Complete breast ultrasound at St.davids Surgical 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

US BRST BI W AX COMP

Austin, TX

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Pricing by billing methodology

Price type

How this price compares nationally

St.davids Surgical Hospital’s median price of $91 is 53% below the median hospital's median price ($193), higher than 4% of the 2,485 hospitals reporting CPT 76641. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76641 at St.davids Surgical Hospital

Negotiated rates from the hospital’s own file: 9 payers, 33 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	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$11	$13	$3	20%	—	$11 – $16
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$11	$13	$3	20%	—	$11 – $16
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$11	$13	$3	20%	—	$11 – $16
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$11	$13	$3	20%	—	$11 – $16
5	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$37	$43	$9	20%	—	$37 – $56
6	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$37	$43	$9	20%	—	$37 – $56
7	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$37	$43	$9	20%	—	$37 – $56
8	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$54	$63	$13	20%	—	$54 – $81
9	Humana hmo percent of total billed charges · outpatientfrom % of charges	$61	$71	$14	20%	—	$61 – $91
10	Humana ppo percent of total billed charges · outpatientfrom % of charges	$61	$71	$14	20%	—	$61 – $91
11	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$63	$74	$15	20%	—	$63 – $95
12	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$64	$75	$15	20%	—	$64 – $96
13	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$65	$76	$15	20%	—	$65 – $98
14	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$98	$114	$23	20%	—	$98 – $147
15	Humana mgmcd fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
16	Aetna Better Health mcd fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
17	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
18	First Health ppo percent of total billed charges · outpatientfrom % of charges	$150	$163	$36	22%	—	$123 – $226
19	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
20	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$164	$191	$39	20%	—	$164 – $245
21	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
22	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$185	$216	$44	20%	—	$185 – $278
23	UnitedHealthcare allpayerappendix fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
24	UnitedHealthcare smallgroup fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
25	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$291	$291	—	—	—	$291 – $291

Page 1 of 2 · 33 rates

Last updated: Sep 1, 2026

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