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
$102
Average
$331
Median
$300
High
$972
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
84 hospitals; the 90th percentile is 4.9× 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.
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135 hospital rates
iThe hospitals that file a Wellmark 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 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $270 | $270 | $13 | 5% | 177 | $258 – $283 |
| 2 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $603 | $603 | — | — | 2–20 | $603 – $603 |
| 3 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 2 | $270 | $270 | $13 | 5% | 2–20 | $258 – $283 |
| 4 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $867 | $867 | — | — | 1–10 | $867 – $867 |
| 5 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 6 | Avera St. Benedicts Parkston, SD outpatient | 1 | $886 | $886 | — | — | 1–10 | $886 – $886 |
| 7 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 8 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $388 | $388 | — | — | 1–10 | $388 – $388 |
| 9 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $388 | $388 | — | — | 1–10 | $388 – $388 |
| 10 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 2 | $339 | $339 | $162 | 48% | 1–10 | $177 – $501 |
| 11 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $128 | $128 | — | — | — | $128 – $128 |
| 12 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $122 | $122 | — | — | — | $122 – $122 |
| 13 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $120 | $126 | $58 | 46% | — | $33 – $213 |
| 15 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $880 | $880 | $292 | 33% | — | $589 – $1.2k |
| 17 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $880 | $880 | $292 | 33% | — | $589 – $1.2k |
| 18 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · inpatientfrom % of charges | 1 | $880 | $880 | $292 | 33% | — | $589 – $1.2k |
| 19 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $880 | $880 | $292 | 33% | — | $589 – $1.2k |
| 20 | Avera St. Benedicts Parkston, SD percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $422 | $492 | $99 | 20% | — | $422 – $633 |
| 22 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 23 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $120 | $126 | $58 | 46% | — | $33 – $213 |
| 24 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $120 | $126 | $58 | 46% | — | $33 – $213 |
| 25 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $107 | $107 | — | — | — | $107 – $107 |
← Payers reporting CPT 76641 · Snapshot 20261111T120946Z-9134e7f7