Breast ultrasound, one breast, limited at Fairview Lakes Health Services
CPT 76642 · Wyoming, MN
These are Fairview Lakes Health Services's own posted figures from its standard-charges file dated February 5, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
Across 12 Minnesota hospitals we index that post a cash price for this service: lowest $172.08, median $268.24, highest $314.93. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Mercy Hospital Coon Rapids, MN | 15.9 mi | $172.08 | $358.50 | 2026-06-17 |
| Cambridge Medical Center Cambridge, MN | 18.4 mi | $268.24 | $479.00 | 2026-06-16 |
| Maple Grove Hospital Maple Grove, MN | 22.2 mi | $181.29 | $344.00 | 2026-09-25 |
| M Health Fairview St. John's Hospital Maplewood, MN | 22.2 mi | $297.15 | $741.00 | 2026-02-05 |
| North Memorial Health Hospital Robbinsdale, MN | 25.3 mi | $181.29 | $344.00 | 2026-09-25 |
| M Health Fairview University of MN Medical Center Minneapolis, MN | 25.9 mi | $297.15 | $741.00 | 2026-02-06 |
| Regions Hospital Saint Paul, MN | 26.5 mi | $180.70 | $695.00 | 2026-03-31 |
| Abbott Northwestern Hospital Minneapolis, MN | 28.6 mi | $172.08 | $358.50 | 2026-06-16 |
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 UNILAT, REAL TIME W IMAGE, LIMITED line 63874 | outpatient | $297.15 | $741.00 | $67.05 – $666.90 |
| HC US BREAST UNILAT, REAL TIME W IMAGE, LIMITED line 19290 | inpatient | $297.15 | $741.00 | $386.06 – $666.90 |
| HC US BREAST UNILAT, REAL TIME W IMAGE, LIMITED line 35181 | inpatient | $198.10 | $494.00 | $257.37 – $444.60 |
| HC US BREAST UNILAT, REAL TIME W IMAGE, LIMITED line 46042 | outpatient | $198.10 | $494.00 | $67.05 – $444.60 |
| PR US BREAST UNILAT, REAL TIME W IMAGE, LIMITED mod 26 line 83287 | both | $73.36 | $117.00 | $22.13 – $109.15 |
| ULTRASOUND BREAST LIMITED line 360188 | both | $59.82 – $289.94 | ||
| ULTRASOUND BREAST LIMITED mod TC line 366133 | both | $37.68 – $180.79 |
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 Fairview Lakes Health Services prices