Breast ultrasound, one breast, limited at Medstar Good Samaritan Hospital
CPT 76642 · Baltimore, MD
These are Medstar Good Samaritan 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 10 Maryland hospitals we index that post a cash price for this service: lowest $225.35, median $514.01, highest $736.62. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Medstar Union Memorial Hospital Baltimore, MD | 2.5 mi | $727.22 | $742.06 | 2026-04-01 |
| University of MD St. Joseph Medical Center Towson, MD | 3.5 mi | $273.86 | $279.45 | 2026-06-08 |
| Medstar Franklin Square Medical Center Rosedale, MD | 5.2 mi | $559.40 | $570.82 | 2026-04-01 |
| University of Maryland Medical Center Baltimore, MD | 5.2 mi | $481.87 | $491.70 | 2026-06-08 |
| University of MD Medical Center Midtown Campus Baltimore, MD | 5.2 mi | $736.62 | $751.65 | 2026-06-08 |
| Medstar Harbor Hospital Baltimore, MD | 9.7 mi | $479.86 | $489.65 | 2026-04-01 |
| University of MD Baltimore Washington Medical Center Glen Burnie, MD | 14.3 mi | $225.35 | $229.95 | 2026-06-08 |
| Medstar Montgomery Medical Center Olney, MD | 30.2 mi | $683.11 | $697.05 | 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 BRST LIMITED UNI line 9866 | outpatient | $546.15 | $557.30 | $546.15 – $557.30 |
| ULTRASOUND BRST LIMITED BILAT mod 50 line 9373 | outpatient | $1,092.31 | $1,114.60 | $1,092.31 – $1,114.60 |
| GRANT ULTRASOUND BRST LMTD UNI line 9868 | outpatient | $546.15 | $557.30 | $546.15 – $557.30 |
| US BREAST LIMITED BILATERAL mod 50 line 9871 | outpatient | $1,092.31 | $1,114.60 | $1,092.31 – $1,114.60 |
| GRANT ULTRASOUND BRST LMTD BIL mod 50 line 9873 | outpatient | $1,092.31 | $1,114.60 | $1,092.31 – $1,114.60 |
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 Medstar Good Samaritan Hospital prices