Scans and imaging CPT 76642 Outpatient

Breast ultrasound (limited) cost in Grand Rapids, MI

In Grand Rapids-Wyoming-Kentwood, MI, 4 hospitals list a cash price for breast ultrasound, limited (one breast or one area): from $59.50 to $442.40, with a median of $143.93. The lowest listed price is at University of Michigan Health-Sparrow Ionia — $84.43 less than the median here. Across Michigan, the median is $217.10 at 65 hospitals.

Cash prices at 4 facilities across 4 cities for code 76642, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 28, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$59.50University of Michigan Health-Sparrow Ionia
Median$143.93half pay less
Highest$442.40in this market
Difference7.4×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Grand Rapids-Wyoming-Kentwood, MI.

median
Lowest $59.50Highest $442.40

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
University of Michigan Health-Sparrow Ionia lowest Ionia, MI · (616) 527-4200 HB Ultrasound Breast Limited $59.50 $238.00 $35.09–$175.77 75% —
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University of Michigan Health-Sparrow Carson Carson City, MI · (989) 584-3131 HB Ultrasound Breast Limited $70.75 $283.00 $46.93–$229.23 75% —
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University of Michigan Health-Sparrow Ionia Ionia, MI · (616) 527-4200 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED $84.50 $169.00 $54.10–$135.28 50% —
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University of Michigan Health-Sparrow Carson Carson City, MI · (989) 584-3131 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED $84.50 $169.00 $77.23–$135.28 50% —
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Mercy Health Saint Marys one side Grand Rapids, MI · (616) 685-5000 HC US Breast Unilateral Limited Lt $217.10 $334.00 $48.61–$942.80 35% Mar 31, 2026
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Mercy Health Saint Marys one side Grand Rapids, MI · (616) 685-5000 HC US Breast Unilateral Limited Rt $217.10 $334.00 $48.61–$942.80 35% Mar 31, 2026
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Mercy Health Saint Marys one side Grand Rapids, MI · (616) 685-5000 HC US Breast Unilateral Limited Bl $325.65 $501.00 $48.61–$942.80 35% Mar 31, 2026
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Sheridan Community Hospital Sheridan, MI · (989) 291-3261 US BREAST LTD $442.40 $553.00 $26.23–$488.30 20% —
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Outpatient: lowest $59.50, median $143.93, highest $442.40 — a 7.4× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $217.10. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 4 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

A limited breast ultrasound looks at one breast or one area, usually a lump or a finding on a mammogram.

What the price covers

The price usually covers the scan and may or may not include the radiologist's reading.