Breast ultrasound, one breast, limited at Westfield Memorial Hospital, Inc
CPT 76642 · Westfield, NY
These are Westfield Memorial Hospital, Inc's own posted figures from its standard-charges file dated April 14, 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 |
|---|---|---|---|---|
| UPMC Chautauqua at Wca Jamestown, NY | 23.0 mi | $124.20 | $207.00 | 2026-03-06 |
| Mercy Hospital of Buffalo Buffalo, NY | 52.7 mi | $389.00 | $389.00 | 2026-04-01 |
| Sisters of Charity Hospital Buffalo, NY | 56.7 mi | $389.00 | $389.00 | 2026-04-01 |
| Kenmore Mercy Hospital Kenmore, NY | 57.3 mi | $389.00 | $389.00 | 2026-04-01 |
| Erie County Medical Center Buffalo, NY | 57.5 mi | $162.59 | 2026-08-25 | |
| Niagara Falls Memorial Medical Center Niagara Falls, NY | 59.8 mi | $92.60 | $132.29 | 2026-06-17 |
| Olean General Hospital Olean, NY | 61.3 mi | $273.00 | $273.00 | 2026-04-01 |
| Mount St. Mary's Hospital & Health Center Lewiston, NY | 66.0 mi | $16.00 | $389.00 | 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 US BREAST UNI LIMITED line 611100 | both | $386.10 | $495.00 | |
| CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED line 611101 | outpatient | $20.02 | $91.00 | $26.51 – $200.05 |
| CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED line 611150 | outpatient | $26.51 – $200.05 | ||
| CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED mod 00 line 611155 | outpatient | $26.51 – $200.05 | ||
| CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED mod 26 line 611156 | outpatient | $26.51 – $200.05 | ||
| CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED mod 50 line 611187 | outpatient | $26.51 – $200.05 | ||
| CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED mod FX line 611193 | outpatient | $26.51 – $200.05 |
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 Westfield Memorial Hospital, Inc prices