Ultrasound Cost in Melbourne-Palm Bay, FL

How much does a ultrasound cost without insurance in Melbourne-Palm Bay?

Without insurance, the cash price for a complete pelvic ultrasound (HCPCS 76856) is $265 at Cape Canaveral Hospital, Holmes Regional, Palm Bay Hospital, and Viera Hospital. The cash price for a complete abdominal ultrasound (HCPCS 76700) is $334 at all four hospitals. The overall range is $265 to $334, and the abdominal code costs $69 more than the pelvic code. These figures are facility fees, meaning charges by the hospital for the room, equipment, and staff. Physician and professional fees, such as a radiologist's interpretation, are billed separately and are not included in these amounts.

Why is the gross charge so much higher than the cash price?

The gross charge, also called the chargemaster price, is a hospital's full list price before any discounts or negotiated rates. Almost no one pays it. At all four hospitals, the cash price is 25% of the gross charge: $265 of $1,060 for the pelvic ultrasound and $334 of $1,336 for the abdominal ultrasound. Because the discount percentage is identical across hospitals, the gross charges and cash prices match exactly. Insurers negotiate their own rates, which in this dataset range from $57.22 to $1,496.32 depending on the payer and code.

Does insurance cover a ultrasound?

Coverage depends on your specific plan and on whether the plan considers the service medically necessary. Negotiated rates vary widely by payer. For the pelvic ultrasound, the insured range runs from $57.22 to $1,187.20, and for the abdominal ultrasound from $62.58 to $1,496.32. Some plans require prior authorization for non-emergency imaging, so confirming requirements with your insurer before scheduling is a common step. If you have a high-deductible plan and have not met your deductible, you owe the negotiated rate for your plan, not the gross charge. Once the deductible is met, your cost share depends on your plan's coinsurance or copayment terms.

Are there additional fees beyond the ultrasound facility charge?

Yes. The facility charge covers the hospital's room, equipment, and technologist. A radiologist, the physician who interprets the images, typically bills a separate professional fee for reading the ultrasound. That fee is not included in the prices on this page, and its amount is not part of the source data. If an ultrasound is performed in the emergency department, a separate emergency room facility fee applies in addition to the imaging charges. Any other services provided during the same visit may also be billed separately from the ultrasound itself.

What is the cash price for a pelvic ultrasound at Palm Bay Hospital?

Palm Bay Hospital lists a cash price of $265 for a complete pelvic ultrasound (CPT 76856), against a gross charge of $1,060. The cash price is 25% of gross. This is a facility charge only, so professional reading fees and other bills are not included. The page shows no missing cash prices.

What is the lowest and highest ultrasound cash price in Melbourne-Palm Bay?

Cash prices on this page run from $265 to $334. The $265 price is for a complete pelvic ultrasound (76856) and the $334 price is for a complete abdominal ultrasound (76700), both at Cape Canaveral Hospital. These are facility charges only. All 8 price rows have a published cash price.

Do Holmes Regional Medical Center and Viera Hospital charge different cash prices for ultrasounds?

No. Holmes Regional Medical Center and Viera Hospital both list $334 cash for abdominal ultrasound (76700) and $265 cash for pelvic ultrasound (76856). The same figures appear at all 4 Health First hospitals on this page. These are facility charges only and do not include separate professional fees.

What is the difference between CPT 76700 and 76856 prices in Melbourne?

CPT 76700 is a complete abdominal ultrasound and 76856 is a complete pelvic ultrasound. At each Melbourne-Palm Bay hospital on this page, 76700 shows a $1,336 gross charge and $334 cash price, while 76856 shows a $1,060 gross charge and $265 cash price. Figures are facility charges only.

What are UnitedHealthcare's ultrasound rates at Viera Hospital and Palm Bay Hospital?

UnitedHealthcare's published rates range from $62.58 at Palm Bay Hospital to $1,336 at Viera Hospital, with a median of $463.12 across 4 hospitals. The highest is about 21x the lowest. These are facility charges only, and the rate depends on the specific plan.