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

Ultrasound guidance used during surgery

CPT 76998the billing code this page is about

Real-time ultrasound imaging performed during an operation to guide the surgeon; this code covers the imaging guidance only, not the surgical procedure itself.

Hospitals typically charge $535 cash for this outpatient procedure — the median across 2,272 hospitals that filed a usable cash price; the average of the middle 60% is $558. Most fall between $254 and $985 (20th–80th percentile).

Hospitals
2,272
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 2,272 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
$156$303$535$862$1,534

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($156 vs $1,534).

How the prices are spread

$102 – $138: 80 hospitals$102$138 – $186: 114 hospitals$186 – $252: 150 hospitals$186$252 – $341: 225 hospitals$341 – $462: 255 hospitals$341$462 – $626: 418 hospitals$626 – $848: 319 hospitals$626$848 – $1,148: 230 hospitals$1,148 – $1,554: 156 hospitals$1,148$1,554 – $2,104: 105 hospitals$1,554median $535price bands are equal on a log scale
Hospitals per price band (2,052 of 2,272 — the bands cover the 5th to 95th percentile)
FromToHospitals
$102$13880
$138$186114
$186$252150
$252$341225
$341$462255
$462$626418
$626$848319
$848$1,148230
$1,148$1,554156
$1,554$2,104105

By state

The median cash price in each state, against the national median of $535.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $362 across 15 hospitalsME$362Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $593 across 14 hospitalsNH$593Washington: median $499 across 48 hospitalsWA$499Idaho: median $543 across 14 hospitalsID$543Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $603 across 59 hospitalsMN$603Illinois: median $563 across 91 hospitalsIL$563Wisconsin: median $385 across 89 hospitalsWI$385Michigan: median $503 across 65 hospitalsMI$503New York: median $315 across 82 hospitalsNY$315Massachusetts: median $546 across 41 hospitalsMA$546Oregon: median $502 across 37 hospitalsOR$502Nevada: median $405 across 14 hospitalsNV$405Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $814 across 12 hospitalsSD$814Iowa: median $517 across 42 hospitalsIA$517Indiana: median $465 across 80 hospitalsIN$465Ohio: median $559 across 108 hospitalsOH$559Pennsylvania: median $487 across 94 hospitalsPA$487New Jersey: median $475 across 34 hospitalsNJ$475Connecticut: median $470 across 16 hospitalsCT$470Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $628 across 182 hospitalsCA$628Utah: median $697 across 35 hospitalsUT$697Colorado: median $547 across 47 hospitalsCO$547Nebraska: median $610 across 37 hospitalsNE$610Missouri: median $650 across 49 hospitalsMO$650Kentucky: median $632 across 36 hospitalsKY$632West Virginia: median $437 across 22 hospitalsWV$437Virginia: median $492 across 45 hospitalsVA$492Maryland: median $313 across 32 hospitalsMD$313Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $391 across 39 hospitalsAZ$391New Mexico: median $431 across 15 hospitalsNM$431Kansas: median $419 across 32 hospitalsKS$419Arkansas: median $261 across 12 hospitalsAR$261Tennessee: median $284 across 44 hospitalsTN$284North Carolina: median $441 across 71 hospitalsNC$441South Carolina: median $696 across 35 hospitalsSC$696Oklahoma: median $222 across 36 hospitalsOK$222Louisiana: median $241 across 40 hospitalsLA$241Mississippi: median $273 across 34 hospitalsMS$273Alabama: median $397 across 26 hospitalsAL$397Georgia: median $810 across 63 hospitalsGA$810Hawaii: median $436 across 15 hospitalsHI$436Texas: median $656 across 184 hospitalsTX$656Florida: median $1,060 across 136 hospitalsFL$1,060
Cash price by state, most expensive first. National median $535. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL136$1,060+98%$472 – $2,443
South Dakota SD12$814+52%$612 – $1,018
Georgia GA63$810+52%$567 – $1,025
Utah UT35$697+30%$634 – $820
South Carolina SC35$696+30%$524 – $859
Texas TX184$656+23%$358 – $1,525
Missouri MO49$650+22%$383 – $1,121
Kentucky KY36$632+18%$237 – $862
California CA182$628+18%$334 – $1,545
Nebraska NE37$610+14%$315 – $685
Minnesota MN59$603+13%$325 – $850
New Hampshire NH14$593+11%$352 – $1,392
Illinois IL91$563+5%$274 – $1,379
Ohio OH108$559+5%$386 – $834
Colorado CO47$547+2%$433 – $637
Massachusetts MA41$546+2%$317 – $891
Idaho ID14$543+2%$390 – $1,099
Iowa IA42$517−3%$306 – $758
Michigan MI65$503−6%$264 – $851
Oregon OR37$502−6%$238 – $569
Washington WA48$499−7%$300 – $960
Virginia VA45$492−8%$308 – $895
Pennsylvania PA94$487−9%$184 – $1,401
New Jersey NJ34$475−11%$207 – $1,127
Connecticut CT16$470−12%$177 – $845
Indiana IN80$465−13%$162 – $575
North Carolina NC71$441−18%$319 – $625
West Virginia WV22$437−18%$291 – $569
Hawaii HI15$436−19%$189 – $739
New Mexico NM15$431−19%$199 – $576
Kansas KS32$419−22%$204 – $615
Nevada NV14$405−24%$221 – $1,330
Alabama AL26$397−26%$230 – $1,109
Arizona AZ39$391−27%$221 – $2,217
Wisconsin WI89$385−28%$293 – $557
Maine ME15$362−32%$128 – $925
New York NY82$315−41%$167 – $774
Maryland MD32$313−42%$214 – $401
Tennessee TN44$284−47%$102 – $881
Mississippi MS34$273−49%$144 – $341
Arkansas AR12$261−51%$253 – $569
Louisiana LA40$241−55%$145 – $497
Oklahoma OK36$222−58%$152 – $580
Montana MT8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Delaware DE6not 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 $535.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,852$547$266 – $1,026
Children’s59$599$410 – $1,586
Critical access352$491$215 – $783
Ownership
For-profit315$821$383 – $2,107
Government282$464$197 – $810
Non-profit1,666$512$250 – $891
System affiliation
Part of a system1,962$550$273 – $1,003
Independent310$406$165 – $827

Cash price vs list price

Median list price (chargemaster)$912
Median cash price$535
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

1,671 hospitals filed a usable inpatient cash price for this code. The median is $557 and the average of the middle 60% is $583; most fall between $290 and $977.

Cash price percentiles, inpatient, across 1,671 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
$171$321$557$879$1,386

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($171 vs $1,386).

Of the 1,847 hospitals that filed this code inpatient, 1,671 gave a usable cash price; 89 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 87 a list price only.

How complete is this

2,272 of the 3,956 hospitals with a price file in our corpus (57%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,566 hospitals that filed this code at all gave us
Usable cash price — counted2,272
Cash price carrying a plausibility flag — shown on the compare tool, excluded here145
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded145
Hospitals that filed this code2,566

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Ultrasonic Guidance Intraoperative.

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, “Ultrasound guidance used during surgery (CPT 76998) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-76998-ultrasound-guidance-used-during-surgery