Providence St Mary Medical Center — Ultrasound prices
← Hospital overviewVerified from Providence St Mary Medical Center’s published price file
Includes cash prices, list prices. 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.
12 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC US ABDOMEN LIMITED Inpatient & outpatient | 76705 HCPCS | $1,010 | $707 | — | — | |
| HC US ABDOMEN LIMITED Outpatient | 76705 HCPCS | $645 | $452 | — | — | |
| HC US ED ABDOMEN LIMITED CDM Inpatient & outpatient | 76705 HCPCS | $927 | $649 | — | — | |
| HC US ED EXAM OF HEAD AND NECK CDM Inpatient & outpatient | 76536 HCPCS | $806 | $564 | — | — | |
| HC US EXAM ABDOMEN COMPLETE Inpatient & outpatient | 76700 HCPCS | $1,462 | $1,023 | — | — | |
| HC US EXAM ABDOMEN COMPLETE Outpatient | 76700 HCPCS | $934 | $654 | — | — | |
| HC US EXAM OF HEAD AND NECK Inpatient & outpatient | 76536 HCPCS | $878 | $615 | — | — | |
| HC US EXAM OF HEAD AND NECK Outpatient | 76536 HCPCS | $562 | $393 | — | — | |
| HC US PELVIC NON-OB COMPLETE Inpatient & outpatient | 76856 HCPCS | $1,462 | $1,023 | — | — | |
| HC US PELVIC NON-OB COMPLETE Outpatient | 76856 HCPCS | $934 | $654 | — | — | |
| HC US RETROPERITONEAL COMPLETE Inpatient & outpatient | 76770 HCPCS | $1,215 | $851 | — | — | |
| HC US RETROPERITONEAL COMPLETE Outpatient | 76770 HCPCS | $776 | $543 | — | — |