Ultrasound Transvaginal price: Medicare anchor and facility lever
Anchor for Ultrasound Transvaginal - CPT 76830
$115.68
Professional (26) $33.01 plus technical (TC) $82.67.
Hospital OPPS facility anchor, this code billed alone: $106.81 (APC 5522, Level 2 Imaging without Contrast; national unadjusted, before wage-index adjustment).
CPT 76830 is the transvaginal ultrasound for non-pregnancy indications. Pregnancy ultrasounds use a separate family of codes, so a quote for 76830 does not cover an obstetric study. It is also often paired with the abdominal pelvic study at the same visit.
CPT code
76830
Ultrasound, transvaginal
CPT 76830 is the transvaginal study. A complete pelvic (abdominal approach) study is 76856. Both are sometimes ordered together, which means two code lines on the quote.
The codes this visit can be billed under
| CPT | PFS office or global | PFS facility (professional) | Global period | Hospital single-service APC | Minimum Medicare copay at hospital |
|---|---|---|---|---|---|
| 76830 (this page) | $115.68 | $115.68 | not a surgical global | $106.81 (APC 5522) | $21.37 |
| 76856 | $103.52 | $103.52 | not a surgical global | $106.81 (APC 5522) | $21.37 |
In CY2026 the hospital single-service APC for 76830 is 5522 at $106.81, with a minimum unadjusted copayment of $21.37. The global fee schedule anchor at an office or imaging center is $115.68, with $33.01 of it for the interpretation.
Because the hospital facility line and the office global amount are close in dollars for this code, the reading fee is what most often separates two quotes, and when 76830 is paired with the abdominal pelvic study, the other common reason is that one quote includes both codes and the other only one. Compare quotes code by code.
Inside and outside the 76830 anchor
Covered by the anchor
- Sonographer time and image acquisition
- Interpreting physician interpretation and written report
- Standard image storage
Billed outside it
- A complete pelvic study billed under 76856 when also performed
- The ordering visit and follow-up visit
- Repeat or limited follow-up scans billed separately
Why prices vary for CPT 76830
CMS Addendum B lists 76830 with status indicator S and assigns it to single-service APC 5522, rather than to an imaging composite. A hospital bills that facility amount plus the reading physician's fee; an office or imaging center usually bills one global amount that includes both.
Ask whether one study or two are ordered, which CPT codes will be billed, and whether the quote is global or split between facility and professional.
Questions specific to Transvaginal ultrasound
- Is this study ordered alone, or with the abdominal pelvic study (76856)?
- Is the order for a non-obstetric study, which is what 76830 covers?
- Is the reading physician's fee inside the quoted price?
- Will a hospital facility charge apply at this location?
Ultrasound Transvaginal: billing questions
Does 76830 cover an ultrasound during pregnancy?
No. Obstetric ultrasounds use separate codes with their own anchors. 76830 is the non-obstetric transvaginal study.
Why are the hospital and office anchors close for this code?
In CY2026 the hospital single-service APC amount and the office global amount for 76830 are near each other. The difference in a hospital quote usually comes from the separate reading fee and any facility markup.
Will I get two bills if both pelvic ultrasounds are done?
You can. Each study is its own code, and in a hospital the reading physician may also bill separately for each. Ask for the price of the pair in writing.
What is the minimum Medicare hospital copayment for 76830?
The CY2026 OPPS Addendum B lists 76830 at APC 5522 with a minimum unadjusted copayment of $21.37, before wage-index adjustment. The reading physician's coinsurance is separate.