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Procedure price report · Other diagnostic ultrasound or optical coherence tomography (OCT)

Fetal well-being ultrasound with nonstress test

CPT 76818the billing code this page is about

Ultrasound scoring of fetal movement, breathing, tone, and fluid, combined with a nonstress test that monitors the fetal heart rate.

Hospitals typically charge $449 cash for this outpatient procedure — the median across 2,340 hospitals that filed a usable cash price; the average of the middle 60% is $490. Most fall between $224 and $938 (20th–80th percentile).

Hospitals
2,340
States
50
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,340 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$133$263$449$808$1,361

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($133 vs $1,361).

How the prices are spread

$106 – $140: 138 hospitals$106$140 – $186: 126 hospitals$186 – $248: 156 hospitals$186$248 – $329: 263 hospitals$329 – $437: 351 hospitals$329$437 – $580: 291 hospitals$580 – $771: 283 hospitals$580$771 – $1,024: 227 hospitals$1,024 – $1,360: 154 hospitals$1,024$1,360 – $1,806: 118 hospitals$1,360median $449price bands are equal on a log scale
Hospitals per price band (2,107 of 2,340 — the bands cover the 5th to 95th percentile)
FromToHospitals
$106$140138
$140$186126
$186$248156
$248$329263
$329$437351
$437$580291
$580$771283
$771$1,024227
$1,024$1,360154
$1,360$1,806118

Against Medicare

Medicare pays (OPPS 2026, national rate)$107
Median cash price$449
Cash as a multiple of Medicare4.2×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $449.

