Transvaginal Ultrasound (TVS) Cost in the Philippines [2026 Price Guide]

Quick Answer: A transvaginal ultrasound (TVS) in the Philippines costs roughly ₱300–₱810 at government hospitals, ₱800–₱1,500 at standalone diagnostic centers, and ₱1,500–₱2,800 at private hospital and premium-chain imaging departments in 2026. Prices depend on the facility and city, with Metro Manila on the higher end. The scan needs no fasting — you simply empty your bladder beforehand — and takes 15–30 minutes. PhilHealth covers TVS when it is medically indicated as part of inpatient care or prenatal benefits, but self-requested screening scans are usually paid out of pocket.

Table of Contents

• What Is a Transvaginal Ultrasound?
• TVS Price by Facility Type
• Why a TVS Is Ordered
• TVS vs Transabdominal vs Pelvic Ultrasound
• Price by City
• How to Prepare for a TVS
• What the Price Includes
• PhilHealth Coverage for TVS
• Where to Get a Transvaginal Ultrasound
• Frequently Asked Questions
• Conclusion

What Is a Transvaginal Ultrasound?

A transvaginal ultrasound (TVS), sometimes called an endovaginal ultrasound, is an imaging test that looks at the female reproductive organs — the uterus, ovaries, fallopian tubes, cervix, and the lining of the womb (endometrium). Instead of scanning through the belly, a slim, lubricated probe (transducer) covered with a protective sheath is gently inserted a few centimeters into the vagina. Because the probe sits much closer to the organs being examined, a TVS produces far clearer, more detailed images than a scan done over the abdomen.

The probe sends out high-frequency sound waves that bounce off internal structures and return as echoes, which the machine converts into a live image on a screen. There is no radiation involved, the same safe technology used for pregnancy scans. The procedure is usually mildly uncomfortable rather than painful, and most women tolerate it well.

A TVS is one of the most commonly requested OB-GYN imaging tests in the Philippines because it answers a wide range of gynecologic and early-pregnancy questions in a single short visit. It is widely available at diagnostic centers, hospital outpatient imaging departments, and OB-GYN clinics nationwide.

TVS Price by Facility Type

The facility you choose has the biggest impact on what you pay. Government hospitals are heavily subsidized, standalone diagnostic centers sit in the middle, and private hospitals and premium diagnostic chains charge the most. The figures below are informed 2026 estimates compiled from Philippine diagnostic-center and hospital pricing; always confirm the exact rate, including the radiologist's reading fee, with the facility before your appointment.

Government hospital rates are the lowest by a wide margin. As a reference point, one government medical center's published 2026 radiology price list lists an obstetric transvaginal scan at around ₱810. Public hospital ultrasound generally falls in the ₱300–₱800 range for non-OB indications.

Standalone diagnostic centers typically charge ₱800–₱1,500 for a TVS — usually 20–40% cheaper than a hospital outpatient department for the same scan. Premium nationwide chains such as Hi-Precision Diagnostics price their transvaginal ultrasound higher, in the ₱1,800–₱2,800 range, reflecting newer machines, online result portals, and standardized service. Private hospital imaging departments are the most expensive, especially top-tier Metro Manila hospitals, but they make sense when your doctor needs an immediate specialist read.

Cost compared to other ultrasound types

A TVS is priced similarly to a basic abdominal or pelvic ultrasound and is generally cheaper than a whole-abdomen or Doppler study. For the full breakdown of every scan type, see our ultrasound cost guide for the Philippines.

Why a TVS Is Ordered

Your OB-GYN or physician may request a transvaginal ultrasound for several reasons. It is one of the most informative first-line imaging tests in gynecology and early obstetrics.

Early pregnancy

In the first trimester, a TVS gives a much clearer view of a very small pregnancy than an abdominal scan. It is used to confirm an intrauterine pregnancy, detect the gestational sac and fetal heartbeat (often visible from around 6 weeks), date the pregnancy accurately, and rule out an ectopic (tubal) pregnancy or miscarriage when there is bleeding or pain.

Ovarian cysts and masses

A TVS is the standard way to evaluate ovarian cysts, follicles, and masses. It can measure the size of a cyst, describe its features (simple fluid-filled vs complex), and help your doctor decide whether to monitor, treat, or investigate further. It is also used to assess polycystic ovary syndrome (PCOS).

Myoma (uterine fibroids)

Fibroids, known locally as myoma, are very common. A TVS maps their number, size, and location within the uterine wall, which guides decisions about management and whether surgery may eventually be needed.

