Us Exam Pelvic Complete: What It Costs and What's Fair
CPT 76856 · Medicare rate: $105 · National avg charge: $1,309 · BillKarma data from 17 providers
Reviewed 2026-04-05 · Pricing data year: 2026
Estimates assume 20% coinsurance after deductible. Actual costs depend on your plan's negotiated rates, coinsurance, and out-of-pocket maximum. .
Your Insurance Plan
Us Exam Pelvic Complete (CPT 76856) is a diagnostic imaging scan that gives physicians detailed views of internal structures without surgery. It is typically ordered to evaluate an injury, disease, or condition that cannot be fully assessed through a physical exam alone. The scan usually takes 15 to 60 minutes to complete.
Cost by Billing Grade
| Grade | Avg Hospital Charge | Medicare Rate | Est. Patient Cost* | Hospitals |
|---|---|---|---|---|
| D | $800 | $105 | $160 | 2 |
| F | $1,377 | $105 | $275 | 15 |
*Estimated patient cost assumes 20% coinsurance after deductible is met. Actual cost depends on your specific plan, deductible status, and network.
Cost Range Across Hospitals
What This Procedure Typically Costs by Facility Type
Find Providers Near You for This Procedure
Showing 10 lowest-markup providers nationally across hospitals, surgery centers, and imaging centers. Enter ZIP code to compare local providers side by side.
| Provider | Type | Location | Grade | Charge | Benchmark | Markup |
|---|---|---|---|---|---|---|
| AdventHealth East Orlando | Hospital | Orlando, FL | D | $519 |
$105
Medicare OPPS
|
4.9x |
| AdventHealth Gordon | Hospital | CALHOUN, GA | F | $787 |
$105
Medicare OPPS
|
7.5x |
| AdventHealth Hendersonville | Hospital | Hendersonville, NC | F | $833 |
$105
Medicare OPPS
|
7.9x |
| AdventHealth Kissimmee | Hospital | Orlando, FL | F | $943 |
$105
Medicare OPPS
|
9.0x |
| AdventHealth Celebration | Hospital | CELEBRATION, FL | F | $943 |
$105
Medicare OPPS
|
9.0x |
| AdventHealth Orlando | Hospital | Tampa, FL | F | $943 |
$105
Medicare OPPS
|
9.0x |
| AdventHealth Rollins Brook | Hospital | LAMPASAS, TX | F | $969 |
$105
Medicare OPPS
|
9.2x |
| AdventHealth Ocala | Hospital | OCALA, FL | D | $1,082 |
$105
Medicare OPPS
|
10.3x |
| AdventHealth Daytona Beach | Hospital | Daytona Beach, FL | F | $1,189 |
$105
Medicare OPPS
|
11.3x |
| AdventHealth Palm Coast | Hospital | Tampa, FL | F | $1,219 |
$105
Medicare OPPS
|
11.6x |
What Is a Fair Price for This Procedure?
Medicare pays $105 for Us Exam Pelvic Complete (CPT 76856). This rate is set by CMS based on the actual cost of delivering the procedure, including physician time, overhead, and equipment. It's the most reliable national benchmark for what the procedure is worth.
A hospital charging $210 (2x Medicare) or less earns an A billing grade — these are the most fairly priced facilities for this procedure. The national average charge is $1,309 (12.4x Medicare).
If your bill shows more than $316 (3x Medicare) for this procedure, it may be worth reviewing the charges carefully. Upload your bill to check →
Frequently Asked Questions
Why does Us Exam Pelvic Complete cost so much more at some hospitals than others?
Can I shop around for Us Exam Pelvic Complete if my doctor ordered it?
What should I do if I received a bill for Us Exam Pelvic Complete that seems high?
Related Procedures
- MRI Lumbar Spine W/O Dye · avg $2,269
- MRI Neck Spine W/O Dye · avg $2,213
- Wrist MRI · avg $1,983
Need This Scheduled Soon?
Compare hospitals and surgery centers before you book this procedure.
Browse graded facilities →Got a Bill for This Procedure?
Upload your bill to check for errors and overcharges against federal rates.
Scan My Bill Free →