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
MA Mammary Ducto/Galactogram Lt
Ozark, MO
See all hospitals reporting CPT 77054 →Price type
Mercy Hospital Springfield’s median price of $686 is 156% above the median hospital's median price ($268), higher than 93% 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: 13 payers, 27 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 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 2 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 3 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 4 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 5 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 6 | Ambetter hb sprg ambetter exchange mo facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 7 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 8 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 9 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 10 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 11 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 12 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $242 | $242 | — | — | — | $242 – $242 |
| 13 | Aetna hb sprg aetna commercial facility · fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 14 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $340 | $340 | — | — | — | $340 – $340 |
| 15 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 16 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $369 | $369 | — | — | — | $369 – $369 |
| 17 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $369 | $369 | — | — | — | $369 – $369 |
| 18 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $518 | $518 | — | — | — | $518 – $518 |
| 19 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $518 | $518 | — | — | — | $518 – $518 |
| 20 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $602 | $613 | $25 | 4% | — | $589 – $648 |
| 21 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $854 | $869 | $36 | 4% | — | $835 – $919 |
| 22 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $912 | $912 | — | — | — | $912 – $912 |
| 23 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $935 | $935 | — | — | — | $935 – $935 |
| 24 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.1k | $44 | 4% | — | $1.0k – $1.1k |
| 25 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $47 | 4% | — | $1.1k – $1.2k |
Last updated: Jun 4, 2026
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