Breast ultrasound, one breast, complete at Mount St. Mary's Hospital & Health Center
CPT 76641 · Lewiston, NY
These are Mount St. Mary's Hospital & Health Center'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.
The posted cash price equals the gross charge: this file shows no self-pay discount for this service.
Across 76 New York hospitals we index that post a cash price for this service: lowest $19.48, median $288.58, highest $3,918.00. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Niagara Falls Memorial Medical Center Niagara Falls, NY | 6.2 mi | $185.20 | $264.57 | 2026-06-17 |
| Kenmore Mercy Hospital Kenmore, NY | 15.1 mi | $394.00 | $394.00 | 2026-04-01 |
| Sisters of Charity Hospital Buffalo, NY | 17.9 mi | $394.00 | $394.00 | 2026-04-01 |
| Erie County Medical Center Buffalo, NY | 18.9 mi | $212.27 | 2026-08-25 | |
| Mercy Hospital of Buffalo Buffalo, NY | 24.2 mi | $19.48 | $394.00 | 2026-04-01 |
| United Memorial Medical Center Batavia, NY | 41.2 mi | $426.20 | $655.70 | 2026-04-01 |
| Westfield Memorial Hospital, Inc Westfield, NY | 66.0 mi | $467.22 | $599.00 | 2026-04-14 |
| Unity Specialty Hospital Rochester, NY | 67.9 mi | $456.76 | $570.95 | 2026-04-01 |
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 76641 in this hospital's file
| Row in the hospital's file | Setting | Cash | Gross | Insurer min – max |
|---|---|---|---|---|
| Complete Ultrasound of Right Breast line 5453 | both | $394.00 | $394.00 | $19.68 – $591.00 |
| Complete Ultrasound of Left Breast|TECHNICAL COMPONENT|PN - NON-EXCEPTED OFF-CAMPUS SVC|BILATERAL PROCEDURE mod TC|PN|50 line 5444 | both | $591.00 | $591.00 | $19.68 – $591.00 |
| Complete Ultrasound of Right Breast|TECHNICAL COMPONENT mod TC line 5483 | both | $394.00 | $394.00 | $19.68 – $591.00 |
| Comprehensive Ultrasound of Both Breasts|TECHNICAL COMPONENT|BILATERAL PROCEDURE mod TC|50 line 5497 | both | $29.22 | $591.00 | $19.68 – $591.00 |
| Comprehensive Ultrasound of Both Breasts|TECHNICAL COMPONENT|PN - NON-EXCEPTED OFF-CAMPUS SVC|BILATERAL PROCEDURE mod TC|PN|50 line 5519 | both | $29.22 | $591.00 | $19.68 – $591.00 |
| Complete Ultrasound of Right Breast|TECHNICAL COMPONENT|BILATERAL PROCEDURE mod TC|50 line 79939 | both | $591.00 | $591.00 | $19.68 – $591.00 |
| Complete Ultrasound of Left Breast line 89278 | both | $394.00 | $394.00 | $19.68 – $591.00 |
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 Mount St. Mary's Hospital & Health Center prices