Limited breast ultrasound at Progress West Hospital

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

HC Ultrasound Breast Ltd|BILATERAL PROCEDURE|UNUSUAL NON-OVERLAPPING SERVICE

O'Fallon, MO

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How this price compares nationally

Progress West Hospital’s median price of $548 is 241% above the median hospital's median price ($160), higher than 91% of the 2,528 hospitals reporting CPT 76642. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76642 at Progress West Hospital

Negotiated rates from the hospital’s own file: 11 payers, 26 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 bjc hb anthem choice community fee schedule · both	$99	$99	—	—	22–40	$99 – $99
2	Blue Cross Blue Shield bjc hb anthem access community fee schedule · both	$99	$99	—	—	3–30	$99 – $99
3	Cigna bjc hb cigna local plus community fee schedule · both	$162	$162	—	—	—	$162 – $162
4	Humana bjc hb humana choicecare community fee schedule · both	$179	$179	—	—	—	$179 – $179
5	Cigna bjc hb cigna special community fee schedule · both	$179	$179	—	—	1–10	$179 – $179
6	Cigna bjc hb cigna hmo/ppo community fee schedule · both	$181	$181	—	—	1–10	$181 – $181
7	Aetna bjc hb aetna commercial community fee schedule · both	$192	$192	—	—	2–20	$192 – $192
8	UnitedHealthcare bjc hb united health care community per diem · both	$514	$514	—	—	32	$514 – $514
9	Aetna bjc hb medicare advantra pwc other · both	$730	$730	—	—	1–10	$730 – $730
10	Aetna bjc hb medicare gold advantage pwc other · both	$730	$730	—	—	1–10	$730 – $730
11	Blue Cross Blue Shield bjc hb medicare anthem advantage pwc other · both	$730	$730	—	—	1–10	$730 – $730
12	UnitedHealthcare bjc hb medicare uhc pwc other · both	$730	$730	—	—	60–69	$730 – $730
13	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$1.1k	$904	$256	28%	—	$542 – $1.1k
14	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$1.1k	$904	$256	28%	—	$542 – $1.1k
15	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$1.1k	$904	$256	28%	—	$542 – $1.1k
16	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$1.1k	$904	$256	28%	—	$542 – $1.1k
17	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$1.1k	$913	$258	28%	—	$548 – $1.1k
18	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$1.1k	$913	$258	28%	—	$548 – $1.1k
19	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$1.1k	$913	$258	28%	—	$548 – $1.1k
20	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$1.1k	$913	$258	28%	—	$548 – $1.1k
21	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$1.2k	$973	$275	28%	—	$584 – $1.2k
22	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$1.2k	$973	$275	28%	—	$584 – $1.2k
23	Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges	$1.2k	$1.0k	$293	28%	—	$621 – $1.2k
24	Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges	$1.2k	$1.0k	$293	28%	1–10	$621 – $1.2k
25	Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges	$1.3k	$1.1k	$299	28%	—	$635 – $1.3k

Page 1 of 2 · 26 rates

Last updated: Dec 15, 2025

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