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 (MULTIPLE DUCT) -E
Washington, PA
See all hospitals reporting CPT 77054 →Price type
UPMC Washington’s median price of $474 is 77% above the median hospital's median price ($268), higher than 82% 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: 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 | $87 | $87 | — | — | — | $87 – $87 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 3 | Aetna chip/medicaid facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $61 | $104 | $75 | 72% | — | $61 – $233 |
| 5 | Highmark community blue medicare advantage/complete blue medicare advantage facility · fee schedule · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 6 | Highmark freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 7 | Aetna advantra washington prime facility · fee schedule · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 8 | Aetna commercial facility · fee schedule · outpatient | $144 | $232 | $152 | 66% | — | $144 – $495 |
| 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 | Cigna commercial facility · fee schedule · outpatient | $474 | $474 | — | — | — | $474 – $474 |
| 14 | Highmark connect blue epo facility · fee schedule · outpatient | $478 | $478 | — | — | — | $478 – $478 |
| 15 | Highmark community blue ppo facility · fee schedule · outpatient | $505 | $505 | — | — | — | $505 – $505 |
| 16 | Aetna advantra washington prime facility · percent of total billed charges · outpatientfrom % of charges | $433 | $505 | $102 | 20% | — | $433 – $650 |
| 17 | Highmark commercial - indemnity facility · fee schedule · outpatient | $531 | $531 | — | — | — | $531 – $531 |
| 18 | Highmark managed care facility · fee schedule · outpatient | $531 | $531 | — | — | — | $531 – $531 |
| 19 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $541 | $632 | $128 | 20% | — | $541 – $812 |
| 20 | Aetna auto/workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $578 | $650 | $125 | 19% | — | $578 – $866 |
| 21 | Aetna cofinity/firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $595 | $670 | $129 | 19% | — | $595 – $893 |
| 22 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $779 | $877 | $169 | 19% | — | $779 – $1.2k |
Last updated: Mar 6, 2026
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