Price Checker / CPT 76513

How much does Oph Ultrasound Diagnostic Ant Sgm Ultrasound Uni/bi cost?

CPT 76513 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $280–$330.

Fair price

$280–$330

What this should cost

With insurance

~$370

Typical out-of-pocket

Overcharged if over

$410

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About Oph Ultrasound Diagnostic Ant Sgm Ultrasound Uni/bi

CPT code 76513 refers to oph ultrasound diagnostic ant sgm ultrasound uni/bi (billing description: "Oph us dx ant sgm us uni/bi"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $76 in a facility (hospital or surgery center) and $76 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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