Breast ultrasound, one breast, limited at Baylor Scott & White Medical Center Grapevine
CPT 76642 · Grapevine, TX
These are Baylor Scott & White Medical Center Grapevine's own posted figures from its standard-charges file dated June 29, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
Across 108 Texas hospitals we index that post a cash price for this service: lowest $86.02, median $754.95, highest $6,909.79. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Texas Health Harris Methodist Hospital Southlake Southlake, TX | 4.1 mi | $766.05 | $1,276.75 | 2026-04-21 |
| Methodist Southlake Medical Center Southlake, TX | 4.1 mi | $173.10 | $577.00 | 2026-03-23 |
| Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX | 6.3 mi | $766.05 | $1,276.75 | 2026-04-21 |
| Texas Health Harris Methodist Hurst-Euless-Bedford Bedford, TX | 8.6 mi | $766.05 | $1,276.75 | 2026-04-21 |
| Medical City Las Colinas Irving, TX | 9.2 mi | $1,203.39 | $1,203.39 | 2026-09-01 |
| Medical City Lewisville Lewisville, TX | 9.7 mi | $1,104.55 | $1,104.55 | 2026-09-01 |
| Baylor Scott & White Medical Center at Irving Irving, TX | 10.4 mi | $346.19 | $576.99 | 2026-06-29 |
| Medical City North Hills North Richland Hills, TX | 10.9 mi | $1,633.38 | $1,633.38 | 2026-09-01 |
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 line 10171 | outpatient | $346.19 | $576.99 | $83.19 – $432.74 |
| HC US BRST LESS 4 QUADS BI mod 50 line 10172 | outpatient | $346.19 | $576.99 | $85.20 – $490.44 |
| HC US BRST LESS 4 QUADS LT mod LT line 10173 | outpatient | $346.19 | $576.99 | $85.20 – $490.44 |
| HC US BRST LESS 4 QUADS RT mod RT line 10174 | outpatient | $346.19 | $576.99 | $85.20 – $490.44 |
| HC MG US BRST LIMIT BI mod 50 line 10175 | outpatient | $346.19 | $576.99 | $85.20 – $490.44 |
| HC MG US BRST LIMIT LT mod LT line 10176 | outpatient | $346.19 | $576.99 | $85.20 – $490.44 |
| HC MG US BRST LIMIT RT mod RT line 10177 | outpatient | $346.19 | $576.99 | $85.20 – $490.44 |
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 Baylor Scott & White Medical Center Grapevine prices