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Procedure price report · Other diagnostic ultrasound or optical coherence tomography (OCT)

Complete breast ultrasound, one breast

CPT 76641the billing code this page is about

A real-time ultrasound examining all areas of one breast and the armpit region; billed once per breast studied.

Hospitals typically charge $393 cash for this outpatient procedure — the median across 3,012 hospitals that filed a usable cash price; the average of the middle 60% is $405. Most fall between $193 and $697 (20th–80th percentile).

Hospitals
3,012
States
50
Filings dated
Dec 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 3,012 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$134$230$393$600$1,026

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($134 vs $1,026).

How the prices are spread

$103 – $133: 151 hospitals$103$133 – $173: 202 hospitals$173 – $225: 231 hospitals$173$225 – $292: 326 hospitals$292 – $379: 370 hospitals$292$379 – $492: 489 hospitals$492 – $638: 402 hospitals$492$638 – $829: 255 hospitals$829 – $1,076: 171 hospitals$829$1,076 – $1,397: 115 hospitals$1,076median $393price bands are equal on a log scale
Hospitals per price band (2,712 of 3,012 — the bands cover the 5th to 95th percentile)
FromToHospitals
$103$133151
$133$173202
$173$225231
$225$292326
$292$379370
$379$492489
$492$638402
$638$829255
$829$1,076171
$1,076$1,397115

Against Medicare

Medicare pays (OPPS 2026, national rate)$107
Median cash price$393
Cash as a multiple of Medicare3.7×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $393.

