Breast ultrasound (limited) Cost by Hospital

Breast ultrasound (limited) is a diagnostic imaging scan. Prices are from 2196 US hospitals across 52 states, from their machine-readable files.

$347median cash price · 2196 hospitals, 52 statestypically $111–$810 depending on the hospital
≈ 4.2× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$579
Cash / self-pay
$347
Insurer-negotiated
$164
Medicare pays
$84
$111$810
Median cash $347  ·  Medicare $84  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $347 — about 4.2× the Medicare rate ($84). High vs Medicare. A fair cash price is usually within ~2× Medicare ($167).

💡 Asking for the cash price instead of the $579 list price could save about $232 (40%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
North Texas Medical Center Gainesville, TX $53 $91 ★ 4/5 121 min 14.9%
University of Michigan Health-Sparrow Clinton Saint Johns, MI $56 $63 ★ 4/5 183 min 15.0%
University of Michigan Health-Sparrow Eaton Charlotte, MI $56 $79 ★ 1/5 152 min 15.0%
Sparrow Ionia Hospital Ionia, MI $56 $84 ★ 2/5 158 min 15.2%
John H Stroger Jr Hospital Chicago, IL $59 $67 ★ 2/5 280 min 15.0%
Provident Hospital of Chicago Chicago, IL $59 $67 — 222 min 15.5%
St Croix Regional Medical Center Saint Croix Falls, WI $59 $43 ★ 3/5 139 min 14.5%
Riverwood Healthcare Center Aitkin, MN $59 $76 — 103 min 14.8%
Baptist Health Medical Center North Little Rock North Little Rock, AR $61 $85 ★ 1/5 213 min 15.8%
Baptist Health Medical Center-Little Rock Little Rock, AR $61 $85 ★ 3/5 146 min 16.1%
Unity Health-Jacksonville Jacksonville, AR $62 — — 130 min 15.2%
Unity Health-Newport Newport, AR $62 — — 104 min 15.4%
Baptist Health Medical Center-Conway Conway, AR $62 $85 ★ 2/5 148 min 15.6%
University of Michigan Health-Sparrow Carson Carson City, MI $62 $89 ★ 4/5 95 min 15.2%
Baptist Health Medical Center-Stuttgart Stuttgart, AR $62 $88 ★ 3/5 101 min 15.0%
Baptist Health-Fort Smith Fort Smith, AR $62 $86 ★ 2/5 114 min 15.2%
Coffey County Hospital Burlington, KS $62 — ★ 4/5 89 min 14.7%
Baptist Health Medical Center-Drew County Monticello, AR $63 $88 ★ 2/5 126 min 18.1%
Doctor's Center De San Juan Santurce, PR $63 $63 — — 15.5%
Doctors' Center Bayamon Bayamon, PR $63 $58 — — 16.6%
Doctors' Center Hospital, Inc Manati, PR $63 $58 ★ 1/5 — 16.3%
Doctors Center Hospital Carolina Llc Carolina, PR $63 $63 — 315 min 15.8%
Southwestern Vermont Medical Center Bennington, VT $63 — ★ 3/5 196 min 15.8%
Montgomery General Hospital Montgomery, WV $63 $120 — 110 min 14.7%
Heritage Valley Beaver Beaver, PA $64 $85 ★ 3/5 185 min 14.5%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Breast ultrasound (limited)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $347; Medicare pays $84.