Abnormal uterine bleeding

For heavy, prolonged, irregular, or postmenopausal bleeding, a TVS measures the endometrial thickness and looks for polyps, fibroids, or thickening of the womb lining that may need a biopsy or further workup.

Pelvic pain and infection

A TVS helps investigate the cause of pelvic pain, including pelvic inflammatory disease, endometriosis-related changes, and fluid collections.

Fertility evaluation

In fertility workups, a TVS tracks follicle development, measures the ovarian reserve, checks the uterine lining before conception or treatment, and monitors response during assisted-reproduction cycles.

TVS vs Transabdominal vs Pelvic Ultrasound

Patients often get confused by the different "pelvic" ultrasound options. Here is how they compare.

A "pelvic ultrasound" is an umbrella term — it can be done transabdominally (over the belly, with a full bladder) or transvaginally. Many gynecologic studies combine both: a transabdominal sweep for the overall picture, then a transvaginal scan for fine detail. For early pregnancy and detailed views of the ovaries and womb lining, the transvaginal approach is usually superior. The transabdominal route is chosen for women who are not sexually active, those who decline an internal scan, or when the uterus is enlarged enough to see well from outside.

Price by City

Like most diagnostic services in the Philippines, TVS prices are highest in Metro Manila and lower in the provinces. The ranges below are for standalone diagnostic centers and mid-tier hospitals.

How to Prepare for a TVS

A transvaginal ultrasound needs very little preparation — one of the reasons it is so convenient.

• Empty your bladder. Unlike a transabdominal pelvic scan, a TVS works best with an empty bladder, so urinate just before the procedure. A full bladder pushes the organs out of the optimal viewing position.
• No fasting needed. You can eat and drink normally beforehand.
• Timing in the cycle. For certain gynecologic concerns, your doctor may ask you to schedule the scan on a specific day of your menstrual cycle (for example, after your period ends). Follow their instructions. A TVS is generally avoided during active heavy menstruation unless it is urgent.
• Wear something easy to remove. You will undress from the waist down, so a skirt or loose clothing is convenient.
• A chaperone is standard. Clinics provide privacy and, in most cases, a female assistant or chaperone is present.

The scan itself takes about 15–30 minutes. Results from standalone diagnostic centers are often available the same day or within 24 hours; hospital results may take 1–3 days.

What the Price Includes

A standard TVS fee at a diagnostic center or hospital typically covers:

• The ultrasound examination performed by a sonographer or radiologist
• The probe sheath and consumables
• An official result report read and signed by a radiologist
• Printed images of the scan

Some facilities charge separately for the radiologist's reading fee, additional printed images, or a CD/digital copy. Always ask for the total cost upfront. If your doctor adds a transabdominal pelvic scan to the same visit, expect an additional charge.

PhilHealth Coverage for TVS

PhilHealth does not pay for self-requested screening ultrasounds, but it does cover a transvaginal ultrasound in specific medical situations:

• Inpatient care: A TVS performed during a hospital admission is bundled into the PhilHealth case-rate package for your diagnosis — you do not pay for it separately.
• Prenatal benefits: Ultrasound ordered as part of PhilHealth's prenatal care package for pregnant members may be covered.
• Outpatient with referral: When a PhilHealth-accredited physician orders the scan as part of a covered consultation benefit, some or all of the cost may be offset.

Routine or self-requested gynecologic screening scans without a medical indication are generally paid out of pocket. For more detail, see our guide to PhilHealth outpatient benefits and the broader PhilHealth benefits and coverage guide. If you carry an HMO plan, a TVS ordered by an accredited doctor with a letter of authorization (LOA) is usually covered — check your provider's accredited facilities.

Where to Get a Transvaginal Ultrasound

You can get a TVS at standalone diagnostic centers, hospital imaging departments, and many OB-GYN clinics across the country.

• Standalone diagnostic centers — the best balance of price, modern equipment, and walk-in convenience. Premium nationwide chains such as Hi-Precision Diagnostics offer standardized service and online result portals; see our Hi-Precision price list guide for current rates.
• Government hospitals — the most affordable option (₱300–₱810), ideal for budget-conscious patients willing to wait longer.
• Private hospital outpatient departments — the most expensive, but the right choice when your doctor needs an immediate specialist read or you are already part of a hospital workup.
• OB-GYN clinics — many gynecologists have an in-clinic ultrasound machine, so the scan and interpretation happen in one visit.

For pregnancy monitoring, it is usually best to use the diagnostic center or hospital your OB-GYN prefers, since they will interpret and act on the results.

