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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 76641
  4. Cost Analysis

How Much Does Complete ultrasound scan of 1 breast Cost on Medicare?

Cost analysis for CPT 76641 — Complete ultrasound scan of 1 breast

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Average Medicare Payment

$65.43

2023 data

Total Payments (2023)

$29.1M

Services (2023)

394.8K

Price Change (2015–2023)

+11.1%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2015$58.88$27.1M399.6K—
2016$56.58$29.1M446.1K-3.9%
2017$57.81$30.3M460.9K+2.2%
2018$58.72$31.8M472.4K+1.6%
2019$60.03$34.0M503.6K+2.2%
2020$60.69$30.6M443.9K+1.1%
2021$60.87$35.5M506.5K+0.3%
2022$61.86$33.0M461.4K+1.6%
2023$65.43$29.1M394.8K+5.8%

🗺️ State-by-State Cost Variation

The most expensive state pays 3.8x more than the cheapest for this procedure. NV averages $98.45 vs NE at $25.94.

StateAvg PaymentTotal PaymentsServicesProviders
NV$98.45$455.3K4.6K46
HI$93.96$108.5K1.2K12
NY$84.29$9.1M108.5K626
GA$83.61$662.5K7.9K100
MD$82.76$203.0K2.5K64
GU$82.69$46.6K5646
AZ$81.02$656.0K8.1K79
NJ$80.56$2.3M29.1K246
UT$78.39$19.5K2496
CA$78.18$3.4M43.5K467
CO$76.51$214.1K2.8K34
WA$75.76$194.5K2.6K39
FL$74.22$4.1M54.9K419
MO$74.00$215.3K2.9K48
NC$72.81$274.6K3.8K48
CT$72.40$1.0M14.3K145
PR$72.09$252.5K3.5K59
NM$71.80$251.6K3.5K31
RI$69.78$153.8K2.2K26
TN$69.71$488.5K7.0K91
LA$68.19$211.4K3.1K33
VI$67.20$6.9K1022
DE$66.57$43.5K65312
IL$64.29$459.1K7.1K150
WY$63.03$32.5K5156
MA$62.40$357.0K5.7K44
IN$61.25$93.3K1.5K26
DC$60.76$79.0K1.3K21
WI$60.14$41.4K68914
OR$55.86$57.9K1.0K29
OH$55.23$158.7K2.9K59
MI$54.08$154.8K2.9K71
TX$53.30$1.4M25.9K324
VA$53.16$232.4K4.4K82
PA$51.52$726.3K14.1K166
AR$51.10$104.1K2.0K30
IA$50.71$102.1K2.0K41
AL$50.35$160.0K3.2K64
MN$50.08$60.8K1.2K23
KS$48.02$65.7K1.4K24
WV$47.64$38.4K80619
ME$47.13$17.2K36510
MT$45.86$28.1K61220
SC$43.35$83.2K1.9K35
VT$40.80$37.7K92412
MS$39.62$86.9K2.2K39
KY$35.87$18.4K51415
OK$35.85$46.6K1.3K26
NE$25.94$15.6K60215

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Robin EhrenpreisDiagnostic RadiologyNY$294.3K4.5K$65.92
John KehoeSurgical OncologyNY$215.6K1.6K$138.47
Shenin SachedinaGeneral SurgeryFL$195.5K1.8K$111.63
Saint Barnabas Outpatient CentersIndependent Diagnostic Testing Facility (IDTF)NJ$164.9K1.9K$88.25
Gail CalamariDiagnostic RadiologyNY$164.2K1.3K$128.48
Patricia KellyDiagnostic RadiologyNY$153.8K1.3K$117.58
Christopher PettiDiagnostic RadiologyNJ$124.6K1.0K$122.62
Michael ShamisDiagnostic RadiologyNV$121.3K971$124.90
Stacey TashmanDiagnostic RadiologyNY$118.5K938$126.28
Guy BassisDiagnostic RadiologyNY$117.1K1.1K$106.95
Dipa PatelDiagnostic RadiologyCA$117.0K786$148.91
Ian GradyGeneral SurgeryCA$115.5K960$120.31
Stanford SchwimerDiagnostic RadiologyCA$109.0K800$136.23
Michael MeccaDiagnostic RadiologyNV$105.4K785$134.30
Elizabeth ThomsonDiagnostic RadiologyNY$104.4K825$126.49
Olga TsireshkinDiagnostic RadiologyNY$98.6K748$131.87
Kelly McaleeseDiagnostic RadiologyCO$93.4K890$104.93
Alexandra PerkinsDiagnostic RadiologyNY$92.6K732$126.52
Ross GoldbergDiagnostic RadiologyCA$85.3K633$134.69
Kenneth AverillDiagnostic RadiologyCA$82.3K701$117.41

🤔 Is Complete ultrasound scan of 1 breast Overpriced?

The data suggests significant pricing inconsistencies for CPT 76641. With a 3.8x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have risen 11.1% since 2015, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.