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
DUCTO/GACTOGRAM 1 DUCT
Muncy, PA
See all hospitals reporting CPT 77053 →Price type
UPMC Muncy’s median price of $760 is 184% above the median hospital's median price ($268), higher than 96% 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: 7 payers, 31 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 | $50 | $50 | — | — | — | $50 – $50 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 3 | Amerihealth Caritas community healthchoices (chc) facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Amerihealth Caritas medicaid facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 5 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 6 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $222 | $222 | — | — | — | $222 – $222 |
| 7 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $226 | $226 | — | — | — | $226 – $226 |
| 8 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $231 | $231 | — | — | — | $231 – $231 |
| 9 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $564 | $564 | — | — | — | $564 – $564 |
| 10 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $583 | $583 | — | — | — | $583 – $583 |
| 11 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $616 | $616 | — | — | — | $616 – $616 |
| 12 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $664 | $664 | — | — | — | $664 – $664 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $685 | $685 | — | — | — | $685 – $685 |
| 14 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $720 | $720 | — | — | — | $720 – $720 |
| 15 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $724 | $724 | — | — | — | $724 – $724 |
| 16 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $760 | $760 | — | — | — | $760 – $760 |
| 17 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $948 | $948 | — | — | — | $948 – $948 |
| 18 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $948 | $948 | — | — | — | $948 – $948 |
| 19 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $967 | $967 | — | — | — | $967 – $967 |
| 20 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $967 | $967 | — | — | — | $967 – $967 |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $983 | $983 | — | — | — | $983 – $983 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $983 | $983 | — | — | — | $983 – $983 |
| 23 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $984 | $984 | — | — | — | $984 – $984 |
| 24 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $984 | $984 | — | — | — | $984 – $984 |
| 25 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
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.