Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC US BREAST REAL TIME W/IMAGE DOCUMENTATION
Low
$67
Average
$347
Median
$289
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
71 payers; the 90th percentile is 4.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem fee schedule · outpatient · +37 other terms | 178 | $196 | $137 | $133 | 97% | 8,262–8,334 | $2 – $822 |
| 2 | Cigna fee schedule · outpatient · +37 other terms | 465 | $241 | $281 | $224 | 80% | 2,091–2,127 | $24 – $2.8k |
| 3 | Aetna fee schedule · outpatient · +40 other terms | 685 | $157 | $321 | $713 | 222% | 1,346–1,391 | $1 – $20.8k |
| 4 | UnitedHealthcare fee schedule · outpatient · +41 other terms | 738 | $179 | $190 | $154 | 81% | 1,246–1,345 | $1 – $3.1k |
| 5 | Molina fee schedule · outpatient · +35 other terms | 248 | $114 | $134 | $72 | 54% | 842–1,004 | $1 – $557 |
| 6 | Medicare other · both · +23 other terms | 41 | $110 | $148 | $239 | 161% | 262–325 | $97 – $2.2k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +36 other terms | 500 | $199 | $222 | $186 | 84% | 145–262 | $1 – $1.9k |
| 8 | Bcbs Al facility · other · outpatient · +5 other terms | 6 | $180 | $160 | $74 | 46% | 78–123 | $34 – $286 |
| 9 | Bcbs In other · both · +1 other terms | 11 | $381 | $392 | $64 | 16% | 48–57 | $254 – $507 |
| 10 | Humana fee schedule · outpatient · +34 other terms | 406 | $118 | $191 | $237 | 124% | 13–130 | $1 – $1.8k |
| 11 | Caresource fee schedule · outpatient · +23 other terms | 70 | $159 | $171 | $70 | 41% | 8–80 | $1 – $674 |
| 12 | Medica fee schedule · outpatient · +26 other terms | 35 | $178 | $185 | $126 | 68% | 4–40 | $28 – $922 |
| 13 | Optum fee schedule · outpatient · +23 other terms | 70 | $110 | $249 | $439 | 176% | 2–20 | $33 – $2.3k |
| 14 | Kaiser fee schedule · outpatient · +27 other terms | 79 | $140 | $155 | $115 | 74% | 1–10 | $34 – $841 |
| 15 | WellCare fee schedule · outpatient · +28 other terms | 198 | $113 | $127 | $64 | 51% | — | $27 – $674 |
| 16 | Ambetter fee schedule · outpatient · +25 other terms | 107 | $182 | $179 | $81 | 45% | — | $32 – $509 |
| 17 | MultiPlan fee schedule · outpatient · +23 other terms | 90 | $281 | $466 | $556 | 119% | — | $45 – $3.1k |
| 18 | Aetna Better Health fee schedule · outpatient · +20 other terms | 89 | $112 | $118 | $47 | 40% | — | $30 – $385 |
| 19 | Tricare facility · fee schedule · outpatient · +21 other terms | 87 | $105 | $136 | $274 | 202% | — | $57 – $4.6k |
| 20 | Devoted facility · fee schedule · outpatient · +20 other terms | 83 | $100 | $135 | $356 | 264% | — | $90 – $4.9k |
| 21 | Highmark facility · fee schedule · outpatient · +22 other terms | 64 | $121 | $149 | $102 | 68% | — | $26 – $482 |
| 22 | Oscar facility · fee schedule · outpatient · +22 other terms | 56 | $147 | $142 | $56 | 39% | — | $42 – $351 |
| 23 | Medicaid facility · fee schedule · outpatient · +19 other terms | 53 | $96 | $98 | $48 | 49% | — | $53 – $256 |
| 24 | Cigna Healthspring fee schedule · outpatient · +11 other terms | 46 | $108 | $118 | $32 | 27% | — | $88 – $209 |
| 25 | First Health fee schedule · outpatient · +19 other terms | 45 | $109 | $278 | $471 | 169% | — | $41 – $2.6k |
← Hospitals reporting CPT 76641 · Snapshot 20261111T120946Z-9134e7f7