Ultrasound Cost in Texas (2026): Average Prices & What You'll Pay

What does a ultrasound cost in Texas?

The same ultrasound in Texas might cost you $79 at one facility and $227 at another - the building you walk into drives the difference. The median cash price across 365 reporting hospitals is $111. These figures come straight from hospital price transparency files published under federal law.

Where ultrasound costs vary in Texas

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

26+ people checked prices near them this month.

Texas is the largest commercial hospital market in the country by revenue. HCA, Tenet, and Community Health Systems are significant for-profit players across the state. Dallas-Fort Worth, Houston, and San Antonio have genuine multi-system competition that creates real price variation. Rural Texas - particularly West Texas and the Panhandle - has extensive critical access hospital coverage where pricing differs substantially from urban PPS hospitals. 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.

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Why prices vary - and what it means for your coverage

A small number of hospitals (27) report prices above $574, including Altus Houston Hospital LP dba West Chase Houston Hospital at $1,248, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $118 versus $94 inpatient, 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.

Frequently asked questions: ultrasound costs in Texas

How much does an ultrasound cost in Texas?

Across 365 Texas hospitals that publish prices, an ultrasound ranges from $50 to $2,999, with a median of $111. Most facilities fall between $62 and $227. 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 Texas?

Based on declared prices, the lowest-cost facility in our Texas data is Gonzales Memorial Hospital in Gonzales at about $8. By metro, Dallas has the lowest median ($77). Freestanding ambulatory surgery and 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 Texas hospitals?

Prices vary up to 60× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Texas, the median cash (self-pay) price is $121 versus a median negotiated rate of $41 - about 3× higher. Asking for the cash price or 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 Texas?

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.

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).