Breast ultrasound, one breast, limited at Samaritan Medical Center
CPT 76642 · Watertown, NY
These are Samaritan Medical Center's own posted figures from its standard-charges file dated February 2, 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 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 |
|---|---|---|---|---|
| Gouverneur Hospital Gouverneur, NY | 33.1 mi | $356.52 | $548.49 | 2026-04-01 |
| Rome Memorial Hospital, Inc Rome, NY | 56.6 mi | $218.00 | $540.00 | 2026-08-11 |
| Crouse Hospital Syracuse, NY | 65.7 mi | $496.00 | $496.00 | 2026-05-19 |
| Canton-Potsdam Hospital Potsdam, NY | 68.5 mi | $535.08 | $823.20 | 2026-04-01 |
| Auburn Community Hospital Auburn, NY | 79.5 mi | $246.65 | $339.68 | 2025-01-19 |
| Little Falls Hospital Little Falls, NY | 80.3 mi | $160.98 | $596.22 | 2026-01-01 |
| Newark-Wayne Community Hospital Newark, NY | 85.8 mi | $222.56 | $342.40 | 2026-04-01 |
| Clifton Springs Hospital and Clinic Clifton Springs, NY | 93.3 mi | $169.33 | $260.51 | 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 |
|---|---|---|---|---|
| US BREAST UNILAT LIMITED line 23066 | outpatient | $486.00 | $486.00 | $108.63 – $498.62 |
| US BREAST UNILAT LIMITED line 2585 | inpatient | $486.00 | $486.00 | $388.80 – $388.80 |
| US BREAST UNILAT LIMITED line 7094 | inpatient | $467.00 | $467.00 | $373.60 – $373.60 |
| US BREAST UNILAT LIMITED line 22100 | outpatient | $467.00 | $467.00 | $108.63 – $498.62 |
| ULTRASOUND BREAST LIMITED line 306773 | both | $76.02 – $110.01 | ||
| ULTRASOUND BREAST LIMITED mod 26 line 353762 | both | $29.07 – $33.66 | ||
| ULTRASOUND BREAST LIMITED mod TC line 365130 | both | $46.95 – $54.36 |
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 Samaritan Medical Center prices