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 MAMMOGRAM - LT
York, PA
See all hospitals reporting CPT 77055 →Price type
UPMC Memorial’s median price of $159 is 38% above the median hospital's median price ($116), higher than 67% 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: 6 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 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 3 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 4 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $134 | $134 | — | — | — | $134 – $134 |
| 5 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 6 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $139 | $139 | — | — | — | $139 – $139 |
| 7 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 8 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 9 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $206 | $206 | — | — | — | $206 – $206 |
| 11 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $218 | $218 | — | — | — | $218 – $218 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $238 | $238 | — | — | — | $238 – $238 |
| 13 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $238 | $238 | — | — | — | $238 – $238 |
Last updated: Mar 6, 2026
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