Breast ultrasound, one breast, limited at Mount St. Mary's Hospital & Health Center
CPT 76642 · 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.
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 |
|---|---|---|---|---|
| Niagara Falls Memorial Medical Center Niagara Falls, NY | 6.2 mi | $92.60 | $132.29 | 2026-06-17 |
| Kenmore Mercy Hospital Kenmore, NY | 15.1 mi | $389.00 | $389.00 | 2026-04-01 |
| Sisters of Charity Hospital Buffalo, NY | 17.9 mi | $389.00 | $389.00 | 2026-04-01 |
| Erie County Medical Center Buffalo, NY | 18.9 mi | $162.59 | 2026-08-25 | |
| Mercy Hospital of Buffalo Buffalo, NY | 24.2 mi | $389.00 | $389.00 | 2026-04-01 |
| United Memorial Medical Center Batavia, NY | 41.2 mi | $215.89 | $332.14 | 2026-04-01 |
| Westfield Memorial Hospital, Inc Westfield, NY | 66.0 mi | $386.10 | $495.00 | 2026-04-14 |
| Unity Specialty Hospital Rochester, NY | 67.9 mi | $238.91 | $298.64 | 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 76642 in this hospital's file
| Row in the hospital's file | Setting | Cash | Gross | Insurer min – max |
|---|---|---|---|---|
| HC Ultrasound Breast Limited - US Breast Left Limited line 59992 | both | $16.00 | $389.00 | $16.16 – $583.50 |
| HC Ultrasound Breast Limited - US Breast Bilateral Limited|TECHNICAL COMPONENT|BILATERAL PROCEDURE mod TC|50 line 59968 | both | $583.50 | $583.50 | $16.16 – $583.50 |
| HC Ultrasound Breast Limited - US Breast Right Limited|TECHNICAL COMPONENT|BILATERAL PROCEDURE mod TC|50 line 94371 | both | $583.50 | $583.50 | $16.16 – $583.50 |
| HC Ultrasound Breast Limited - US Breast Right Limited line 110760 | both | $389.00 | $389.00 | $16.16 – $583.50 |
| HC Ultrasound Breast Limited - US Breast Right Limited|TECHNICAL COMPONENT mod TC line 110788 | both | $389.00 | $389.00 | $16.16 – $583.50 |
| HC Ultrasound Breast Limited - US Breast Left Limited|TECHNICAL COMPONENT mod TC line 118203 | both | $16.00 | $389.00 | $16.16 – $583.50 |
| HC Ultrasound Breast Limited - US Breast Left Limited|TECHNICAL COMPONENT|BILATERAL PROCEDURE mod TC|50 line 118228 | both | $24.00 | $583.50 | $16.16 – $583.50 |
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