Breast ultrasound, one breast, limited at St. Joe Mercy Hospital System Livonia
CPT 76642 · Livonia, MI
These are St. Joe Mercy Hospital System Livonia's own posted figures from its standard-charges file dated March 31, 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 |
|---|---|---|---|---|
| Ascension Providence Hospital, Southfield and Novi Southfield, MI | 8.5 mi | $369.04 | $659.00 | 2026-01-01 |
| Surgeons Choice Medical Center Southfield, MI | 8.5 mi | $333.00 | $333.00 | 2026-05-08 |
| Sinai-Grace Hospital Detroit, MI | 9.3 mi | $362.25 | $483.00 | 2026-04-08 |
| Henry Ford Health West Bloomfield Hospital W Bloomfield, MI | 9.7 mi | $119.66 | $623.00 | 2026-06-28 |
| Huron Valley-Sinai Hospital Commerce Township, MI | 14.6 mi | $418.50 | $558.00 | 2026-05-20 |
| Henry Ford Health Hospital Detroit, MI | 15.1 mi | $119.66 | $623.00 | 2026-06-28 |
| Trinity Health Oakland Hospital Pontiac, MI | 16.3 mi | $572.00 | $880.00 | 2026-03-31 |
| Harper University Hospital Detroit, MI | 16.3 mi | $290.25 | $387.00 | 2026-09-02 |
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 |
|---|---|---|---|---|
| HC US Breast Unilateral Limited Bl line 1347274 | both | $572.00 | $880.00 | $47.66 – $880.00 |
| HC US Breast Unilateral Limited Rt line 1204142 | both | $380.90 | $586.00 | $47.66 – $586.00 |
| HC US Breast Unilateral Limited Rt|BILATERAL PROCEDURE mod 50 line 1204185 | both | $380.90 | $586.00 | $47.66 – $586.00 |
| HC US Breast Unilateral Limited Lt|BILATERAL PROCEDURE mod 50 line 1315811 | both | $380.90 | $586.00 | $47.66 – $586.00 |
| HC US Breast Unilateral Limited Lt line 1315812 | both | $380.90 | $586.00 | $47.66 – $586.00 |
| HC US Breast Unilateral Limited Bl|BILATERAL PROCEDURE mod 50 line 1347273 | both | $572.00 | $880.00 | $47.66 – $880.00 |
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 St. Joe Mercy Hospital System Livonia prices