CPT 77054
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC GALACTOGRAM, MULTIPLE DUCTS
Low
$46
Average
$344
Median
$406
High
$678
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 2.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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44 hospital rates
iThe hospitals that file a Healthpartners rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $678 | $678 | — | — | — | $678 – $678 |
| 2 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 3 | Aurora Medical Center Grafton Grafton, WI case rate · outpatient | 2 | $298 | $298 | $32 | 11% | — | $266 – $330 |
| 4 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · inpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 5 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 6 | Aurora Medical Center Kenosha Kenosha, WI case rate · outpatient | 2 | $298 | $298 | $32 | 11% | — | $266 – $330 |
| 7 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · inpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 8 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 9 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI case rate · outpatient | 2 | $298 | $298 | $32 | 11% | — | $266 – $330 |
| 10 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 11 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 12 | Aurora Medical Center Summit Summit, WI case rate · outpatient | 2 | $298 | $298 | $32 | 11% | — | $266 – $330 |
| 13 | Aurora Medical Center Summit Summit, WI percent of total billed charges · inpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 14 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 15 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 2 | $298 | $298 | $32 | 11% | — | $266 – $330 |
| 16 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 17 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 18 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 2 | $298 | $298 | $32 | 11% | — | $266 – $330 |
| 19 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 20 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 21 | Aurora West Allis Medical Center West Allis, WI case rate · outpatient | 2 | $298 | $298 | $32 | 11% | — | $266 – $330 |
| 22 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · inpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 23 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 24 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 25 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 1 | $237 | $237 | — | — | — | $237 – $237 |
← Payers reporting CPT 77054 · Snapshot 20261113T090226Z-3ce6c0b8