Breast ultrasound, one breast, limited at Henry Ford Health St. John Hospital
CPT 76642 · Detroit, MI
These are Henry Ford Health St. John Hospital's own posted figures from its standard-charges file dated January 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
Across 19 Michigan hospitals we index that post a cash price for this service: lowest $41.10, median $290.25, highest $611.52. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Henry Ford Health Warren Hospital Warren, MI | 9.0 mi | $611.52 | $1,092.00 | 2026-01-01 |
| Henry Ford Health Hospital Detroit, MI | 10.0 mi | $119.66 | $623.00 | 2026-06-28 |
| Harper University Hospital Detroit, MI | 10.0 mi | $290.25 | $387.00 | 2026-09-02 |
| Detroit Receiving Hospital Detroit, MI | 10.0 mi | $261.00 | $348.00 | 2026-04-07 |
| Karmanos Cancer Center Detroit, MI | 10.0 mi | $299.00 | $598.00 | 2025-12-31 |
| Children's Hospital of Michigan Detroit, MI | 10.0 mi | $171.00 | $228.00 | 2026-04-06 |
| McLaren Macomb Mount Clemens, MI | 12.1 mi | $41.10 | $82.10 | 2025-12-31 |
| Henry Ford Macomb Hospital Clinton Township, MI | 12.7 mi | $119.66 | $623.00 | 2026-06-28 |
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 BILAT LMTD line 286236 | outpatient | $580.72 | $1,037.00 | $46.77 – $1,037.00 |
| US BREAST UNILAT LMTD line 286220 | outpatient | $386.96 | $691.00 | $46.77 – $691.00 |
| US BREAST UNILAT LMTD mod LT|RT line 286221 | outpatient | $386.96 | $691.00 | $46.77 – $691.00 |
| US BREAST UNILAT LMTD line 286222 | both | $386.96 | $691.00 | $46.77 – $691.00 |
| US BREAST BILAT LMTD mod LT|RT line 286237 | outpatient | $580.72 | $1,037.00 | $46.77 – $1,037.00 |
| US BREAST BILAT LMTD line 286238 | both | $580.72 | $1,037.00 | $46.77 – $1,037.00 |
| ULTRASOUND BREAST LIMITED line 412312 | inpatient | $81.96 – $163.91 |
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 Henry Ford Health St. John Hospital prices