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 SINGLE DUCT - RT
Hanover, PA
See all hospitals reporting CPT 77053 →Price type
UPMC Hanover’s median price of $519 is 94% above the median hospital's median price ($268), higher than 89% of the 1,860 hospitals reporting CPT 77053. 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, 15 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 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 5 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $323 | $323 | — | — | — | $323 – $323 |
| 6 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $519 | $519 | — | — | — | $519 – $519 |
| 7 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $620 | $620 | — | — | — | $620 – $620 |
| 8 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $620 | $620 | — | — | — | $620 – $620 |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $665 | $665 | — | — | — | $665 – $665 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $672 | $672 | — | — | — | $672 – $672 |
| 11 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $776 | $776 | — | — | — | $776 – $776 |
| 12 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $776 | $776 | — | — | — | $776 – $776 |
| 13 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $776 | $776 | — | — | — | $776 – $776 |
| 14 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $776 | $776 | — | — | — | $776 – $776 |
| 15 | Cigna commercial facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Mar 6, 2026
See Mammary ductogram (single duct X-ray) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.