Breast ultrasound, one breast, limited at Stonesprings Hospital Center
CPT 76642 · Dulles, VA
These are Stonesprings Hospital Center's own posted figures from its standard-charges file dated September 1, 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 11 Virginia hospitals we index that post a cash price for this service: lowest $120.50, median $496.00, highest $2,361.50. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Reston Hospital Center Reston, VA | 6.6 mi | $2,361.50 | $2,361.50 | 2026-09-01 |
| Inova Fair Oaks Hospital Fairfax, VA | 7.8 mi | $496.00 | $992.00 | 2026-04-01 |
| Inova Loudoun Hospital Leesburg, VA | 15.0 mi | $496.00 | $992.00 | 2026-04-01 |
| Inova Fairfax Hospital Falls Church, VA | 16.2 mi | $496.00 | $992.00 | 2026-04-01 |
| Inova Alexandria Hospital Alexandria, VA | 21.8 mi | $496.00 | $992.00 | 2026-04-01 |
| Medstar Montgomery Medical Center Olney, MD | 24.2 mi | $683.11 | $697.05 | 2026-04-01 |
| Inova Mount Vernon Hospital Alexandria, VA | 24.5 mi | $496.00 | $992.00 | 2026-04-01 |
| Sentara Northern Virginia Medical Center Woodbridge, VA | 26.3 mi | $548.00 | $1,096.00 | 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 |
|---|---|---|---|---|
| US BRST BI W AX LTD standard_charge_information[164062] | outpatient | $2,278.18 | $2,278.18 | $1,617.51 – $1,617.51 |
| Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited standard_charge_information[13828] | outpatient | $121.56 – $131.70 | ||
| Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited standard_charge_information[19567] | outpatient | $304.56 – $319.66 | ||
| Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited standard_charge_information[37894] | outpatient | $332.61 – $360.35 | ||
| Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited standard_charge_information[49293] | outpatient | $211.05 – $228.65 | ||
| Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited standard_charge_information[106884] | outpatient | $182.03 – $360.35 | ||
| US BRST UNI LT W AX LTD standard_charge_information[159297] | outpatient | $1,139.63 | $1,139.63 | $809.14 – $809.14 |
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 Stonesprings Hospital Center prices