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
GALACTOGRAM (SINGLE DUCT) - E
Washington, PA
See all hospitals reporting CPT 77053 →Price type
UPMC Washington’s median price of $393 is 47% above the median hospital's median price ($268), higher than 78% of the 1,866 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: 6 payers, 22 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 | Amerihealth Caritas medicaid facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 3 | Aetna chip/medicaid facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $47 | $94 | $80 | 86% | — | $47 – $233 |
| 5 | Aetna commercial facility · fee schedule · outpatient | $112 | $208 | $166 | 80% | — | $112 – $495 |
| 6 | Highmark community blue medicare advantage/complete blue medicare advantage facility · fee schedule · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 7 | Highmark freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 8 | Aetna advantra washington prime facility · fee schedule · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 9 | Humana medicare facility · fee schedule · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 10 | Highmark medicare facility · fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 11 | Highmark managed care - social mission facility · fee schedule · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 12 | Highmark my access blue ppo/my direct blue facility · fee schedule · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 13 | Aetna advantra washington prime facility · percent of total billed charges · outpatientfrom % of charges | $311 | $363 | $73 | 20% | — | $311 – $467 |
| 14 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $389 | $454 | $92 | 20% | — | $389 – $584 |
| 15 | Aetna auto/workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $415 | $467 | $90 | 19% | — | $415 – $623 |
| 16 | Cigna commercial facility · fee schedule · outpatient | $474 | $474 | — | — | — | $474 – $474 |
| 17 | Highmark connect blue epo facility · fee schedule · outpatient | $478 | $478 | — | — | — | $478 – $478 |
| 18 | Aetna cofinity/firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $428 | $482 | $93 | 19% | — | $428 – $642 |
| 19 | Highmark community blue ppo facility · fee schedule · outpatient | $505 | $505 | — | — | — | $505 – $505 |
| 20 | Highmark commercial - indemnity facility · fee schedule · outpatient | $531 | $531 | — | — | — | $531 – $531 |
| 21 | Highmark managed care facility · fee schedule · outpatient | $531 | $531 | — | — | — | $531 – $531 |
| 22 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $561 | $631 | $121 | 19% | — | $561 – $841 |
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.