Breast ultrasound, one breast, limited at SUNY/Stony Brook University Hospital
CPT 76642 · Stony Brook, NY
These are SUNY/Stony Brook University Hospital's own posted figures from its standard-charges file dated June 10, 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 |
|---|---|---|---|---|
| Ns/LIJ Hs Southside Hospital Bay Shore, NY | 15.7 mi | $206.83 | 2026-03-31 | |
| Ns/LIJ Hs Huntington Hospital Huntington, NY | 15.8 mi | $206.83 | 2026-03-31 | |
| Plainview Hospital Plainview, NY | 20.5 mi | $206.83 | 2026-03-31 | |
| Peconic Bay Medical Center Riverhead, NY | 24.9 mi | $206.83 | 2026-03-31 | |
| Northwell Hospital Glen Cove Glen Cove, NY | 26.5 mi | $206.83 | 2026-03-31 | |
| Nassau University Medical Center East Meadow, NY | 26.5 mi | $238.70 | $341.00 | 2025-10-28 |
| North Shore University Hospital Manhasset, NY | 30.7 mi | $206.83 | 2026-03-31 | |
| Long Island Jewish Medical Center New Hyde Park, NY | 31.4 mi | $206.83 | 2026-03-31 |
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 |
|---|---|---|---|---|
| LIMITED ULTRASOUND SCAN OF 1 BREAST line 28930 | outpatient | $917.33 | $917.33 | $108.10 – $4,255.00 |
| LIMITED ULTRASOUND SCAN OF 1 BREAST mod 50 line 25451 | outpatient | $1,991.00 | $1,991.00 | $108.10 – $4,255.00 |
| LIMITED ULTRASOUND SCAN OF 1 BREAST mod RT line 26177 | outpatient | $1,327.00 | $1,327.00 | $108.10 – $4,255.00 |
| LIMITED ULTRASOUND SCAN OF 1 BREAST mod LT line 26178 | outpatient | $1,327.00 | $1,327.00 | $108.10 – $4,255.00 |
| LIMITED ULTRASOUND SCAN OF 1 BREAST mod 50_TC line 28931 | outpatient | $1,991.00 | $1,991.00 | $108.10 – $4,255.00 |
| LIMITED ULTRASOUND SCAN OF 1 BREAST mod ET_LT line 28932 | outpatient | $1,327.00 | $1,327.00 | $108.10 – $4,255.00 |
| LIMITED ULTRASOUND SCAN OF 1 BREAST mod LT_TC line 28933 | outpatient | $1,327.00 | $1,327.00 | $108.10 – $4,255.00 |
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 SUNY/Stony Brook University Hospital prices