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
GALACTOGRAM > 1 DUCT S&I
Chicago, IL
See all hospitals reporting CPT 77054 →Price type
Advocate Trinity Hospital’s median price of $632 is 136% above the median hospital's median price ($268), higher than 91% of the 1,715 hospitals reporting CPT 77054. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna commercial fee schedule · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 2 | UnitedHealthcare commercial case rate · outpatient | $293 | $354 | $141 | 40% | — | $220 – $549 |
| 3 | Ambetter medicare advantage case rate · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 4 | Molina medicare advantage case rate · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 5 | Oscar medicare advantage case rate · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 6 | Aetna commercial fee schedule · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 7 | UnitedHealthcare hmo case rate · outpatient | $634 | $634 | — | — | — | $634 – $634 |
| 8 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $44 | 4% | — | $1.1k – $1.2k |
| 9 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Nov 4, 2025
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