Breast ultrasound, one breast, limited at Gouverneur Hospital
CPT 76642 · Gouverneur, NY
These are Gouverneur 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 78 New York hospitals we index that post a cash price for this service: lowest $16.00, median $216.95, highest $1,648.00. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Samaritan Medical Center Watertown, NY | 33.1 mi | $486.00 | $486.00 | 2026-02-02 |
| Canton-Potsdam Hospital Potsdam, NY | 35.6 mi | $535.08 | $823.20 | 2026-04-01 |
| Rome Memorial Hospital, Inc Rome, NY | 76.6 mi | $218.00 | $540.00 | 2026-08-11 |
| Little Falls Hospital Little Falls, NY | 90.3 mi | $160.98 | $596.22 | 2026-01-01 |
| Crouse Hospital Syracuse, NY | 95.3 mi | $496.00 | $496.00 | 2026-05-19 |
| Auburn Community Hospital Auburn, NY | 111.5 mi | $246.65 | $339.68 | 2025-01-19 |
| Bassett Healthcare Cooperstown, NY | 114.5 mi | $314.82 | $1,166.00 | 2026-01-01 |
| Glens Falls Hospital Glens Falls, NY | 114.8 mi | $329.00 | $658.00 | 2025-12-31 |
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_ REAL TIME W_IMAGE DOC INCLUDING AXILLA WHEN PERFORMED_ LIMITED line 6756 | both | $356.52 | $548.49 | |
| Ultrasound breast limited line 9661 | outpatient | $60.08 – $60.08 |
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 Gouverneur Hospital prices