Alaska: median $868 across 14 hospitalsAK$868Maine: median $350 across 11 hospitalsME$350Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $528 across 15 hospitalsNH$528Washington: median $410 across 55 hospitalsWA$410Idaho: median $441 across 19 hospitalsID$441Montana: median $372 across 14 hospitalsMT$372North Dakota: median $337 across 20 hospitalsND$337Minnesota: median $458 across 59 hospitalsMN$458Illinois: median $565 across 86 hospitalsIL$565Wisconsin: median $490 across 79 hospitalsWI$490Michigan: median $363 across 62 hospitalsMI$363New York: median $254 across 92 hospitalsNY$254Massachusetts: median $442 across 35 hospitalsMA$442Oregon: median $434 across 33 hospitalsOR$434Nevada: median $454 across 14 hospitalsNV$454Wyoming: median $465 across 13 hospitalsWY$465South Dakota: median $754 across 14 hospitalsSD$754Iowa: median $455 across 53 hospitalsIA$455Indiana: median $398 across 77 hospitalsIN$398Ohio: median $477 across 105 hospitalsOH$477Pennsylvania: median $394 across 84 hospitalsPA$394New Jersey: median $147 across 50 hospitalsNJ$147Connecticut: median $268 across 18 hospitalsCT$268Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $670 across 174 hospitalsCA$670Utah: median $415 across 37 hospitalsUT$415Colorado: median $486 across 50 hospitalsCO$486Nebraska: median $484 across 48 hospitalsNE$484Missouri: median $534 across 57 hospitalsMO$534Kentucky: median $451 across 39 hospitalsKY$451West Virginia: median $229 across 27 hospitalsWV$229Virginia: median $477 across 51 hospitalsVA$477Maryland: median $728 across 27 hospitalsMD$728Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $409 across 31 hospitalsAZ$409New Mexico: median $676 across 18 hospitalsNM$676Kansas: median $366 across 38 hospitalsKS$366Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $235 across 49 hospitalsTN$235North Carolina: median $366 across 76 hospitalsNC$366South Carolina: median $598 across 44 hospitalsSC$598Oklahoma: median $280 across 30 hospitalsOK$280Louisiana: median $228 across 33 hospitalsLA$228Mississippi: median $234 across 35 hospitalsMS$234Alabama: median $317 across 30 hospitalsAL$317Georgia: median $569 across 78 hospitalsGA$569Hawaii: median $383 across 13 hospitalsHI$383Texas: median $542 across 173 hospitalsTX$542Florida: median $998 across 134 hospitalsFL$998
Cash price by state, most expensive first. National median $449. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL134$998+122%$364 – $2,196
Alaska AK14$868+93%$407 – $1,240
South Dakota SD14$754+68%$687 – $1,062
Maryland MD27$728+62%$568 – $939
New Mexico NM18$676+51%$323 – $900
California CA174$670+49%$322 – $1,423
South Carolina SC44$598+33%$203 – $942
Georgia GA78$569+27%$130 – $947
Illinois IL86$565+26%$282 – $1,235
Texas TX173$542+21%$380 – $1,731
Missouri MO57$534+19%$322 – $843
New Hampshire NH15$528+18%$255 – $856
Wisconsin WI79$490+9%$313 – $720
Colorado CO50$486+8%$328 – $818
Nebraska NE48$484+8%$277 – $685
Ohio OH105$477+6%$222 – $758
Virginia VA51$477+6%$276 – $922
Wyoming WY13$465+4%$345 – $731
Minnesota MN59$458+2%$239 – $690
Iowa IA53$455+1%$279 – $769
Nevada NV14$454+1%$138 – $816
Kentucky KY39$4510%$237 – $943
Massachusetts MA35$442−2%$283 – $799
Idaho ID19$441−2%$227 – $565
Oregon OR33$434−3%$218 – $776
Utah UT37$415−8%$353 – $899
Washington WA55$410−9%$330 – $683
Arizona AZ31$409−9%$266 – $1,127
Indiana IN77$398−11%$134 – $611
Pennsylvania PA84$394−12%$119 – $1,022
Hawaii HI13$383−15%$142 – $493
Montana MT14$372−17%$248 – $523
North Carolina NC76$366−18%$278 – $651
Kansas KS38$366−19%$180 – $692
Michigan MI62$363−19%$226 – $930
Maine ME11$350−22%$170 – $858
North Dakota ND20$337−25%$261 – $393
Alabama AL30$317−29%$154 – $453
Oklahoma OK30$280−38%$235 – $507
Connecticut CT18$268−40%$224 – $518
New York NY92$254−43%$126 – $756
Tennessee TN49$235−48%$130 – $362
Mississippi MS35$234−48%$137 – $330
West Virginia WV27$229−49%$141 – $436
Louisiana LA33$228−49%$112 – $518
New Jersey NJ50$147−67%$121 – $571
Arkansas AR9not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $449.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,862$450$217 – $987
Children’s26$656$367 – $1,080
Critical access444$436$239 – $757
Ownership
For-profit342$728$261 – $2,131
Government357$363$203 – $694
Non-profit1,633$441$224 – $846
System affiliation
Part of a system2,002$463$232 – $947
Independent338$361$194 – $736

Cash price vs list price

Median list price (chargemaster)$802
Median cash price$449
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,645 hospitals filed a usable inpatient cash price for this code. The median is $477 and the average of the middle 60% is $510; most fall between $255 and $915.

Cash price percentiles, inpatient, across 1,645 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$152$296$477$808$1,205

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($152 vs $1,205).

Of the 1,833 hospitals that filed this code inpatient, 1,645 gave a usable cash price; 108 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 80 a list price only.

How complete is this

2,340 of the 3,956 hospitals with a price file in our corpus (59%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,598 hospitals that filed this code at all gave us
Usable cash price — counted2,340
Cash price carrying a plausibility flag — shown on the compare tool, excluded here165
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded92
Hospitals that filed this code2,598

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other diagnostic ultrasound or optical coherence tomography (OCT) family.

Hospitals file this code under descriptions such as Fetal Biophysical Profile Non-Stress Testing|PROFESSIONAL COMPONENT.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Fetal well-being ultrasound with nonstress test (CPT 76818) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-76818-fetal-well-being-ultrasound-with-nonstress-test