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
$11
Average
$757
Median
$574
High
$8.6k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
996 hospitals; the 90th percentile is 5.4× 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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1,515 hospital rates
iThe hospitals that file a MultiPlan 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 Noble Hospital Westfield, MA percent of total billed charges · bothfrom % of charges | 1 | $84 | $84 | — | — | 168 | $84 – $84 |
| 2 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 1 | $108 | $108 | — | — | 90 | $108 – $108 |
| 3 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $608 | $807 | $282 | 35% | 3–30 | $608 – $1.2k |
| 4 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $418 | $433 | $103 | 24% | 3–30 | $325 – $626 |
| 5 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $346 | $404 | $82 | 20% | 3–30 | $346 – $519 |
| 6 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $273 | $55 | 20% | 3–30 | $234 – $351 |
| 7 | Advocate Good Shepherd Hospital Barrington, IL percent of total billed charges · outpatientfrom % of charges | 1 | $720 | $720 | $144 | 20% | 2–20 | $576 – $864 |
| 8 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 47 | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 9 | Princeton Community Hospital Assn Inc. Princeton, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $637 | $637 | — | — | 2–20 | $637 – $637 |
| 10 | Central Maine Medical Center Lewiston, ME percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | — | — | 1–10 | $207 – $207 |
| 11 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 2 | $386 | $406 | $115 | 28% | 1–10 | $213 – $581 |
| 12 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 2 | $386 | $518 | $211 | 41% | 1–10 | $365 – $993 |
| 13 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 2 | $386 | $423 | $92 | 22% | 1–10 | $330 – $581 |
| 14 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $280 | $280 | — | — | 1–10 | $280 – $280 |
| 15 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 47 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 16 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $685 | $685 | — | — | 1–10 | $685 – $685 |
| 17 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $166 | — | — | 1–10 | $166 – $166 |
| 18 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $227 | $227 | — | — | 1–10 | $227 – $227 |
| 19 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $1.3k | $1.2k | $314 | 26% | 1–10 | $649 – $1.5k |
| 20 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $601 | $601 | — | — | 1–10 | $601 – $601 |
| 21 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $401 | $401 | — | — | 1–10 | $401 – $401 |
| 22 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $347 | $394 | $252 | 64% | — | $127 – $755 |
| 23 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $750 | $750 | $150 | 20% | — | $600 – $900 |
| 24 | AGH LAVEEN LLC Phoenix, AZ fee schedule · inpatient | 1 | $433 | $433 | $80 | 18% | — | $354 – $513 |
| 25 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $433 | $433 | $80 | 18% | — | $354 – $513 |
← Payers reporting CPT 76642 · Snapshot 20261111T120946Z-9134e7f7