2019 Diagnostic Ultrasound Pricing for Cash Patients
*Global pricing includes exam and report
| CPT | General | Charge |
|---|---|---|
| 76536 | ULTRASOUND SOFT TISSUE NECK (THYROID) | $200.00 |
| 76604 | ULTRASOUND CHEST | $200.00 |
| 76700 | ULTRASOUND ABDOMINAL COMPLETE | $200.00 |
| 76705 | ULTRASOUND ABDOMINAL LIMITED (LIVER, SPLEEN, GALLBLADDER, RUQ) | $200.00 |
| 76770 | ULTRASOUND RENAL | $200.00 |
| 76775 | ULTRASOUND AORTA | $200.00 |
| 76776 | ULTRASOUND KIDNEY TRANSPLANTED | $200.00 |
| 76801 | ULTRASOUND OB <14 WEEKS | $200.00 |
| 76805 | ULTRASOUND OB >14 WEEKS | $200.00 |
| 76817 | ULTRASOUND OB TRANSVAGINAL | $200.00 |
| 76830 | ULTRASOUND TRANSVAGINA (NONOBSTETRIC) | $200.00 |
| 76856 | ULTRASOUND PELVIC (NONOBSTETRIC),COMPLETE | $200.00 |
| 76857 | ULTRASOUND PELVIC (NONOBSTETRIC), LIMITED OR FOLLOW-UP | $200.00 |
| 76870 | ULTRASOUND SCROTUM AND CONTENTS + 93975 ULTRASOUND DOPPLER ABDOMINAL, RENAL OR SCROTAL COMPLETE | $400.00 |
| 76882 | ULTRASOUND EXTREMITY, NONVASCULAR, LIMITED | $200.00 |
| CPT | Cardiac | Charge |
| 93306 | ULTRASOUND ADULT ECHOCARDIOGRAM COMPLETE | $450.00 |
| 93307 | ULTRASOUND ADULT ECHOCARDIOGRAM WITH OR WITHOUT M MODE | $450.00 |
| 93308 | ULTRASOUND ADULT ECHOCARDIOGRAM LIMITED OR FOLLOW UP | $450.00 |
| CPT | Vascular | Charge |
| 93880 | ULTRASOUND CAROTID DOPPLER BILATERAL | $300.00 |
| 93882 | ULTRASOUND CAROTID DOPPLER UNILATERAL | $300.00 |
| 93922 | ULTRASOUND ANKLE BRACHIAL INDEX | $200.00 |
| 93925 | ULTRASOUND LOWER EXTREMITY ARTERIAL DOPPLER BILATERAL | $300.00 |
| 93926 | ULTRASOUND LOWER EXTREMITY ARTERIAL DOPPLER UNILATERAL | $300.00 |
| 93930 | ULTRASOUND UPPER EXTREMITY ARTERIAL DOPPLER BILATERAL | $300.00 |
| 93931 | ULTRASOUND UPPER EXTREMITY ARTERIAL DOPPLER UNILATERAL | $300.00 |
| 93970 | ULTRASOUND UPPER OR LOWER EXTREMITY VENOUS DOPPLER BILATERAL | $300.00 |
| 93971 | ULTRASOUND UPPER OR LOWER EXTREMITY VENOUS DOPPLER UNILATERAL | $300.00 |
| 93975 | ULTRASOUND DOPPLER ABDOMINAL, RENAL OR SCROTAL COMPLETE | $300.00 |
| 93976 | ULTRASOUND DOPPLER ABDOMINAL, RENAL OR SCROTAL LIMITED | $300.00 |
*Procedure not listed above, please call (325) 692-4410
