Diagnostic Ultrasound Exams – Self Pay Pricing
Procedure
Code(s)
Self Pay Price
Abdomen (complete)
76700
$145
Abdomen (limited)
76705
$135
Abdominal Vascular (Liver or Renal Doppler)
93975
$195
ABI
93922
$50
Aorta
93976
$75
Arterial Doppler (Bilateral)
93925
$195
Arterial Doppler (Unilateral)
93926
$150
Biophysical Profile (BPP) + Growth + Fetal Doppler
76819+76816+76820
$150
Biophysical Profile (BPP) + Fetal Doppler
76819+76820
$120
Breast (Unilateral: RT/LT)
76641, RT/LT
$175
Breast (Bilateral)
76641, 50
$195
Carotid Doppler
93880
$175
Echocardiogram
93306
$290
OB Growth
76816
$145
OB Limited (Dating Only)
76801
$145
OB + Transvaginal (< 14 weeks)
76801+76817
$195
OB Diagnostic/Anatomy Scan (18+wks)
76805
$175
OB Diagnostic/Anatomy Scan (18+wks) – Twins
76805+76810
$215
OB Follow-up
76815
$145
Pelvic (Male/Female)
76856
$140
Pelvic + Transvaginal
76856+76830
$195
Renal
76770
$135
Soft Tissue
76881
$130
Testicular w/ Doppler
76870+93975
$150
Thyroid
76536
$125
Transvaginal – Non-OB
76830
$135
Transvaginal – OB
76817
$145
Transvaginal – IVF
76830
$140
Venous Doppler (Bilateral)
93970
$195
Venous Doppler (Unilateral)
93971
$150
Version:
US 05302025
Insurances We Accept
We currently accept the following insurance providers:
Aetna
Cigna
Medicare
Blue Cross Blue Shield
Community Health Choice
Sana Benefits
* Insurance verification is required prior to your appointment to confirm In-Network status for your plan.
* Payment plans may be available. We also accept CareCredit.
* Important: We do not accept all insurance plans.
Important Appointment Policies
□ Online Appointments: All online appointments must be verbally confirmed by our staff before you will be seen.
□ Doctor's Order & Insurance: A valid Doctor's Order is required for any Diagnostic exam. Please verify your insurance with our staff before your appointment. Failure to do so may result in delays or rescheduling.
□ Children in the Office: Children must be accompanied by an adult in the waiting area. Those under 5 must have an additional adult present inside the exam room. For Diagnostic Exams, children under age 7 are not allowed in the exam room unless they are the patient.
Our staff is not responsible for supervising children in the waiting area.
❗ No-Show Policy: A $10 No-Show fee is required at the time of rescheduling if you miss a scheduled appointment without canceling. Avoid this by canceling at least 4 hours in advance.
□ Payment in full is required to reschedule any previous No-Show appointment.
□ Self-Pay Pricing: Covers the ultrasound exam and final Radiologist/Cardiologist report. These prices are for self-pay patients only and do not apply to insurance billing.
Effective date for current pricing: January 5, 2023. Outdated forms with old pricing will not be honored.
□ Requesting Your Images: Let us know if you would like a copy of your ultrasound on a CD. Please allow 24–48 hours after your appointment for processing. We do not mail out CDs.
□ ID & Insurance: All patients must bring a valid photo ID and their current insurance card to the appointment. This is necessary for verification and billing.
□️ Military & Veterans: Show your Military or Veteran ID for a 10% discount. Note: A DD-214 is not accepted as valid ID (per Christopher Merkel, Owner/Veteran).
□ Checks Not Accepted: Please come prepared with an alternate form of payment. We do not accept personal or business checks.