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
LIMITED ULTRASOUND SCAN OF 1 BREAST
Wheeling, WV
See all hospitals reporting CPT 76642 →Price type
Wheeling Hospital, Inc.’s median price of $88 is 45% below the median hospital's median price ($161), higher than 12% 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, 25 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 | Highmark chip facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Highmark mgd mcaid facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Aetna better health mgd medicaid facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Aetna Better Health chip facility · fee schedule · outpatient | $33 | $33 | $8 | 24% | — | $25 – $41 |
| 5 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Highmark highmark wholecare pennsylvania medicaid facility · other · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 7 | Amerihealth Caritas managed medicaid facility · other · outpatient | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 8 | Molina molina oh exchange facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | 3–30 | $84 – $84 |
| 9 | Anthem anthem pathway facility · other · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 10 | Caresource all plans facility · other · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 11 | Molina all plans facility · other · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 12 | Anthem hmo facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 13 | Highmark all pla facility · other · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 14 | Highmark all plans facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 15 | Aetna all plans facility · other · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 16 | Humana all plans facility · other · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 17 | UnitedHealthcare all plans facility · other · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 18 | Caresource caresource oh exchange facility · other · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 19 | Blue Cross Blue Shield blue cross blue shield ppo facility · other · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 20 | Blue Cross Blue Shield blue cross blue shield traditional facility · other · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 21 | Caresource caresource facility · percent of total billed charges · outpatientfrom % of charges | $398 | $398 | $18 | 5% | 2–20 | $380 – $417 |
| 22 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $401 | $401 | — | — | 1–10 | $401 – $401 |
| 23 | UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges | $399 | $414 | $18 | 4% | 65–92 | $399 – $436 |
| 24 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $401 | $481 | $160 | 33% | 60–87 | $401 – $802 |
| 25 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $397 | $529 | $187 | 35% | 43–52 | $397 – $793 |
Last updated: Jul 9, 2026
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