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West Virginia

Cost of a Pregnancy Ultrasound Visit
in West Virginia

Reviewed by Momentary Medical Group West PC

West Virginia's mountainous terrain and rural healthcare delivery model create unique cost patterns for Pregnancy Ultrasound services across the state's 55 counties. Patients typically pay between $50 and $215 for a Pregnancy Ultrasound visit, with a median out-of-pocket cost of $68 based on negotiated insurance rates. West Virginia maintains 208 active Pregnancy Ultrasound providers, offering patients multiple options for prenatal imaging services throughout the Mountain State.

Average

$111

Median

$68

Lowest

$50

Highest

$215

Providers

208

National avg: $151West Virginia: $111

27% below national average

Compare Similar Procedures

How does ob ultrasound compare to related procedures in West Virginia?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$357$1,395106
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$308$1,329163
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$98$410$1,538153
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$93$274$88998
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$298$1,647122
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$14$91304
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$66$155$1,167201

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 West Virginia

West Virginia's Pregnancy Ultrasound costs run approximately 2% below national averages, reflecting the state's lower cost of living and rural market dynamics. The Mountain State's scattered population across difficult terrain creates unique access challenges that influence both provider availability and pricing structures.

Urban vs. Rural Provider Availability

Charleston and Morgantown concentrate most high-end maternal-fetal medicine specialists, while rural counties often rely on traveling radiologists or telemedicine connections for specialized imaging. This geographic disparity creates cost variations, with urban centers charging premium rates for immediate access while rural facilities may offer lower base prices but limited appointment availability. Patients in remote Appalachian counties sometimes travel 2+ hours for specialized prenatal imaging.

Facility Type and Overhead Costs

West Virginia University Medicine and Charleston Area Medical Center operate the state's major hospital-based imaging departments, typically charging higher facility fees than independent radiology groups. Smaller community hospitals in coal mining regions often provide more affordable Pregnancy Ultrasound services due to lower overhead costs and community-focused pricing. Freestanding women's imaging centers in Huntington and Parkersburg offer competitive rates by specializing exclusively in obstetric and gynecologic procedures.

Insurance Market Competition in West Virginia

Highmark WV dominates the individual and small group markets, while UHC and Aetna provide limited competition primarily in employer-sponsored plans around urban areas. This concentrated market gives fewer negotiating options for providers, though Medicaid expansion has increased patient volume for many practices. Limited insurer competition can result in less aggressive rate negotiations compared to more competitive state markets.

Physician Supply and Demand in West Virginia

With 208 active Pregnancy Ultrasound providers serving roughly 1.8 million residents, West Virginia maintains adequate coverage in urban areas but faces shortages in rural regions. The state's aging population and outmigration of younger residents creates less demand pressure than in growing states, helping keep prices stable. Many radiologists serve multiple facilities across several counties, which can affect scheduling flexibility but helps maintain access in underserved 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 West Virginia

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

Without insurance, Pregnancy Ultrasound visits in West Virginia range from $50 to $215, with a median cost of $68 based on negotiated rates from transparency data. Self-pay patients can often negotiate 20-40% discounts off standard rates, especially at independent imaging centers. Many facilities offer payment plans to help manage costs for uninsured patients.

Does West Virginia Medicaid cover Pregnancy Ultrasound visits?

Yes, West Virginia expanded Medicaid in 2014 and provides comprehensive coverage for Pregnancy Ultrasound services throughout pregnancy and postpartum care. Routine prenatal ultrasounds and medically necessary follow-up imaging are covered without copays or deductibles. Pregnant women with household incomes up to 158% of the federal poverty level qualify for West Virginia Medicaid coverage.

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

Compare prices between hospital-based imaging centers and independent radiology practices, as independents often charge 30-50% less for the same services. Look for community health centers that offer sliding fee scales based on income, particularly in rural counties. Ask about cash-pay discounts and payment plans, which are commonly available throughout West Virginia.

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

Based on transparency data, Pregnancy Ultrasound procedures in West Virginia typically cost $50-$215 regardless of whether it's an initial or follow-up visit, with a median of $68. The complexity and type of ultrasound study affects pricing more than visit sequence. Specialized procedures like 3D imaging or detailed anatomy scans may carry higher fees than basic dating ultrasounds.

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

Yes, Pregnancy Ultrasound visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay for deductibles, copays, and any out-of-pocket costs related to prenatal imaging services. Keep receipts and documentation for tax purposes when using HSA or FSA funds.

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

While the actual ultrasound procedure requires in-person visits, telemedicine consultations for reviewing results or discussing findings typically cost $75-150 less than in-person appointments. Some West Virginia practices offer remote consultations with maternal-fetal medicine specialists for complex cases, reducing travel costs for rural patients. Telehealth coverage expanded during COVID-19 and remains available for appropriate prenatal consultations.

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