M Health Fairview Ridges Hospital — Ultrasound prices
← Hospital overviewVerified from M Health Fairview Ridges Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
4 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC US ABDOMEN LIMITED Inpatient | 76705 CPT | $541 | $230 | $282 – $487 | — | |
| HC US PELVIC NON-OB, COMPLETE Inpatient | 76856 CPT | $590 | $251 | $307 – $531 | $425 | |
| HC US RETROPERITONEAL, COMPLETE Inpatient | 76770 CPT | $570 | $242 | $297 – $513 | — | |
| HC US SOFT TISSUE HEAD/NECK Inpatient | 76536 CPT | $648 | $275 | $338 – $583 | — |