Alaska: median $530 across 17 hospitalsAK$530Maine: median $203 across 23 hospitalsME$203Vermont: median $600 across 11 hospitalsVT$600New Hampshire: median $418 across 18 hospitalsNH$418Washington: median $315 across 54 hospitalsWA$315Idaho: median $441 across 21 hospitalsID$441Montana: median $360 across 14 hospitalsMT$360North Dakota: median $392 across 21 hospitalsND$392Minnesota: median $358 across 76 hospitalsMN$358Illinois: median $532 across 117 hospitalsIL$532Wisconsin: median $473 across 102 hospitalsWI$473Michigan: median $387 across 82 hospitalsMI$387New York: median $271 across 111 hospitalsNY$271Massachusetts: median $437 across 41 hospitalsMA$437Oregon: median $360 across 42 hospitalsOR$360Nevada: median $443 across 20 hospitalsNV$443Wyoming: median $347 across 12 hospitalsWY$347South Dakota: median $570 across 19 hospitalsSD$570Iowa: median $365 across 72 hospitalsIA$365Indiana: median $417 across 89 hospitalsIN$417Ohio: median $450 across 134 hospitalsOH$450Pennsylvania: median $394 across 117 hospitalsPA$394New Jersey: median $142 across 45 hospitalsNJ$142Connecticut: median $325 across 22 hospitalsCT$325Rhode Island: median $177 across 10 hospitalsRI$177California: median $594 across 183 hospitalsCA$594Utah: median $916 across 42 hospitalsUT$916Colorado: median $402 across 61 hospitalsCO$402Nebraska: median $486 across 74 hospitalsNE$486Missouri: median $431 across 68 hospitalsMO$431Kentucky: median $402 across 66 hospitalsKY$402West Virginia: median $294 across 39 hospitalsWV$294Virginia: median $561 across 67 hospitalsVA$561Maryland: median $607 across 35 hospitalsMD$607Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $257 across 51 hospitalsAZ$257New Mexico: median $329 across 21 hospitalsNM$329Kansas: median $300 across 76 hospitalsKS$300Arkansas: median $116 across 20 hospitalsAR$116Tennessee: median $204 across 77 hospitalsTN$204North Carolina: median $329 across 86 hospitalsNC$329South Carolina: median $510 across 52 hospitalsSC$510Oklahoma: median $334 across 55 hospitalsOK$334Louisiana: median $196 across 48 hospitalsLA$196Mississippi: median $170 across 47 hospitalsMS$170Alabama: median $260 across 40 hospitalsAL$260Georgia: median $362 across 105 hospitalsGA$362Hawaii: median $341 across 16 hospitalsHI$341Texas: median $442 across 219 hospitalsTX$442Florida: median $578 across 168 hospitalsFL$578
Cash price by state, most expensive first. National median $393. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT42$916+133%$368 – $1,018
Maryland MD35$607+55%$422 – $746
Vermont VT11$600+53%$395 – $1,161
California CA183$594+51%$297 – $1,127
Florida FL168$578+47%$271 – $2,294
South Dakota SD19$570+45%$522 – $1,423
Virginia VA67$561+43%$218 – $763
Illinois IL117$532+36%$252 – $972
Alaska AK17$530+35%$240 – $742
South Carolina SC52$510+30%$332 – $816
Nebraska NE74$486+24%$308 – $656
Wisconsin WI102$473+21%$259 – $655
Ohio OH134$450+15%$146 – $639
Nevada NV20$443+13%$140 – $560
Texas TX219$442+13%$251 – $917
Idaho ID21$441+12%$284 – $495
Massachusetts MA41$437+11%$211 – $836
Missouri MO68$431+10%$271 – $724
New Hampshire NH18$418+7%$297 – $939
Indiana IN89$417+6%$151 – $588
Colorado CO61$402+2%$230 – $577
Kentucky KY66$402+2%$216 – $529
Pennsylvania PA117$3940%$124 – $612
North Dakota ND21$3920%$325 – $487
Michigan MI82$387−1%$259 – $534
Iowa IA72$365−7%$285 – $523
Georgia GA105$362−8%$172 – $568
Montana MT14$360−8%$274 – $413
Oregon OR42$360−8%$251 – $410
Minnesota MN76$358−9%$173 – $448
Wyoming WY12$347−12%$171 – $597
Hawaii HI16$341−13%$317 – $454
Oklahoma OK55$334−15%$199 – $470
North Carolina NC86$329−16%$232 – $522
New Mexico NM21$329−16%$200 – $593
Connecticut CT22$325−17%$232 – $386
Washington WA54$315−20%$232 – $516
Kansas KS76$300−24%$160 – $639
West Virginia WV39$294−25%$245 – $488
New York NY111$271−31%$126 – $666
Alabama AL40$260−34%$132 – $367
Arizona AZ51$257−35%$145 – $1,072
Tennessee TN77$204−48%$137 – $347
Maine ME23$203−48%$154 – $567
Louisiana LA48$196−50%$102 – $420
Rhode Island RI10$177−55%$160 – $342
Mississippi MS47$170−57%$124 – $302
New Jersey NJ45$142−64%$118 – $397
Arkansas AR20$116−70%$85 – $249
Delaware DE6not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $393.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,214$393$184 – $746
Children’s38$509$253 – $1,093
Critical access750$387$214 – $588
Ownership
For-profit449$511$222 – $1,267
Government534$346$179 – $540
Non-profit2,019$390$190 – $666
System affiliation
Part of a system2,480$415$199 – $735
Independent532$325$181 – $560

Cash price vs list price

Median list price (chargemaster)$639
Median cash price$393
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

2,045 hospitals filed a usable inpatient cash price for this code. The median is $429 and the average of the middle 60% is $430; most fall between $211 and $705.

Cash price percentiles, inpatient, across 2,045 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$145$251$429$615$1,018

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($145 vs $1,018).

Of the 2,268 hospitals that filed this code inpatient, 2,045 gave a usable cash price; 122 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 101 a list price only.

How complete is this

3,012 of the 3,956 hospitals with a price file in our corpus (76%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,336 hospitals that filed this code at all gave us
Usable cash price — counted3,012
Cash price carrying a plausibility flag — shown on the compare tool, excluded here201
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded122
Hospitals that filed this code3,336

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other diagnostic ultrasound or optical coherence tomography (OCT) family.

Hospitals file this code under descriptions such as US Breast Uni Real Time With Image Complete|PROFESSIONAL COMPONENT.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Complete breast ultrasound, one breast (CPT 76641) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-76641-complete-breast-ultrasound-one-breast