Ready to compare facilities near you? Find a clinic on ClinicFinderPH to check locations, services, and OB-GYN providers.

Frequently Asked Questions

How much does a transvaginal ultrasound cost in the Philippines?

A transvaginal ultrasound (TVS) costs about ₱300–₱810 at government hospitals, ₱800–₱1,500 at standalone diagnostic centers, and ₱1,500–₱2,800 at private hospitals and premium diagnostic chains in 2026. The exact price depends on the facility, the city, and whether a separate radiologist reading fee applies. Metro Manila is generally the most expensive, while government hospitals and provincial facilities are the cheapest. Always confirm the total cost — including the reading fee — before your appointment.

Is a transvaginal ultrasound painful?

No, a TVS is usually mildly uncomfortable rather than painful. The probe is slim, lubricated, and inserted only a few centimeters. Most women feel some pressure but tolerate the scan well. It is over in about 15–30 minutes. If you feel anxious, tell the sonographer — relaxing your muscles makes the procedure more comfortable. Let them know immediately if you feel sharp pain.

Do I need to fast or have a full bladder for a TVS?

No fasting is required, and unlike a transabdominal pelvic ultrasound, a TVS is best done with an empty bladder. Simply urinate just before the procedure. A full bladder is only needed for transabdominal scans. You can eat and drink normally beforehand. For some gynecologic concerns your doctor may ask you to time the scan to a specific day of your menstrual cycle.

What is the difference between a transvaginal and a transabdominal ultrasound?

A transvaginal ultrasound inserts a probe into the vagina for a close, high-detail view of the uterus, ovaries, and endometrium, and needs an empty bladder. A transabdominal (pelvic) ultrasound scans over the lower belly and requires a full bladder, giving a wider but less detailed view. TVS is preferred for early pregnancy, ovarian cysts, fibroids, and the womb lining. The two are often combined in the same gynecologic study.

Why would a doctor order a transvaginal ultrasound?

Doctors order a TVS to confirm and date early pregnancy, rule out ectopic pregnancy or miscarriage, evaluate ovarian cysts and masses, map uterine fibroids (myoma), investigate abnormal or postmenopausal bleeding, assess pelvic pain, and support fertility evaluations by tracking follicles and measuring the uterine lining. It is one of the most informative first-line OB-GYN imaging tests because the probe sits close to the organs being examined.

Can I have a transvaginal ultrasound while pregnant?

Yes. A TVS is safe in pregnancy and is the standard scan in the first trimester, when it shows a small pregnancy more clearly than an abdominal scan. It can confirm an intrauterine pregnancy, detect the fetal heartbeat, accurately date the pregnancy, and rule out an ectopic pregnancy. Ultrasound uses sound waves, not radiation, and has been used safely in obstetric care for decades.

Does PhilHealth cover transvaginal ultrasound?

PhilHealth covers a TVS when it is medically indicated as part of an inpatient admission (bundled into the case-rate package) or as part of prenatal benefits for pregnant members. Outpatient scans ordered by a PhilHealth-accredited physician may also be partly covered. Self-requested screening scans without a medical referral are generally paid out of pocket. HMO plans usually cover a TVS ordered by an accredited doctor with an LOA.

Where can I get the cheapest transvaginal ultrasound?

Government hospitals offer the lowest TVS prices, roughly ₱300–₱810, though wait times are longer. Provincial diagnostic centers are also affordable (₱500–₱1,200). Among private facilities, standalone diagnostic centers are typically 20–40% cheaper than hospital outpatient departments for the same scan. If you only need the scan itself, a standalone center usually gives the best value-for-quality balance.

Conclusion

A transvaginal ultrasound is one of the most useful and affordable OB-GYN imaging tests in the Philippines, costing as little as ₱300 at a government hospital and up to about ₱2,800 at premium private facilities in 2026. It needs almost no preparation, takes under half an hour, and answers a wide range of questions about early pregnancy, ovarian cysts, fibroids, abnormal bleeding, and fertility.

For most patients, a standalone diagnostic center offers the best mix of price, modern equipment, and convenience. Government hospitals are the budget choice, and private hospital imaging departments are best when an immediate specialist read is needed. If you are a PhilHealth member, a TVS may be covered when it is medically indicated as part of inpatient or prenatal care.

For related diagnostic pricing, see our full ultrasound cost guide for the Philippines and the Hi-Precision price list.

Ready to book a scan? Find a clinic on ClinicFinderPH to compare diagnostic centers, hospitals, and OB-GYN providers near you.