Sanford Westbrook Hospital — Ultrasound prices
← Hospital overviewVerified from Sanford Westbrook 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.
10 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| US abd complete Outpatient | 76700 CPT | $1,385 | $1,108 | $112 – $1,302 | — | |
| US abd complete Inpatient | 76700 CPT | $1,385 | $1,108 | $762 – $1,310 | — | |
| US abd limited Outpatient | 76705 CPT | $964 | $771 | $112 – $906 | — | |
| US abd limited Inpatient | 76705 CPT | $964 | $771 | $530 – $912 | — | |
| US pelvic complete Outpatient | 76856 CPT | $1,268 | $1,014 | $112 – $1,192 | — | |
| US pelvic complete Inpatient | 76856 CPT | $1,268 | $1,014 | $697 – $1,200 | — | |
| US retroperitoneum Outpatient | 76770 CPT | $1,246 | $997 | $112 – $1,171 | — | |
| US retroperitoneum Inpatient | 76770 CPT | $1,246 | $997 | $685 – $1,179 | — | |
| US soft tissue head neck Outpatient | 76536 CPT | $1,128 | $902 | $112 – $1,060 | — | |
| US soft tissue head neck Inpatient | 76536 CPT | $1,128 | $902 | $620 – $1,067 | — |