Breast ultrasound, one breast, limited at California Pacific Medical Center-Davies Campus Hospital
CPT 76642 · San Francisco, CA
These are California Pacific Medical Center-Davies Campus Hospital's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
Across 66 California hospitals we index that post a cash price for this service: lowest $111.00, median $441.76, highest $3,386.00. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Kaiser Foundation Hospital - San Francisco San Francisco, CA | 1.2 mi | $560.00 | $1,000.00 | 2026-04-01 |
| California Pacific Medical Center- Van Ness Campus San Francisco, CA | 2.1 mi | $1,298.00 | $1,298.00 | 2026-04-01 |
| Kaiser Foundation Hospital - South San Francisco South San Francisco, CA | 8.1 mi | $560.00 | $1,000.00 | 2026-04-01 |
| Marinhealth Medical Center Greenbrae, CA | 13.6 mi | $1,088.40 | $1,814.00 | 2026-03-26 |
| Kaiser Foundation Hospital - San Leandro San Leandro, CA | 15.5 mi | $560.00 | $1,000.00 | 2026-04-01 |
| St. Rose Hospital Hayward, CA | 20.0 mi | $204.74 | $682.45 | 2026-02-23 |
| Kaiser Foundation Hospital - Redwood City Redwood City, CA | 23.5 mi | $560.00 | $1,000.00 | 2026-04-01 |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA | 23.7 mi | $560.00 | $1,000.00 | 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 |
|---|---|---|---|---|
| Ultrasound breast limited line 20738 | outpatient | $125.81 – $125.81 | ||
| HCHG US BREAST LIMITED BI mod 50 line 4515 | inpatient | $1,298.00 | $1,298.00 | |
| HCHG US BREAST LIMITED BI mod 50 line 4516 | outpatient | $1,298.00 | $1,298.00 | |
| HCHG US BREAST LIMITED LT mod LT line 4521 | inpatient | $865.00 | $865.00 | |
| HCHG US BREAST LIMITED LT mod LT line 4522 | outpatient | $865.00 | $865.00 | |
| HCHG US BREAST LIMITED RT mod RT line 4523 | inpatient | $865.00 | $865.00 | |
| HCHG US BREAST LIMITED RT mod RT line 4524 | outpatient | $865.00 | $865.00 |
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 California Pacific Medical Center-Davies Campus Hospital prices