Breast ultrasound, one breast, limited at Banner Baywood Medical Center
CPT 76642 · Mesa, AZ
These are Banner Baywood Medical Center's own posted figures from its standard-charges file dated September 23, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
Across 22 Arizona hospitals we index that post a cash price for this service: lowest $67.90, median $196.91, highest $999.00. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Banner Heart Hospital Mesa, AZ | 0.0 mi | $67.90 | $485.00 | 2026-09-23 |
| Banner Gateway Medical Center Gilbert, AZ | 2.6 mi | $167.81 | $485.00 | 2026-09-22 |
| Honorhealth Four Peaks Medical Center Mesa, AZ | 4.9 mi | $999.00 | $999.00 | 2026-04-01 |
| East Valley ER & Hospital Gilbert, AZ | 6.5 mi | $328.00 | $328.00 | 2026-03-16 |
| Banner Goldfield Medical Center Apache Junction, AZ | 9.0 mi | $86.33 | $485.00 | 2026-09-23 |
| Banner Desert Medical Center Mesa, AZ | 9.2 mi | $210.49 | $485.00 | 2026-09-23 |
| Banner Ocotillo Medical Center Chandler, AZ | 11.0 mi | $190.12 | $485.00 | 2026-09-24 |
| Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ | 13.5 mi | $999.00 | $999.00 | 2026-04-01 |
Distances are straight-line from ZIP code centers. Each hospital's figures come from its own file; files are updated on different dates.
Every row for CPT 76642 in this hospital's file
| Row in the hospital's file | Setting | Cash | Gross | Insurer min – max |
|---|---|---|---|---|
| US BREAST LTD BI line 12486 | outpatient | $155.20 | $485.00 | $58.65 – $363.75 |
| US BREAST LTD BI mod 50 line 12485 | inpatient | $155.20 | $485.00 | $218.25 – $363.75 |
| US BREAST LTD LT mod LT line 12487 | inpatient | $103.36 | $323.00 | $145.35 – $242.25 |
| US BREAST LTD LT mod LT line 12488 | outpatient | $103.36 | $323.00 | $58.65 – $297.34 |
| US BREAST LTD RT mod RT line 12489 | inpatient | $103.36 | $323.00 | $145.35 – $242.25 |
| US BREAST LTD RT mod RT line 12490 | outpatient | $103.36 | $323.00 | $58.65 – $297.34 |
The first row is the one used above. A price for one code usually covers the hospital's facility charge only; the doctor, anesthesia, pathology and other services can be billed separately. Ask the hospital for a good faith estimate before a scheduled service: if you pay yourself and the bill comes in $400 or more above the estimate, you can dispute it under the No Surprises Act.
Check a bill from this hospital All Banner Baywood Medical Center prices