Breast ultrasound Cost by Hospital

Breast ultrasound is a diagnostic imaging scan. Prices are from 2261 US hospitals across 52 states, from their machine-readable files.

$398median cash price · 2261 hospitals, 52 statestypically $125–$923 depending on the hospital
≈ 4.3× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$639
Cash / self-pay
$398
Insurer-negotiated
$180
Medicare pays
$92
$125$923
Median cash $398  ·  Medicare $92  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $398 — about 4.3× the Medicare rate ($92). High vs Medicare. A fair cash price is usually within ~2× Medicare ($184).

💡 Asking for the cash price instead of the $639 list price could save about $241 (38%).

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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
Baptist Health Medical Center-Conway Conway, AR $62 $85 ★ 2/5 145 min —
University of Michigan Health-Sparrow Carson Carson City, MI $62 $91 ★ 4/5 91 min —
Baptist Health Medical Center-Stuttgart Stuttgart, AR $62 $88 ★ 3/5 106 min —
Coffey County Hospital Burlington, KS $62 — ★ 4/5 87 min —
Baptist Health Medical Center-Drew County Monticello, AR $63 $88 ★ 2/5 122 min —
John H Stroger Jr Hospital Chicago, IL $63 $73 ★ 2/5 293 min —
Provident Hospital of Chicago Chicago, IL $63 $73 — 190 min —
Unity Health-Jacksonville Jacksonville, AR $63 — — 130 min —
Unity Health-Newport Newport, AR $63 — — 103 min —
Montgomery General Hospital Montgomery, WV $63 $129 — 100 min —
Bayamon Medical Center Bayamon, PR $65 $72 — 279 min —
Edward W Sparrow Hospital Lansing, MI $65 $92 ★ 3/5 299 min —
University Medical Center of El Paso El Paso, TX $66 $103 ★ 3/5 240 min —
Hmhp St Elizabeth Boardman Health Center Boardman, OH $69 — ★ 2/5 274 min —
Holy Cross Hospital a Div of Taos Health Systems Taos, NM $72 — ★ 1/5 92 min —
Aspen Valley Hospital Aspen, CO $73 $436 — — —
Baptist Health Medical Center North Little Rock North Little Rock, AR $73 $100 ★ 1/5 186 min —
Baptist Health Medical Center-Little Rock Little Rock, AR $73 $100 ★ 3/5 140 min —
Vanderbilt Bedford Hospital Shelbyville, TN $73 $93 ★ 4/5 125 min —
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $73 $93 ★ 3/5 168 min —
Baptist Health-Fort Smith Fort Smith, AR $74 $103 ★ 2/5 124 min —
Potomac Valley Hospital Keyser, WV $76 — ★ 1/5 119 min —
Baptist Memorial Hospital Jonesboro, Inc. Jonesboro, AR $76 $147 ★ 3/5 128 min —
Baptist Memorial Hospital-Crittenden, Inc West Memphis, AR $76 $147 — 139 min —
Baptist Memorial Hospital Union County New Albany, MS $76 $147 ★ 4/5 144 min —

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 October 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

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: $398; Medicare pays $92.

InsurerHospitalsNegotiated median
Univera 16
$71
$27 – $121
Medicaid 350
$74
$29 – $239
Amerigroup 169
$95
$46 – $212
Molina Healthcare 559
$96
$40 – $267
Medicare 556
$100
$47 – $213
Devoted Health 158
$102
$81 – $433
Tricare / VA 399
$102
$60 – $509
Highmark 135
$105
$47 – $336
Centene / Ambetter 792
$107
$45 – $294
Geisinger 69
$110
$49 – $726
UCare 65
$115
$54 – $423
AmeriHealth 229
$117
$43 – $413
Anthem 561
$119
$48 – $484
Humana 1015
$120
$73 – $671
Priority Health 59
$129
$47 – $497
UnitedHealthcare 1487
$140
$62 – $622
EmblemHealth 81
$141
$33 – $291
Independent Health 32
$147
$74 – $280
SelectHealth 49
$148
$81 – $436
Oscar Health 170
$166
$84 – $348
MVP Health Care 88
$170
$35 – $492
Harvard Pilgrim 57
$180
$65 – $517
UPMC Health Plan 94
$187
$59 – $642
Blue Cross Blue Shield 1226
$190
$71 – $563
Bright Health 44
$195
$108 – $1,661
HealthPartners 238
$202
$69 – $854
Workers' Comp / No-Fault 144
$211
$106 – $789
Kaiser Permanente 202
$214
$81 – $1,042
Aetna 1414
$218
$74 – $751
Cigna 1147
$258
$93 – $967
Sanford Health Plan 61
$259
$76 – $555
Healthcare Highways 47
$264
$128 – $579
Medica 215
$270
$89 – $672
Security Health Plan 55
$286
$71 – $718
Health Net 280
$315
$79 – $1,063
AvMed 65
$345
$120 – $1,143
Coventry 156
$386
$92 – $1,020
MultiPlan / PHCS network 845
$553
$175 – $1,496

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
Arkansas$116
Tennessee$147
Rhode Island$149
Mississippi$155
New Jersey$159
Louisiana$216

Prices by city

Prices by state

Does Medicare cover Breast ultrasound?

Yes — Medicare generally covers Breast ultrasound. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $92. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $18 — 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 2261 US hospitals across 52 states, the typical (median) cash price is $398, versus a chargemaster (list) price around $639, a median insurer-negotiated rate of $180, a Medicare rate of about $92. Most cash prices fall between $125 and $923 — 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 cost without insurance?
The median cash (self-pay) price across 2261 US hospitals is $398. Most hospitals fall between $125 and $923. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Breast ultrasound?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $92). 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?
Medicare pays about $92. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Breast ultrasound 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.

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