InsurerHospitalsNegotiated median
Medicaid 336
$68
$28 – $228
Univera 16
$71
$25 – $100
Amerigroup 163
$86
$42 – $199
Medicare 538
$88
$35 – $185
Tricare / VA 387
$88
$57 – $429
Devoted Health 154
$90
$77 – $433
Molina Healthcare 546
$90
$36 – $250
Centene / Ambetter 756
$93
$39 – $295
Highmark 125
$95
$47 – $313
UCare 65
$96
$54 – $407
Anthem 536
$102
$45 – $415
SelectHealth 48
$103
$71 – $409
AmeriHealth 222
$106
$41 – $396
Humana 971
$107
$71 – $598
Geisinger 65
$108
$54 – $689
Independent Health 32
$122
$61 – $236
UnitedHealthcare 1423
$128
$60 – $581
Priority Health 59
$129
$47 – $481
EmblemHealth 65
$141
$27 – $336
MVP Health Care 86
$148
$35 – $440
Oscar Health 154
$154
$78 – $312
UPMC Health Plan 90
$159
$80 – $647
Harvard Pilgrim 56
$164
$62 – $448
Blue Cross Blue Shield 1184
$166
$62 – $473
Bright Health 43
$168
$104 – $1,523
Workers' Comp / No-Fault 140
$173
$106 – $699
Aetna 1346
$195
$71 – $663
Kaiser Permanente 196
$196
$77 – $906
HealthPartners 235
$200
$61 – $758
Healthcare Highways 47
$223
$93 – $528
Cigna 1093
$228
$86 – $851
Sanford Health Plan 60
$238
$71 – $474
Health Net 275
$247
$71 – $935
Medica 213
$274
$87 – $660
Security Health Plan 55
$287
$71 – $663
AvMed 60
$302
$100 – $1,143
Coventry 149
$385
$88 – $898
MultiPlan / PHCS network 815
$509
$150 – $1,327

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Puerto Rico$63
Arkansas$104
New Mexico$120
Tennessee$122
Rhode Island$134
Mississippi$140

Prices by city

Chicago, ILPhiladelphia, PAAustin, TXDallas, TXBaltimore, MDCincinnati, OHNew York, NYBrooklyn, NYHouston, TXKansas City, MOCharlotte, NCCleveland, OHFort Worth, TXLos Angeles, CANashville, TNBirmingham, ALBronx, NYEl Paso, TXLittle Rock, ARMiami, FLMilwaukee, WINew Orleans, LAOklahoma City, OKRochester, NY

Prices by state

TexasCaliforniaOhioFloridaWisconsinNew YorkIllinoisPennsylvaniaMinnesotaNorth CarolinaMichiganTennesseeGeorgiaLouisianaIowaMissouriNebraskaColoradoKentuckyIndianaKansasVirginiaOklahomaNew JerseyArizonaArkansasMarylandMassachusettsWashingtonMississippiWest VirginiaMaineAlabamaSouth CarolinaSouth DakotaOregonNorth DakotaIdahoUtahConnecticutNew HampshireMontanaNevadaPuerto RicoNew MexicoWyomingHawaiiVermontDelawareAlaskaRhode IslandWashington DC

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Ronald Mattison, M.D.General SurgeryMemphis, TN824
Arpita Swami, MDDiagnostic RadiologySpokane, WA732
Robbie Shoots, MDDiagnostic RadiologyLas Cruces, NM730
Hope Peters, MDDiagnostic RadiologyBoston, MA623
Mary Goodwin, M.D.General SurgeryMarietta, GA601
Sergio DromiDiagnostic RadiologyNaples, FL583
Shara Oken, MDDiagnostic RadiologyBoston, MA564
Abraha Taddese, M.D.Diagnostic RadiologyNorth Bay Village, FL533
Charles Lackey, D.O.Diagnostic RadiologyNewburgh, IN531
Kathleen Kirtek, M.D.Diagnostic RadiologyGrand Rapids, MI527
Geraldine Chang, M.D.Diagnostic RadiologyNorthridge, CA520
Joan Berkowitz, M.D.Diagnostic RadiologyOwings Mills, MD487

Browse doctors by specialty & city →

Does Medicare cover Breast ultrasound (limited)?

Yes — Medicare generally covers Breast ultrasound (limited). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $84. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $17 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2196 US hospitals across 52 states, the typical (median) cash price is $347, versus a chargemaster (list) price around $579, a median insurer-negotiated rate of $164, a Medicare rate of about $84. Most cash prices fall between $111 and $810 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Breast ultrasound (limited) cost without insurance?
The median cash (self-pay) price across 2196 US hospitals is $347. Most hospitals fall between $111 and $810. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Breast ultrasound (limited)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $84). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Breast ultrasound (limited)?
Medicare pays about $84. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Breast ultrasound (limited) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

Related Imaging & Radiology

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See more Imaging & Radiology.