Breast ultrasound, one breast, limited at Thomas Jefferson University Hospital
CPT 76642 · Philadelphia, PA
These are Thomas Jefferson University Hospital's own posted figures from its standard-charges file dated September 15, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
Across 19 Pennsylvania hospitals we index that post a cash price for this service: lowest $85.00, median $235.95, highest $1,528.65. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Children's Hospital of Philadelphia Philadelphia, PA | 2.2 mi | $1,528.65 | $1,528.65 | 2025-12-31 |
| Virtua Our Lady of Lourdes Hospital Camden, NJ | 2.7 mi | $139.80 | $1,398.00 | 2026-04-01 |
| St. Christopher's Hospital for Children Philadelphia, PA | 3.7 mi | $241.50 | $483.00 | 2026-06-01 |
| Jefferson Einstein Philadelphia Hospital Philadelphia, PA | 6.0 mi | $103.24 | 2026-09-15 | |
| Mercy Catholic Medical Center- Mercy Fitzgerald Darby, PA | 6.2 mi | $235.95 | $363.00 | 2026-03-31 |
| Main Line Hospital Lankenau Wynnewood, PA | 6.9 mi | $355.20 | $888.00 | 2026-04-01 |
| Roxborough Memorial Hospital Philadelphia, PA | 7.7 mi | $88.00 | $430.61 | 2026-09-01 |
| Nazareth Hospital Philadelphia, PA | 9.6 mi | $1,015.95 | $1,563.00 | 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 |
|---|---|---|---|---|
| HC US BREAST UNI INC AXIL LTD line 435900 | both | $102.82 | $459.00 | |
| Radiology-Ultrasound breast unilateral real time with image documentation including axilla when performed limited line 604436 | outpatient | $40.94 – $401.00 | ||
| Radiology-ULTRASOUND BREAST UNILATERAL REAL TIME WITH IMAGE DOCUMENTATION INCLUDING AXILLA WHEN PERFORMED LIMITED line 604445 | outpatient | $40.94 – $401.00 | ||
| RADIOLOGY - ULTRASOUND-US BREAST UNI REAL TIME WITH IMAGE LIMITED-21 Q1 CMS APC PUB 20210224 line 627211 | outpatient | $40.94 – $401.00 | ||
| Ultrasound breast limited line 660531 | outpatient | $40.94 – $401.00 | ||
| Ultrasound breast limited mod 50 FY line 660533 | outpatient | $40.94 – $401.00 | ||
| Ultrasound breast limited mod FY line 660535 | outpatient | $40.94 – $401.00 |
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 Thomas Jefferson University Hospital prices