Limited breast ultrasound at Allina Health Systems

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HCHG ED US BREAST UNILAT RIGHT LIMITED

Rapids, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $211 is 32% above the median hospital's median price ($161), higher than 61% of the 2,558 hospitals reporting CPT 76642. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76642 at Allina Health Systems

Negotiated rates from the hospital’s own file: 9 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$72	$72	—	—	—	$72 – $72
2	Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
3	Medicaid medicaid ma (m) facility · fee schedule · outpatient	$83	$83	—	—	—	$83 – $83
4	Aetna allina aetna medicare (m) facility · fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
5	Medicare medicare (m) facility · fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
6	Medica medica medicare (m) facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
7	Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
8	UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient	$104	$104	—	—	—	$104 – $104
9	Bcbs Mn bc pmap (amu) facility · other · outpatient	$104	$104	—	—	—	$104 – $104
10	Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
11	Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges	$134	$134	—	—	—	$134 – $134
12	Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges	$196	$196	—	—	—	$196 – $196
13	Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges	$251	$251	—	—	—	$251 – $251
14	Bcbs Mn bc state health plan (mu) facility · other · outpatient	$258	$258	—	—	—	$258 – $258
15	Bcbs Mn bc premier (m u) facility · other · outpatient	$274	$274	—	—	—	$274 – $274
16	Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges	$287	$287	—	—	—	$287 – $287
17	Medica medica dual solutions (m) facility · other · outpatient	$301	$301	—	—	—	$301 – $301
18	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$301	$301	—	—	—	$301 – $301
19	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$301	$301	—	—	—	$301 – $301
20	Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges	$301	$301	—	—	—	$301 – $301
21	Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient	$322	$322	—	—	—	$322 – $322
22	Bcbs Mn bc high value/performance network (mu) facility · other · outpatient	$345	$345	—	—	—	$345 – $345
23	Medica medica elect (u m) facility · other · outpatient	$440	$440	—	—	—	$440 – $440
24	Medica medica essentials (u m) facility · other · outpatient	$459	$459	—	—	—	$459 – $459
25	Medica medica mhps (u m) facility · other · outpatient	$459	$459	—	—	—	$459 – $459

Page 1 of 2 · 28 rates

Last updated: Jun 17, 2026

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