Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation Age Under 21 (CPT 77054)
77054 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
52 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
Compare interactively — search all codes, set your location →
| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Parkview Medical Center | Pueblo, CO | $96.26 | $240.65 | $251.70 | 0.4× |
| Gunnison Valley Hospital | Gunnison, CO | $159.80 | $188 | $251.70 | 0.6× |
| East Morgan County Hospital | Brush, CO | $191.98 | $294.50 | $251.70 | 0.8× |
| Banner North Colorado Medical Center | Greeley, CO | $193.95 | $551 | $251.70 | 0.8× |
| Denver Health Medical Center | Denver, CO | $216.57 | $618.76 | $251.70 | 0.9× |
| Washakie Medical Center | Worland, WY | $224.95 | $294.50 | $243.77 | 0.9× |
| Banner Wyoming Medical Center | Casper, WY | $231.42 | $551 | $243.77 | 0.9× |
| Sterling Regional MedCenter | Sterling, CO | $243.90 | $542 | $251.70 | 1.0× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $287.07 | $551 | $251.70 | 1.1× |
| Southwest Memorial Hospital | Cortez, CO | $294 | $587 | $251.70 | 1.2× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $324.50 | $324.50 | $243.77 | 1.3× |
| Sheridan Memorial Hospital | Sheridan, WY | $335.20 | $419 | $243.77 | 1.4× |
| Delta County Memorial Hospital | Delta, CO | $451.95 | $753.25 | $251.70 | 1.8× |
| St. Anthony Summit Medical Center | Frisco, CO | $536.85 | $1,342.11 | $251.70 | 2.1× |
| UCHealth Pikes Peak Regional Hospital | Woodland Park, CO | $543.20 | $679 | $251.70 | 2.2× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $569.70 | $1,266 | $251.70 | 2.3× |
| UCHealth University of Colorado Hospital | Aurora, CO | $575.05 | $1,643 | $251.70 | 2.3× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $579 | $1,158 | $239.69 | 2.4× |
| Mercy Hospital Durango | Durango, CO | $593.71 | $1,484.26 | $251.70 | 2.4× |
| Vail Health Hospital | Vail, CO | $612 | $816 | $251.70 | 2.4× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $621.75 | $1,036.25 | $239.69 | 2.6× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $625.69 | $893.83 | $243.77 | 2.6× |
| St. John's Medical Center | Jackson, WY | $630 | $630 | $243.77 | 2.6× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $666 | $740 | $251.70 | 2.6× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $687.30 | $2,291 | $251.70 | 2.7× |
| Memorial Hospital of Converse County | Douglas, WY | $718.20 | $1,260 | $243.77 | 2.9× |
| Longmont United Hospital | Longmont, CO | $732.70 | $1,831.75 | $254.49 | 2.9× |
| St. Anthony Hospital | Lakewood, CO | $732.70 | $1,831.75 | $251.70 | 2.9× |
| Penrose Hospital | Colorado Springs, CO | $732.70 | $1,831.75 | $251.70 | 2.9× |
| St. Anthony North Health Campus | Westminster, CO | $732.70 | $1,831.75 | $251.70 | 2.9× |
| OrthoColorado Hospital | Lakewood, CO | $732.70 | $1,831.75 | $251.70 | 2.9× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $732.70 | $1,831.75 | $251.70 | 2.9× |
| Longs Peak Hospital | Longmont, CO | $801.85 | $2,291 | $254.49 | 3.2× |
| UCHealth Broomfield Hospital | Broomfield, CO | $801.85 | $2,291 | $251.70 | 3.2× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $801.85 | $2,291 | $251.70 | 3.2× |
| Foothills Hospital | Boulder, CO | $861.50 | $1,723 | $254.49 | 3.4× |
| Parkland Memorial Hospital | Dallas, TX | $1,003.60 | $2,509 | $239.69 | 4.2× |
| St. Mary-Corwin Hospital | Pueblo, CO | $1,049.28 | $2,623.20 | $251.70 | 4.2× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $1,454 | $1,454 | $243.77‡ | 6.0× |
| Community Hospital Grand Junction | Grand Junction, CO | $1,534.68 | $2,740.50 | $251.70 | 6.1× |
| AdventHealth Porter | Denver, CO | $1,879.35 | $1,879.35 | $251.70 | 7.5× |
| AdventHealth Avista | Louisville, CO | $1,879.35 | $1,879.35 | $254.49 | 7.4× |
| AdventHealth Littleton | Littleton, CO | $1,879.35 | $1,879.35 | $251.70 | 7.5× |
| AdventHealth Parker | Parker, CO | $1,879.35 | $1,879.35 | $251.70 | 7.5× |
| AdventHealth Castle Rock | Castle Rock, CO | $1,879.35 | $1,879.35 | $251.70 | 7.5× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $3,884.58 | $3,884.58 | $251.70 | 15.4× |
| HCA HealthOne Rose Medical Center | Denver, CO | $4,140 | $4,140 | $251.70 | 16.4× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $5,018.43 | $5,018.43 | $251.70 | 19.9× |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $514.15 | $254.49 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $1,706.50 | $251.70 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $1,837.05 | $251.70 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $1,853.85 | $251.70 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.
‡ Price taken from the hospital's inpatient list — no outpatient price posted.