Breast ultrasound, one breast, limited at Frisbie Memorial Hospital
CPT 76642 · Rochester, NH
These are Frisbie Memorial Hospital's own posted figures from its standard-charges file dated September 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
The posted cash price equals the gross charge: this file shows no self-pay discount for this service.
See every New Hampshire hospital we index for this service.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Parkland Medical Center Derry, NH | 31.7 mi | $1,679.75 | $1,679.75 | 2026-09-01 |
| Ascension Providence Rochester Hospital Rochester, MI | 614.8 mi | $160.29 | $445.25 | 2026-01-01 |
| Harper University Hospital Detroit, MI | 615.1 mi | $290.25 | $387.00 | 2026-09-02 |
| Detroit Receiving Hospital Detroit, MI | 615.1 mi | $261.00 | $348.00 | 2026-04-07 |
| Children's Hospital of Michigan Detroit, MI | 615.1 mi | $171.00 | $228.00 | 2026-04-06 |
| Sinai-Grace Hospital Detroit, MI | 620.9 mi | $362.25 | $483.00 | 2026-04-08 |
| Huron Valley-Sinai Hospital Commerce Township, MI | 635.2 mi | $418.50 | $558.00 | 2026-05-20 |
| Presence Saint Joseph Hospital - Chicago Chicago, IL | 852.2 mi | $321.75 | $975.00 | 2026-01-01 |
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 |
|---|---|---|---|---|
| US BRST BI W AX LTD standard_charge_information[134175] | outpatient | $2,033.00 | $2,033.00 | $167.52 – $1,626.40 |
| Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited standard_charge_information[13394] | outpatient | $3,032.81 – $3,032.81 | ||
| Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited standard_charge_information[17044] | outpatient | $448.36 – $3,032.81 | ||
| Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited standard_charge_information[107296] | outpatient | $163.86 – $191.06 | ||
| US BRST UNI LT W AX LTD standard_charge_information[136384] | outpatient | $252.00 | $252.00 | $20.76 – $201.60 |
| US BRST UNI RT W AX LTD standard_charge_information[136689] | outpatient | $252.00 | $252.00 | $20.76 – $201.60 |
| Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited standard_charge_information[138797] | outpatient | $284.50 – $331.71 |
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 Frisbie Memorial Hospital prices