Limited breast ultrasound at Ascension Cedar Park

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

US-BREAST LIMITED

Park, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Cedar Park’s median price of $86 is 47% below the median hospital's median price ($161), higher than 9% 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 Ascension Cedar Park

Negotiated rates from the hospital’s own file: 8 payers, 34 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	Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$62	$62	—	—	—	$62 – $62
2	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$62	$62	—	—	—	$62 – $62
3	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$62	$62	—	—	—	$62 – $62
4	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$62	$62	—	—	—	$62 – $62
5	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
6	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$84	$84	—	—	—	$84 – $84
7	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$84	$84	—	—	—	$84 – $84
8	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$84	$84	—	—	—	$84 – $84
9	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both	$84	$84	—	—	—	$84 – $84
10	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both	$84	$84	—	—	—	$84 – $84
11	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both	$84	$84	—	—	—	$84 – $84
12	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
13	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
14	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
15	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
16	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
17	Humana 2668_humana hmo 20230701 other · outpatient	$97	$97	—	—	—	$97 – $97
18	Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both	$194	$194	—	—	—	$194 – $194
19	Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient	$194	$194	—	—	—	$194 – $194
20	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$265	$265	—	—	—	$265 – $265
21	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$265	$265	—	—	—	$265 – $265
22	Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient	$245	$268	$60	22%	—	$184 – $336
23	Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient	$245	$268	$60	22%	—	$184 – $336
24	Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$245	$268	$60	22%	—	$184 – $336
25	Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$245	$268	$60	22%	—	$184 – $336

Page 1 of 2 · 34 rates

Last updated: Jan 1, 2026

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