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
MAMMOGRAM ONE BREAST
Burnet, TX
See all hospitals reporting CPT 77055 →Price type
Ascension Seton’s median price of $496 is 329% above the median hospital's median price ($116), higher than 94% of the 277 hospitals reporting CPT 77055. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 5 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 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 2 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $178 | $178 | — | — | — | $178 – $178 |
| 3 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · both | $496 | $496 | — | — | — | $496 – $496 |
| 4 | Aetna 235_aetna pos 20140601 fee schedule · outpatient | $496 | $496 | — | — | — | $496 – $496 |
| 5 | Aetna 236_aetna elect choice 20140601 fee schedule · outpatient | $496 | $496 | — | — | — | $496 – $496 |
Last updated: Jan 1, 2026
See Mammogram of one breast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.