Scans and imaging CPT 76642 Outpatient

Breast ultrasound (limited) cost in Green Bay, WI

In Green Bay, WI, 5 hospitals list a cash price for breast ultrasound, limited (one breast or one area): from $174.55 to $395.00, with a median of $392.70. The lowest listed price is at Bellin Memorial Health — $218.15 less than the median here. Across Wisconsin, the median is $330.00 at 66 hospitals.

Cash prices at 5 facilities across 2 cities for code 76642, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Jun 27, 2026.

Lowest$174.55Bellin Memorial Health
Median$392.70half pay less
Highest$395.00in this market
Difference2.3×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 Green Bay, WI.

median
Lowest $174.55Highest $790.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Bellin Memorial Health one side lowest Green Bay, WI · (920) 433-3500 HCHG 76642 US BREAST UNILATERAL LIMITED $174.55 $377.00 $97.27–$339.30 54% Jun 27, 2026
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Bellin Memorial Health one side Green Bay, WI · (920) 433-3500 HCHG 76642 US BREAST UNILATERAL LIMITED $230.11 $497.00 $43.55–$93.11 54% Jun 27, 2026
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St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 ULTRASOUND BREAST LIMITED $392.70 $595.00 $48.32–$595.00 34% —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC US BREAST LIMITED $392.70 $595.00 $50.10–$595.00 34% —
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St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC US BREAST LIMITED $392.70 $595.00 $88.91–$595.00 34% —
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Aurora BayCare Medical Center Green Bay, WI · (920) 288-8000 US BREAST W/AXILLA LIMITED $395.00 $790.00 $300.00–$700.00 50% Nov 21, 2025
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Aurora BayCare Medical Center Green Bay, WI · (920) 288-8000 US BREAST BIL W/AXILLA LIMITED $790.00 $1,580.00 $300.00–$1,343.00 50% Nov 21, 2025
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Outpatient: lowest $174.55, median $392.70, highest $395.00 — a 2.3× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $392.70. 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 5 of 5 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.