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
Ultrasound Breast, Limited
Low
$35
Average
$242
Median
$150
High
$3.8k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
481 hospitals; the 90th percentile is 3.3× 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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609 hospital rates
iThe hospitals that file a Ambetter 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $198 | $198 | — | — | 298 | $198 – $198 |
| 2 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $249 | $249 | — | — | 237 | $249 – $249 |
| 3 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ case rate · outpatient | 1 | $99 | $99 | — | — | 79 | $99 – $99 |
| 4 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $68 | $68 | — | — | 64 | $68 – $68 |
| 5 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $113 | $113 | — | — | 62 | $113 – $113 |
| 6 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS other · outpatient | 1 | $189 | $189 | — | — | 56 | $189 – $189 |
| 7 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $489 | $386 | $162 | 42% | 22 | $129 – $489 |
| 8 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 1 | $348 | $348 | — | — | 11 | $348 – $348 |
| 9 | Hospital Authority of Miller County Colquitt, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | — | — | 6–60 | $75 – $75 |
| 10 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $210 | $223 | $132 | 59% | 4–40 | $49 – $420 |
| 11 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 1 | $161 | $161 | — | — | 2–20 | $161 – $161 |
| 12 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $474 | $453 | $30 | 7% | 2–20 | $410 – $474 |
| 13 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 1–10 | $137 – $137 |
| 14 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 1 | $455 | $455 | — | — | 1–10 | $455 – $455 |
| 15 | Indiana University Health Frankfort Inc. Frankfort, IN percent of total billed charges · outpatientfrom % of charges | 1 | $824 | $824 | — | — | 1–10 | $824 – $824 |
| 16 | Indiana University Health Jay Inc. Portland, IN percent of total billed charges · outpatientfrom % of charges | 1 | $867 | $867 | — | — | 1–10 | $867 – $867 |
| 17 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 1 | $607 | $607 | — | — | 1–10 | $607 – $607 |
| 18 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 1 | $176 | $176 | — | — | 1–10 | $176 – $176 |
| 19 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $154 | $154 | — | — | 1–10 | $154 – $154 |
| 20 | PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON, SC other · both | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 21 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both | 1 | $153 | $153 | — | — | 1–10 | $153 – $153 |
| 22 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $228 | $228 | $24 | 10% | 1–10 | $204 – $252 |
| 23 | The Medical Center of Peach County Inc Byron, GA percent of total billed charges · outpatientfrom % of charges | 1 | $255 | $255 | — | — | 1–10 | $255 – $255 |
| 24 | Virtua_Memorial_Hospital_Inc | Holly, NJ case rate · outpatient | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 25 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
← Payers reporting CPT 76642 · Snapshot 20261111T120946Z-9134e7f7