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, UNILAT, REAL TIME W/ IMAGE DOC, INCL AXILLA, LTD
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$254
Median
$137
High
$2.9k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 699 hospitals; the 90th percentile is 6.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI | $87 | $200 | $208 | 104% | 2,289–2,505 | $56 – $623 |
| 2 | Delta County Memorial Hospital DELTA, CO | $92 | $118 | $70 | 60% | 1,992–2,064 | $89 – $380 |
| 3 | Fairview Health Services Edina, MN | $134 | $204 | $126 | 62% | 1,855–1,963 | $70 – $494 |
| 4 | Catholic Health Iniatives Colorado Westminster, CO | $93 | $131 | $60 | 46% | 1,830–2,082 | $30 – $245 |
| 5 | Fairview Health Services Burnsville, MN | $117 | $169 | $102 | 60% | 1,733–1,841 | $68 – $366 |
| 6 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $142 | $134 | $52 | 38% | 1,730–1,748 | $79 – $207 |
| 7 | HealthEast St John's Hospital Maplewood, MN | $134 | $192 | $111 | 58% | 1,598–1,814 | $68 – $420 |
| 8 | Catholic Health Initiatives Colorado Pueblo, CO | $89 | $132 | $78 | 59% | 1,500–1,680 | $69 – $364 |
| 9 | HealthEast Woodwinds Hospital Woodbury, MN | $134 | $171 | $90 | 52% | 1,218–1,344 | $70 – $334 |
| 10 | Catholic Health Initiatives Colorado Colorado Springs, CO | $90 | $129 | $56 | 44% | 1,212–1,374 | $69 – $245 |
Ask Claude or any MCP client for CPT 76642 pricing at a specific hospital — see how to connect.