CPT 76375
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
3D/HOLOGRAPH RECONSTR ADD-ON
Prices here combine facility and professional fees. See them separately →Experimental
Low
$49
Average
$4.8k
Median
$236
High
$27.9k
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter below to change the chart. 6 hospitals; the 90th percentile is 280.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
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Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairfield Medical Center Lancaster, OH | $26.1k | $27.9k | $3.2k | 12% | — | $25.9k – $33.5k |
| 2 | Physicians Medical Center_F HOUMA, LA | $344 | $419 | $106 | 25% | — | $344 – $569 |
| 3 | Boone Memorial Hospital Madison, WV | $681 | $607 | $248 | 41% | — | $274 – $867 |
| 4 | Houlton Regional Hospital HOULTON, ME | $56 | $49 | $14 | 28% | — | $27 – $62 |
| 5 | Covenant Medical Center Inc Saginaw, MI | $41 | $53 | $50 | 95% | — | $5 – $147 |
| 6 | Covenant Medical Center Inc Saginaw, MI | $41 | $53 | $50 | 95% | — | $5 – $147 |
Ask Claude or any MCP client for CPT 76375 pricing at a specific hospital — see how to connect.