Ultrasound Cost in Utica, NY (2026): Average Prices & What You'll Pay
What does a ultrasound cost in Utica, NY?
You could pay $61 or $286 for the same ultrasound in Utica, NY - depending entirely on which facility you choose. The median cash price across 5 reporting hospitals is $67. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Three low-priced facilities in Utica, NY, from hospital price files
- OVERLAND PARK REGIONAL MEDICAL CENTER · Olathe, NY $59
- MVHS, Inc. $67
- Rome Memorial Hospital $341
All 5 facilities are listed below, free.
The same ultrasound can be one bill or two - and the radiologist can be out-of-network even when the facility isn't.
Your personalized cost report includes:
- ✓ Why a facility splits into a technical bill and a separate radiologist bill (and an office bills one global fee)
- ✓ How the radiologist who reads your images can be out-of-network even at an in-network facility
- ✓ Why a hospital outpatient department costs far more than an independent imaging center
- ✓ How a complete vs. limited study changes the price - and the questions to ask first
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.
Cheapest Ultrasound Providers in Utica, NY
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | OVERLAND PARK REGIONAL MEDICAL CENTER | Olathe, NY | $59 | -$8 |
| 2 | MVHS, Inc. | NY | $67 | +$0 |
| 3 | Rome Memorial Hospital | NY | $341 | +$274 |
| 4 | Childrens Hospital Colorado | Aurora, NY | $624 | +$557 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- OVERLAND PARK REGIONAL MEDICAL CENTER is the lowest-cost option at $59 - $8 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $67, and it's often lower than what insurance pays before your deductible is satisfied.
- Independent imaging centers often charge much less than hospital outpatient departments for the same scan and may not appear in this hospital-only dataset - ask your doctor whether one is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $107 to $107 | $107 |
| With insurance (commercial, average) | 4 | $73 to $499 | $177 |
| Without insurance (cash price) | 5 | $55 to $511 | $67 |
| Empire BlueCross BlueShield | 3 | $86 to $558 | $219 |
| Aetna | 3 | $102 to $639 | $123 |
| Cigna | 3 | $90 to $525 | $130 |
| Humana | 3 | $193 to $564 | $477 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does an ultrasound cost with Medicare in Utica, NY?
Medicare's national hospital outpatient payment for ultrasound is about $107 to $107 (typically near $107). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $21 on a $107 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does an ultrasound cost with insurance in Utica, NY?
Across 4 Utica, NY hospitals, the negotiated rates commercial insurers pay for ultrasound average $73 to $499 per hospital, with a median near $177. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does an ultrasound cost without insurance in Utica, NY?
Cash (self-pay) prices for ultrasound at 5 Utica, NY hospitals range from $55 to $511, with a median of $67. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does an ultrasound cost with Empire BlueCross BlueShield in Utica, NY?
Empire BlueCross BlueShield negotiated rates for ultrasound at 3 Utica, NY hospitals range from $86 to $558, with a median near $219. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does an ultrasound cost with Aetna in Utica, NY?
Aetna negotiated rates for ultrasound at 3 Utica, NY hospitals range from $102 to $639, with a median near $123. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How much does an ultrasound cost with Cigna in Utica, NY?
Cigna negotiated rates for ultrasound at 3 Utica, NY hospitals range from $90 to $525, with a median near $130. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How much does an ultrasound cost with Humana in Utica, NY?
Humana negotiated rates for ultrasound at 3 Utica, NY hospitals range from $193 to $564, with a median near $477. If a hospital is out of network for your Humana plan, you may owe more than the negotiated rate, so check the network first.
New York has some of the highest hospital prices in the country, driven by extreme labor costs, regulatory complexity, and the dominance of large academic medical systems - NewYork-Presbyterian, NYU Langone, Northwell, and Mount Sinai all command substantial commercial rate premiums. Upstate New York prices are substantially lower than the NYC metro area. The No Surprises Act and state-level billing protections apply, but the baseline rates themselves remain among the nation's highest. Ultrasound pricing varies more by body part and clinical indication than almost any other imaging type - an OB ultrasound, a vascular duplex study, and an abdominal ultrasound carry different CPT codes and reimbursement rates even though the equipment is the same. Independent imaging centers typically charge 40–60% less than hospital outpatient departments for the same study. The sonographer skill matters more than setting for diagnostic quality.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
Setting matters too: the median outpatient price is $67 versus $341 inpatient (about 5.1× more), so where a procedure happens often matters more than which hospital you pick. Whether the scan happens in a hospital outpatient department (which adds a separate facility fee) or a freestanding imaging center is usually the single biggest driver of price for this procedure.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$67 |
| Deductible met - 20% coinsurance | ~$13 |
| Out-of-network provider | $147+ |
Frequently asked questions: ultrasound costs in Utica, NY
How much does an ultrasound cost in Utica, NY?
The typical insurer-negotiated rate is $29, with most facilities between $10 and $38 (based on 5 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $52 to $624 across all 5 Utica, NY hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an ultrasound in Utica, NY?
Based on declared prices, the lowest-cost facility in our Utica, NY data is Little Falls Hospital at about $52. Independent imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is an ultrasound so much cheaper at some Utica, NY hospitals?
Prices vary up to 12× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Utica, NY, the median cash (self-pay) price is $67 versus a median negotiated rate of $177 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for an ultrasound in Utica, NY?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- Understanding your UnitedHealthcare EOB
Other procedures in Utica, NY
Ultrasound, elsewhere
What matters before you schedule
Imaging center vs. hospital
Hospital outpatient departments typically charge 2-4x more than independent imaging centers for the same ultrasound - same outcome, very different bill. The ER charges the most of any setting and should only be used when the situation is medically urgent. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
Cost by type
Which type your doctor orders for this ultrasound changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
This is shoppable
Ultrasound is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for ultrasound before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
Other Procedure Costs in Utica, NY
- Appendectomy Cost in Utica, NY
- Childbirth Cost in Utica, NY
- Cholecystectomy Cost in Utica, NY
- Colonoscopy Cost in Utica, NY
- CT Scan (Abdomen) Cost in Utica, NY
- CT Scan (Chest) Cost in Utica, NY
- CT Scan (Head) Cost in Utica, NY
- CT Scan Cost in Utica, NY
- Echocardiogram Cost in Utica, NY
- Emergency Room Visit Cost in Utica, NY
- Endoscopy Cost in Utica, NY
- Hip Replacement Cost in Utica, NY
- Hysterectomy Cost in Utica, NY
- Knee Replacement Cost in Utica, NY
- Mammogram Cost in Utica, NY
- Brain MRI Cost in Utica, NY
- MRI Cost in Utica, NY
- Spinal Fusion Cost in Utica, NY
- X-Ray Cost in Utica, NY
Related Articles
Interested in understanding healthcare costs and managing your medical expenses?
- Free Cost EstimatorCalculate your exact out-of-pocket cost for any procedure
- Free Bill ScreenerCheck whether your bill and paperwork are ready for a professional review
- Family Bill TrackerTrack costs across every family member and every bill in one place
- Ultrasound Cost GuideCompare Ultrasound prices across all 50 states
- Deductible vs Out-of-Pocket MaximumLearn how insurance cost-sharing works and what you actually pay
- Cost ExplorerBrowse procedures and compare prices across the country
About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
Connect on LinkedIn →Ready to take control of your healthcare costs?
Use the free cost estimator → · Get your bill screened for free → · See the family plan →