76641

Complete ultrasound scan of 1 breast

Medicare pricing data for 10,928 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $37 in Idaho to $137 in Nevada. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Complete ultrasound scan of 1 breast (HCPCS code 76641) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $102.28, but hospitals typically charge $418.79 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$20.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $102.28, your out-of-pocket cost would be approximately $20.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$102.28
Average Hospital Charge
$418.79
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$418.79
Medicare Allowed$102.28
Medicare Payment$72.81

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $72.81 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nevada$137$5051605,016+34.3%
Hawaii$130$473301,212+27.1%
New York$118$4831,118109,806+15.8%
New Jersey$113$43852430,107+10.5%
Georgia$112$4212598,364+9.7%
Arizona$111$4701638,371+8.8%
Maryland$111$3141782,859+8.3%
Colorado$109$4341233,034+6.2%
California$107$4541,28145,885+4.6%
New Mexico$105$643773,671+2.2%
Connecticut$104$35729614,723+1.5%
Washington$102$5141052,774-0.1%
Florida$102$45690256,254-0.5%
North Carolina$101$4092714,331-1.4%
Tennessee$100$3273057,611-2.3%
Puerto Rico$100$1121093,668-2.7%
Missouri$98$3382113,442-3.7%
Utah$97$25354349-5.0%
Rhode Island$96$543612,327-5.7%
Louisiana$92$2851473,466-10.3%
District of Columbia$89$361621,447-13.0%
Illinois$88$3634528,091-13.5%
Massachusetts$88$3501706,048-13.9%
Wyoming$88$44423558-14.2%
Delaware$86$24642803-15.7%
Indiana$85$313951,754-16.9%
Oregon$77$2681081,345-24.6%
Wisconsin$77$445117922-24.7%
Iowa$76$2501102,224-25.6%
Texas$76$37882527,391-25.7%
Arkansas$76$366782,181-26.0%
Kansas$75$2181121,737-26.9%
Virginia$75$2552494,931-26.9%
Ohio$74$2712093,306-27.6%
Michigan$74$2602683,518-28.1%
Pennsylvania$74$32645315,093-28.1%
Alaska$72$5011459-29.1%
Alabama$69$2282783,903-32.3%
Montana$68$20441700-33.5%
Minnesota$68$3061191,424-33.7%
West Virginia$65$19961916-36.0%
Maine$65$27640459-36.1%
South Carolina$62$2571252,206-39.5%
Mississippi$59$2091132,435-42.8%
Vermont$58$30024974-43.3%
South Dakota$53$20136152-48.0%
New Hampshire$53$17620108-48.1%
Kentucky$52$21386731-49.4%
North Dakota$51$2172772-50.0%
Oklahoma$51$238791,461-50.5%
Nebraska$41$15773772-60.3%
Idaho$37$2891733-63.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber