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Package

Breast Ultrasound

Package

Breast Ultrasound

A breast ultrasound is a safe, non-invasive test that uses sound waves to create images of the inside of the breast. It is often used to further evaluate areas of concern found on a mammogram or physical exam, such as lumps or cysts. The procedure involves placing a small handheld device (transducer) on the breast, along with a gel to help transmit the sound waves. There is no radiation, and the test is usually painless and quick. Ultrasound can help distinguish between solid masses and fluid-filled cysts, guiding further treatment if needed. Patients can resume normal activities right after the procedure.

New York Eye and Ear Infirmary of Mount Sinai

310 East 14th Street, New York, NY 10003
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Nearest station
3 Av
3 minute walk
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Up to
$127 / Case Rate

A single, all-inclusive pricing methodology for a procedure in health care contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

New York Eye and Ear Infirmary of Mount Sinai
$127

Without insurance

What goes into a price?

Prices across providers

This provider
$127
Lowest
$126
Highest
$1,181

Self pay or cash prices vary by provider when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts providers charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Breast Ultrasound Standard Service Package (SSP RA012). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS 76642 Base Code Breast ultrasound
HCPCS 76642 Professional Fee Breast ultrasound
RC 0402 Facility Fee Other Imaging Services - Ultrasound
HCPCS 77065 Facility Fee Diagnostic mammography with CAD, unilateral workup
HCPCS 77065 Professional Fee Diagnostic mammography with CAD, unilateral workup
RC 0401 Facility Fee Other Imaging Services - Diagnostic mammography

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

Up to
$127 / Case Rate

A single, all-inclusive pricing methodology for a procedure in health care contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

New York Eye and Ear Infirmary of Mount Sinai

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

Turquoise Health has developed SSPs which combine multiple medical services, materials, and fees associated with a health care visit or procedure into a single bundle to offer a more comprehensive estimate. SSPs are designed based on how health care procedures are commonly billed on claims. When discussing estimates with healthcare providers, you can refer to the individual codes listed in the 'Procedures included in this package' section of the tool.

Contact provider to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Breast Ultrasound
Service Codes HCPCS 76642, Revenue Code 0402, HCPCS 77065, Revenue Code 0401
Provider New York Eye and Ear Infirmary of Mount Sinai
When you contact them, you can say:
"Hi, I'm calling to verify a price for Breast Ultrasound I found through NYC Health Department's price estimate tool. Here are the codes I’m looking at: HCPCS 76642, Revenue Code 0402, HCPCS 77065, Revenue Code 0401. Can you confirm the estimate and help me schedule if needed?"