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 ULTRASOUND BREAST LIMITED - BILATERAL
Dillon, SC
See all hospitals reporting CPT 76642 →Price type
McLeod Health’s median price of $123 is 23% below the median hospital's median price ($161), higher than 34% of the 2,558 hospitals reporting CPT 76642. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 20 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 | Tricare dha fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 2 | Blue Cross Blue Shield medicare advantage fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Medicare medicare fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 4 | UnitedHealthcare medicare advantage fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 5 | Aetna medicare advantage fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 6 | Clover medicare advantage fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 7 | Humana medicare advantage fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 8 | WellCare medicare advantage fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 9 | Molina medicare advantage fee schedule · both | $85 | $109 | $33 | 31% | — | $85 – $156 |
| 10 | Blue Cross Blue Shield medicaid fee schedule · both | $123 | $123 | — | — | — | $123 – $123 |
| 11 | Medicaid medicaid fee schedule · both | $123 | $123 | — | — | — | $123 – $123 |
| 12 | Molina medicaid fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 13 | Ambetter medicare advantage fee schedule · both | $144 | $144 | — | — | — | $144 – $144 |
| 14 | Blue Cross Blue Shield state fee schedule · both | $172 | $172 | — | — | — | $172 – $172 |
| 15 | Blue Cross Blue Shield hix fee schedule · both | $215 | $215 | — | — | — | $215 – $215 |
| 16 | Cigna commercial fee schedule · both | $326 | $326 | — | — | — | $326 – $326 |
| 17 | Blue Cross Blue Shield preferred fee schedule · both | $367 | $367 | — | — | — | $367 – $367 |
| 18 | Blue Cross Blue Shield choice fee schedule · both | $397 | $397 | — | — | — | $397 – $397 |
| 19 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $694 | $694 | $139 | 20% | — | $555 – $833 |
| 20 | Aetna commercial percent of total billed charges · bothfrom % of charges | $712 | $712 | $142 | 20% | — | $570 – $854 |
Last updated: Jul 20, 2026
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