Price of Complete Pelvic Ultrasound at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Complete Pelvic Ultrasound
Service Codes: LOCAL 2021154, CPT 76856
This procedure uses sound waves to create images of the pelvic organs, including the uterus and ovaries, to assess for any abnormalities or conditions affecting reproductive health.
Pricing Overview
Cash Price
$399.50
Median Price
$572.21
Price Range
$66.00 - $1,892.36
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| Anthem BCBS | Empire Plan, Value Options | $715.26 |
| Fidelis Care | Gold for Children (Exchange) | $1,281.32 |
| EmblemHealth | HIP Access II | $202.64 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $130.93 |
| EmblemHealth | GHI PPO | $153.09 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $747.43 |
| Aetna | Signature Administrators PPO | $443.43 |
| EmblemHealth | GHI composite | $153.09 |
| Aetna | Student Health | $443.43 |
| MagnaCare | Capital District Physicians Health Plan | $575.48 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $130.93 |
| EmblemHealth | IUOE Local 14-14B | $153.09 |
| EmblemHealth | American Plan Administrators | $153.09 |
| MultiPlan | Mutual of Omaha | $1,640.04 |
| Blue Cross Blue Shield | Indemnity | $715.26 |
| UnitedHealthcare | AARP | $130.93 |
| EmblemHealth | Essential Plan 1, 200-250 | $854.21 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $747.43 |
| EmblemHealth | Select Care Gold Exchange | $172.25 |
| Anthem BCBS | All Plans | $715.26 |
| EmblemHealth | CMO Essential Plan 1 | $854.21 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $172.25 |
| Partners Health Plan | Medicaid MLTC | $667.82 |
| MagnaCare | Cement & Concrete Workers District Council | $575.48 |
| EmblemHealth | Prime Silver | $172.25 |
| Fidelis Care | Essential Plan 2 | $1,530.46 |
| CenterLight | PACE Medicare HMO | $133.55 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $130.93 |
| EmblemHealth | HIP | $202.64 |
| EmblemHealth | Select Care Silver Exchange | $172.25 |
| VA Community Care Network | Optum | $130.93 |
| UnitedHealthcare | Choice | $446.00 |
| Fidelis Care | Bronze (Exchange) | $1,281.32 |
| BCBS (Out of State) | Indemnity | $715.26 |
| Healthfirst | Essential Plan 4 | $66.00 |
| Aetna | POS | $443.43 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $130.93 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $711.84 |
| Aetna | Chesterfield Resources ASA PPO | $443.43 |
| MetroPlus | Essential Plan 1 | $711.84 |
| MultiPlan | PPO | $1,640.04 |
| EmblemHealth | CMO Essential Plan 3 | $711.84 |
| Fidelis Care | Platinum (Exchange) | $1,281.32 |
| EmblemHealth | GHI Medicare HMO | $130.93 |
| Fidelis Care | Wellcare Medicare Advantage | $130.93 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $715.26 |
| Fidelis Care | Medicaid Managed Care | $882.68 |
| Healthfirst | Medicaid Managed Care | $66.00 |
| MetroPlus | Medicaid Managed Care | $711.84 |
| MetroPlus | BronzePlus | $124.77 |
| MultiPlan | US Life Insurance Co | $1,640.04 |
| Cigna | HMO | $307.91 |
| Blue Cross Blue Shield | Senior Care Supplemental | $130.93 |
| Fidelis Care | Essential Plan 4 | $882.68 |
| MetroPlus | Essential Plan 4 | $711.84 |
| Cigna | Great West HMO | $307.91 |
| Aetna | Open Access Elect Choice EPO | $443.43 |
| VNS Health | EasyCare (Medicare Advantage) | $130.93 |
| Blue Cross Blue Shield | Blue Priority HMO | $715.26 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $715.26 |
| Elderplan | FIDA | $130.93 |
| VNS Health | SelectHealth (Medicaid) | $667.82 |
| EmblemHealth | GHI Behavioral Management Program | $153.09 |
| EmblemHealth | Essential Plan 4 | $711.84 |
| MetroPlus | PlatinumPlus | $124.77 |
| EmblemHealth | Essential Plan 2 | $854.21 |
| EmblemHealth | Select Care Bronze Exchange | $172.25 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $960.99 |
| MagnaCare | JIB Employees Security Fund | $575.48 |
| MetroPlus | GoldPlus | $124.77 |
| MultiPlan | Guardian Life Insurance Co | $1,640.04 |
| Blue Cross Blue Shield | Pathway Enhanced | $854.21 |
| Aetna | Nippon Life ASA PPO | $443.43 |
| Veterans Choice | Veterans Choice Program | $130.93 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $854.21 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $960.99 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $711.84 |
| UnitedHealthcare | POMCO (UMR) | $446.00 |
| EmblemHealth | Select Care Silver Small Group | $172.25 |
