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 MM X-RAY OF MAMMARY DUCTS
Cedar Rapids, IA
See all hospitals reporting CPT 77054 →Price type
St Luke's Methodist Hospital’s median price of $89 is 67% below the median hospital's median price ($268), higher than 13% 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: 7 payers, 25 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 | Aetna medicare advantage fee schedule · both | $43 | $42 | $17 | 42% | — | $20 – $62 |
| 2 | Molina medicare advantage fee schedule · both | $44 | $42 | $18 | 42% | — | $20 – $64 |
| 3 | Wellmark medicare advantage fee schedule · both | $44 | $42 | $18 | 42% | — | $20 – $64 |
| 4 | Humana medicare advantage fee schedule · both | $45 | $44 | $18 | 42% | — | $21 – $65 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $45 | $44 | $18 | 42% | — | $21 – $65 |
| 6 | UnitedHealthcare hmo fee schedule · both | $61 | $60 | $25 | 42% | — | $29 – $90 |
| 7 | UnitedHealthcare ppo fee schedule · both | $61 | $60 | $25 | 42% | — | $29 – $90 |
| 8 | Wellmark commercial fee schedule · both | $89 | $85 | $37 | 43% | — | $39 – $128 |
| 9 | Wellmark hmo fee schedule · both | $89 | $85 | $37 | 43% | — | $39 – $128 |
| 10 | Cigna commercial fee schedule · both | $91 | $88 | $37 | 42% | — | $42 – $132 |
| 11 | Wellmark ppo fee schedule · both | $105 | $101 | $43 | 43% | — | $46 – $151 |
| 12 | Aetna hmo fee schedule · both | $142 | $129 | $59 | 46% | — | $51 – $193 |
| 13 | Aetna ppo fee schedule · both | $169 | $152 | $70 | 46% | — | $59 – $228 |
| 14 | Aetna medicare advantage case rate · outpatient | $229 | $229 | — | — | — | $229 – $229 |
| 15 | Molina medicare advantage case rate · outpatient | $229 | $229 | — | — | — | $229 – $229 |
| 16 | Wellmark medicare advantage case rate · outpatient | $229 | $229 | — | — | — | $229 – $229 |
| 17 | Humana medicare advantage case rate · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 18 | UnitedHealthcare medicare advantage case rate · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 19 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $396 | $396 | $23 | 6% | — | $373 – $419 |
| 20 | Aetna hmo fee schedule · outpatient | $472 | $472 | — | — | — | $472 – $472 |
| 21 | Aetna ppo fee schedule · outpatient | $491 | $491 | — | — | — | $491 – $491 |
| 22 | UnitedHealthcare hmo fee schedule · outpatient | $602 | $602 | — | — | — | $602 – $602 |
| 23 | UnitedHealthcare ppo fee schedule · outpatient | $602 | $602 | — | — | — | $602 – $602 |
| 24 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $613 | $613 | — | — | — | $613 – $613 |
| 25 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $613 | $613 | — | — | — | $613 – $613 |
Last updated: Jan 28, 2026
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