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
$25
Average
$703
Median
$564
High
$3.8k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
599 hospitals; the 90th percentile is 5.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
871 hospital rates
iThe hospitals that file a First Health rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $202 | $202 | — | — | 78 | $202 – $202 |
| 2 | Baystate Noble Hospital Westfield, MA percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | 45 | $25 – $25 |
| 3 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 1 | $190 | $190 | — | — | 16 | $190 – $190 |
| 4 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $596 | $584 | $77 | 13% | 13 | $493 – $720 |
| 5 | Mercy Hospital Ardmore Inc Ardmore, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $609 | $710 | $144 | 20% | 3–30 | $609 – $913 |
| 6 | Fairview Health Services Edina, MN percent of total billed charges · inpatientfrom % of charges | 1 | $372 | $372 | $74 | 20% | 2–20 | $298 – $446 |
| 7 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 1 | $372 | $372 | $74 | 20% | 2–20 | $298 – $446 |
| 8 | Fairview Health Services Wyoming, MN percent of total billed charges · inpatientfrom % of charges | 1 | $372 | $372 | $74 | 20% | 2–20 | $298 – $446 |
| 9 | Fairview Health Services Wyoming, MN percent of total billed charges · outpatientfrom % of charges | 1 | $372 | $372 | $74 | 20% | 2–20 | $298 – $446 |
| 10 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · inpatientfrom % of charges | 1 | $372 | $372 | $74 | 20% | 2–20 | $298 – $446 |
| 11 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · outpatientfrom % of charges | 1 | $372 | $372 | $74 | 20% | 2–20 | $298 – $446 |
| 12 | Fairview Health Services Wyoming, MN percent of total billed charges · bothfrom % of charges | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 13 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $175 | — | — | 1–10 | $175 – $175 |
| 14 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $818 | $818 | $164 | 20% | — | $654 – $982 |
| 15 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $1.1k | $1.1k | $134 | 12% | — | $992 – $1.3k |
| 16 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $1.2k | $1.2k | $141 | 12% | — | $1.0k – $1.3k |
| 17 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 2 | $371 | $495 | $175 | 35% | — | $371 – $742 |
| 19 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 24 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 25 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
← Payers reporting CPT 76641 · Snapshot 20261111T120946Z-9134e7f7