| EmblemHealth | HIP VIP Medicare Reserve | $130.93 |
| EmblemHealth | Prime Bronze | $172.25 |
| Partners Health Plan | Medicaid | $667.82 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $130.93 |
| EmblemHealth | Select Care Healthcare Partners | $172.25 |
| MagnaCare | Direct Plus Preferred | $575.48 |
| Aetna | Christian Brothers ASA PPO | $443.43 |
| EmblemHealth | HIP compre health epo | $202.64 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $130.93 |
| Partners Health Plan | Medicare Advantage | $130.93 |
| MetroPlus | Medicare Advantage | $130.93 |
| Fidelis Care | Essential Plan 3 | $882.68 |
| Healthfirst | Essential Plan 3 | $66.00 |
| Elderplan | All Plans | $130.93 |
| MetroPlus | Essential Plan 3 | $711.84 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $130.93 |
| EmblemHealth | Select Care Platinum Small Group | $172.25 |
| VillageCareMAX | All Plans | $130.93 |
| MetroPlus | Essential Plan 1-2, 200-250 | $711.84 |
| EmblemHealth | Vytra HMO | $202.64 |
| MultiPlan | PHCS Savility | $1,640.04 |
| MultiPlan | Global Health Management | $1,640.04 |
| MagnaCare | Direct Plus | $575.48 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $747.43 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $711.84 |
| MultiPlan | PHP Healthcare (Champus) | $1,640.04 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $202.64 |
| MagnaCare | PPO | $575.48 |
| MagnaCare | American Plan Administrators | $575.48 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $446.00 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $153.09 |
| EmblemHealth | HIP Healthcare Partners HMO | $202.64 |
| HealthSmart | WTC Health Program - NYU | $130.93 |
| EmblemHealth | Select Care Basic Exchange | $172.25 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $130.93 |
| CenterLight | Select | $133.55 |
| Fidelis Care | Bronze for Children (Exchange) | $1,281.32 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $747.43 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $130.93 |
| Aetna | Starmark ASA PPO | $443.43 |
| EmblemHealth | Essential Plan 3 | $711.84 |
| Health Net | PPO | $1,640.04 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $130.93 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $130.93 |
| MetroPlus | Gold | $1,523.34 |
| Cigna | MVP-Cigna Network | $307.91 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $130.93 |
| 1199SEIU Funds | Home Care Benefit Fund | $456.30 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $711.84 |
| BCBS (Out of State) | Medicare | $130.93 |
| CenterLight | PACE | $133.55 |
| EmblemHealth | GHI Medicare PPO | $130.93 |
| MetroPlus | SilverPlus | $124.77 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $643.73 |
| UnitedHealthcare - Oxford | Metro | $314.00 |
| Anthem BCBS HealthPlus | Medicare Advantage | $130.93 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $854.21 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $715.26 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $572.21 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $747.43 |
| MultiPlan | Kaiser Permanente | $1,640.04 |
| Fidelis Care | Silver for Children (Exchange) | $1,281.32 |
| EmblemHealth | CMO Essential Plan 4 | $711.84 |
| Fidelis Care | Platinum for Children (Exchange) | $1,281.32 |
| EmblemHealth | Select Care PPOu00a0 | $172.25 |
| Fidelis Care | Child Health Plus (CHP) | $882.68 |
| Healthfirst | Child Health Plus (CHP) | $66.00 |
| MetroPlus | Child Health Plus (CHP) | $711.84 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $711.84 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $960.99 |
| MultiPlan | Humana Health Plan | $1,640.04 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $130.93 |
| Blue Cross Blue Shield | Pathway | $854.21 |
| HealthSmart | WTC Health Program - FDNY | $130.93 |
| MultiPlan | QualCare Inc | $1,640.04 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $1,423.69 |
| Aetna | PPO | $443.43 |
| MultiPlan | Paramount Insurance | $1,640.04 |
| BCBS (Out of State) | HMO | $715.26 |
| Aetna | Indemnity | $1,703.12 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $715.26 |
| 1199SEIU Funds | Member Choice Home Care Select | $456.30 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $711.84 |
| Aetna | Healthscope ASA PPO | $443.43 |
| EmblemHealth | HIP VIP Medicare Montefiore | $130.93 |
