$18$73352
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$61$171$471348

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 Vermont

Vermont's healthcare costs run approximately 15% above the national average, reflecting the state's rural geography, small population base, and limited provider competition in specialized services. The Green Mountain State's scattered population across mountainous terrain creates unique challenges for healthcare delivery, with Burlington serving as the primary medical hub while rural areas rely on smaller practices and telemedicine options.

Urban vs. Rural Provider Availability

Burlington and the Chittenden County area concentrate most of Vermont's specialized Pregnancy Ultrasound services, with the University of Vermont Medical Center anchoring the region's healthcare infrastructure. Rural counties often have limited local specialist options, requiring patients to travel significant distances or rely on visiting specialists who rotate through smaller communities. This geographic disparity creates both access challenges and cost variations based on location.

Facility Type and Overhead Costs

Hospital-based outpatient clinics in Vermont, particularly those affiliated with UVM Medical Center and Dartmouth-Hitchcock, typically charge higher facility fees due to their overhead and emergency readiness requirements. Independent specialty practices often offer more competitive rates but may have limited availability in rural areas. The state's critical access hospitals in smaller communities may charge differently due to their unique funding and operational structures.

Insurance Market Competition in Vermont

Vermont's insurance market is dominated by BCBS Vermont and MVP Health Care, creating a relatively concentrated environment with limited competition compared to larger states. This concentration can lead to stronger negotiated rates with providers but may also limit patient choice in coverage options. The state's small market size means insurers have significant influence over provider networks and reimbursement rates.

Physician Supply and Demand in Vermont

With 337 active Pregnancy Ultrasound providers serving Vermont's population of roughly 645,000 residents, the state maintains reasonable access to specialized care despite its rural nature. However, provider distribution favors urban areas, creating potential shortages in remote counties that can drive up costs and extend wait times. The state's aging physician workforce and challenges recruiting specialists to rural areas continue to impact both availability and pricing across different regions.

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 Vermont

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

Based on negotiated insurance rates, Pregnancy Ultrasound visits in Vermont range from $42 to $341, with a median cost of $124. Uninsured patients typically pay more than these negotiated rates, often $200-500 for initial consultations. Many providers offer self-pay discounts of 20-40% for patients who pay at the time of service, making care more affordable for those without insurance coverage.

Does Vermont Medicaid cover Pregnancy Ultrasound visits?

Yes, Vermont's expanded Medicaid program covers medically necessary Pregnancy Ultrasound visits with little to no patient copay. Pregnant women may qualify for enhanced coverage through Vermont's pregnancy-related Medicaid benefits, which often provide comprehensive prenatal care coverage. Patients should verify their provider accepts Medicaid before scheduling, as network participation can vary among specialists.

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

Compare costs between hospital-based clinics and independent practices, as independent providers often charge 20-30% less for the same services. Look into federally qualified health centers throughout Vermont, which offer sliding fee scales based on income. Many providers offer cash-pay discounts, and some practices provide payment plans for patients facing financial hardship.

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

Initial Pregnancy Ultrasound consultations typically involve more comprehensive evaluation and documentation, often costing $200-400 based on Vermont's negotiated rates. Follow-up visits for established patients generally cost $100-200, depending on the complexity of care needed. The specific cost difference depends on your insurance coverage, provider type, and whether additional testing or procedures are performed during the visit.

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

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for medically necessary Pregnancy Ultrasound visits and related services. These tax-advantaged accounts cover copays, deductibles, and coinsurance for specialist consultations. Keep receipts for all payments, as you may need documentation for account administrators or tax purposes.

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

Telemedicine consultations for pregnancy-related care typically cost $75-150, significantly less than in-person visits, though hands-on examination and ultrasound imaging still require office visits. Vermont has expanded telehealth coverage since 2020, with most insurers now covering virtual consultations at the same rate as in-person visits. Some providers offer hybrid care models combining virtual consultations with necessary in-person procedures to optimize both cost and convenience.

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