Price Checker / CPT 76642
How much does Ultrasound Breast Limited cost?
CPT 76642 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 11x the fair price — among the most extreme markups. Dispute this.
Fair price
$130–$250
What this should cost
With insurance
~$720
Typical out-of-pocket
Overcharged if over
$310
Push back above this
The average hospital charge of $2,168 is $1,978 over the fair price (about 11x the fair rate).
What hospitals charge for Ultrasound Breast Limited
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| South Shore University Hospital , NY | — | $207 | 10995% |
| Whitman Hospital and Medical Clinics , WA | $592 | $474 | 609% |
| Mackinac Straits Health System Saint Ignace, MI | $468 | — | 429% |
| UM Bowie Health Center Bowie, MD | $406 | — | 386% |
| UM Shore Emergency Center at Queenstown Queenstown, MD | $110 | — | 32% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Ultrasound Breast Limited
CPT code 76642 refers to ultrasound breast limited (billing description: "Ultrasound breast limited"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $84 in a facility (hospital or surgery center) and $84 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.