| Humana | All Commercial Plans | $1,640.04 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $960.99 |
| HealthSmart | WTC Health Program - NYCHHC | $130.93 |
| Cigna | NALC PPO | $307.91 |
| EmblemHealth | Prime Platinum | $172.25 |
| MagnaCare | JIB Members | $575.48 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $643.73 |
| VNS Health | Total (Medicare + Medicaid) | $130.93 |
| UnitedHealthcare | WTC Health Program | $130.93 |
| Cigna | Wellfleet Student | $307.91 |
| UnitedHealthcare | Optum Health | $446.00 |
| Blue Cross Blue Shield | Pathway X Enhanced | $854.21 |
| UnitedHealthcare | Student Resources | $446.00 |
| Aetna | Meritain Health | $443.43 |
| Anthem BCBS HealthPlus | Medicaid | $711.84 |
| MultiPlan | PHCS Director Guild | $1,640.04 |
| Cigna | Great West PPO | $307.91 |
| Blue Cross Blue Shield | Hotel Trades Council | $715.26 |
| UnitedHealthcare | Choice (NY Power Authority) | $446.00 |
| Hamaspik | Medicare Advantage | $196.39 |
| MultiPlan | Fiserv Health | $1,640.04 |
| BCBS (Out of State) | EPO | $715.26 |
| MultiPlan | Nippon Life | $1,640.04 |
| EmblemHealth | HIP SmartStart | $202.64 |
| CenterLight | Direct | $133.55 |
| EmblemHealth | BCBS GHI Composite | $715.26 |
| Senior Whole Health | All Plans | $130.93 |
| Horizon BCBS | Direct | $715.26 |
| MultiPlan | Administrative Concepts | $1,640.04 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $130.93 |
| Blue Cross Blue Shield | Federal Program | $715.26 |
| MetroPlus | MedPlus | $124.77 |
| Aetna | Global National Transplant | $443.43 |
| Fidelis Care | Native American (Exchange) | $1,281.32 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $715.26 |
| MultiPlan | Capital District Physicians Health Plan | $1,640.04 |
| UnitedHealthcare | EPO | $446.00 |
| Fidelis Care | Silver 250 (Exchange) | $1,281.32 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $711.84 |
| EmblemHealth | Enhanced Care (Medicaid) | $711.84 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $711.84 |
| Aetna | Coresource ASA PPO | $443.43 |
| HealthSmart | WTC Health Program - Mt. Sinai | $130.93 |
| MetroPlus | Essential Plan 2 | $711.84 |
| UnitedHealthcare - Oxford | Freedom | $314.00 |
| MetroPlus | GoldCare 2 | $1,523.34 |
| VNS Health | MLTC (Medicaid) | $667.82 |
| MultiPlan | Screen Actors Guild | $1,640.04 |
| Cigna | Tufts Health Plan | $307.91 |
| Fidelis Care | Essential Plan 1 | $1,530.46 |
| EmblemHealth | HIP compre health | $202.64 |
| UnitedHealthcare | POMCO (UMR) | $1,640.04 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $130.93 |
| EmblemHealth | Select Care Bronze Small Group | $172.25 |
| Amida Care | Medicaid Managed Care | $69.09 |
| BCBS (Out of State) | POS | $715.26 |
| UnitedHealthcare | POS | $446.00 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $1,423.69 |
| Blue Cross Blue Shield | Local 32 BJ | $715.26 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $747.43 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $854.21 |
| Fidelis Care | Gold (Exchange) | $1,281.32 |
| Anthem BCBS | Optum | $715.26 |
| Aetna | Wellnet ASA PPO | $443.43 |
| Sedgwick | WTC Health Program - Northwell | $130.93 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $307.91 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $572.21 |
| MultiPlan | Healthnet of California | $1,640.04 |
| First Health | Commercial HMO | $1,766.20 |
| MultiPlan | PHCS | $1,640.04 |
| EmblemHealth | CMO Essential Plan 2 | $854.21 |
| Healthfirst | Essential Plan 3-4 | $66.00 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $572.21 |
| MetroPlus | Essential Plan 3-4 | $711.84 |
| Cigna | PPO | $307.91 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $643.73 |
| MultiPlan | Principal Financial Group | $1,640.04 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $747.43 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $715.26 |
| EmblemHealth | Prime Gold | $172.25 |
| EmblemHealth | Healthcare Partners Essential Plans | $854.21 |
| UnitedHealthcare | Medicare Advantage | $130.93 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $130.93 |
| EmblemHealth | Select Care Gold Small Group | $172.25 |
| UnitedHealthcare | Golden Rule Insurance | $446.00 |
| Fidelis Care | Silver (Exchange) | $1,281.32 |
| EmblemHealth | Select Care Platinum Exchange | $172.25 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $130.93 |
| Blue Cross Blue Shield | HMO | $715.26 |
| MagnaCare | Independent Care Plus | $575.48 |
| Blue Cross Blue Shield | Blue Connection | $715.26 |
| Cigna | Open Access | $307.91 |
| Cigna | Open Access PPO | $307.91 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $130.93 |
| Blue Cross Blue Shield | Healthy New York | $715.26 |
| EmblemHealth | Select Care HMO | $172.25 |
| Fidelis Care | Catastrophic (Exchange) | $1,281.32 |
| EmblemHealth | HIP PPO | $202.64 |
| UnitedHealthcare | Core | $446.00 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $711.84 |
| Cigna | Open Access HMO | $307.91 |
| UnitedHealthcare | Navigate | $446.00 |
| EmblemHealth | Select Care EPO | $172.25 |
| EmblemHealth | Bridge | $202.64 |
| EmblemHealth | HIP Medicare Supplement | $130.93 |
| UnitedHealthcare | Charter | $446.00 |
| Blue Cross Blue Shield | EPO | $715.26 |
| EmblemHealth | HIP Prime Basic | $172.25 |
| Riverspring Health Plans | Medicare Advantage | $130.93 |
| Better Health Plan | All Plans | $1,766.20 |
| EmblemHealth | GHI HMO | $153.09 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $747.43 |
| Partners Health Plan | FIDA | $130.93 |
| MagnaCare | National Health Plan | $575.48 |
| Healthfirst | Senior Health Partners (MLTC) | $66.00 |
| Cigna | Premier Plus | $307.91 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $747.43 |
| MultiPlan | AXA Global Insurance | $1,640.04 |
| Healthfirst | Personal Wellness Plan (HARP) | $66.00 |
| Cigna | Indemnity | $307.91 |
| HealthSmart | WTC Health Program - Stony Brook | $130.93 |
| UnitedHealthcare - Oxford | Optum Health | $314.00 |
| Blue Cross Blue Shield | UniCare | $715.26 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $747.43 |
| Cigna | LifeSOURCE | $307.91 |
| UnitedHealthcare - Oxford | Liberty | $314.00 |
| UnitedHealthcare - Oxford | Medicare Advantage | $130.93 |
| BCBS (Out of State) | POS (Suitcase Logo) | $715.26 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $715.26 |
| Anthem BCBS HealthPlus | All Exchange Plans | $854.21 |
| UnitedHealthcare | HMO | $446.00 |
| EmblemHealth | HIP Optum Health | $202.64 |
| Cigna | Cigna Managed Care/POS | $307.91 |
| EmblemHealth | HIP Montefiore | $202.64 |
| EmblemHealth | HIP VIP Medicare Affinity | $130.93 |
| AgeWell (Deprecated) | Medicare Advantage | $130.93 |
| HealthSmart | WTC Health Program - Northwell | $130.93 |
| MultiPlan | Meritain Health | $1,640.04 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $572.21 |
| EmblemHealth | HIP Access I | $202.64 |
| Cigna | Evernorth Behavioral Health | $307.91 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $643.73 |
| Centers Plan for Healthy Living | All Plans | $130.93 |
| EmblemHealth | WLNY-TV | $153.09 |
| Aetna | Open Access HMO | $443.43 |
| MultiPlan | Diversified Admin Corp | $1,640.04 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $711.84 |
| Blue Cross Blue Shield | POS | $715.26 |
| Blue Cross Blue Shield | Global Transplants | $715.26 |
| Aetna | HMO | $443.43 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $130.93 |
| EmblemHealth | HIP EPO | $202.64 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $667.82 |
| Blue Cross Blue Shield | PPO | $715.26 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $715.26 |
| EmblemHealth | HIP HMO | $202.64 |
| GEHA | All Plans | $443.43 |
| EmblemHealth | GHI Medicare Supplement | $130.93 |
| MultiPlan | Teamsters Allied Benefits | $1,640.04 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $711.84 |
| EmblemHealth | GHI EPO | $153.09 |
| Blue Cross Blue Shield | Blue Priority PPO | $715.26 |
| EmblemHealth | HIP POS | $202.64 |
| Three Rivers | All Plans (Home-based Only) | $1,892.36 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $572.21 |
| First Health | PPO | $1,640.04 |
| MultiPlan | Global Excel Management | $1,640.04 |
| AgeWell (Deprecated) | Medicaid Managed Care | $667.82 |
| UnitedHealthcare | Independent | $446.00 |
| Aetna | Medicare Advantage | $130.93 |
| BCBS (Out of State) | PPO | $715.26 |
| UnitedHealthcare | PPO | $446.00 |
| EmblemHealth | HIP VIP Medicare Bold | $130.93 |
| Healthfirst | Personal Wellness Plan (HARP) | $667.82 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $715.26 |
| 1199SEIU Funds | PPO | $456.30 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $153.09 |
| Champus | Unysis Corp | $130.93 |
| Aetna | Allied ASA PPO | $443.43 |
| EmblemHealth | HIP Child Health Plus | $711.84 |