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
CT 3d Reconstruction
Low
$0
Average
$435
Median
$244
High
$9.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
985 hospitals; the 90th percentile is 13.2× 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.
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1,519 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $58 | $58 | — | — | 322 | $58 – $58 |
| 2 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $356 | $356 | $17 | 5% | 194 | $339 – $373 |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $434 | $462 | $58 | 13% | 124–133 | $434 – $578 |
| 4 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.8k | $631 | 35% | 106–241 | $448 – $3.3k |
| 5 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $191 | $217 | $65 | 30% | 81–117 | $163 – $322 |
| 6 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $161 | $161 | — | — | 70 | $161 – $161 |
| 7 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 3 | $376 | $493 | $166 | 34% | 29 | $376 – $728 |
| 8 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 3 | $376 | $493 | $166 | 34% | 29 | $376 – $728 |
| 9 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $297 | $297 | — | — | 23–95 | $297 – $297 |
| 10 | Saint Luke’s East Hospital Summit, MO fee schedule · both | 8 | $71 | $96 | $70 | 73% | 21–75 | $63 – $280 |
| 11 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $119 | $3 | 3% | 19–37 | $117 – $124 |
| 12 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | — | — | 18 | $282 – $282 |
| 13 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 11 | $977 | $894 | $189 | 21% | 16–43 | $651 – $1.1k |
| 14 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 11 | $1.9k | $1.8k | $344 | 19% | 14 | $1.3k – $2.2k |
| 15 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $901 | $902 | $372 | 41% | 13 | $528 – $1.3k |
| 16 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 8 | $451 | $452 | $9 | 2% | 13–22 | $442 – $474 |
| 17 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 7 | $44 | $55 | $23 | 42% | 9–90 | $22 – $86 |
| 18 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $59 | $59 | — | — | 6–60 | $59 – $59 |
| 19 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $82 | $82 | — | — | 6–60 | $82 – $82 |
| 20 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN fee schedule · both | 3 | $127 | $90 | $48 | 54% | 6–60 | $27 – $127 |
| 21 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 4 | $560 | $564 | $19 | 3% | 6–60 | $528 – $589 |
| 22 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $307 | $291 | $52 | 18% | 4–40 | $209 – $342 |
| 23 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $291 | $276 | $49 | 18% | 4–40 | $198 – $324 |
| 24 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | 3–30 | $614 – $614 |
| 25 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 5 | $121 | $144 | $55 | 38% | 3–30 | $75 – $240 |
← Payers reporting CPT 76377 · Snapshot 20261111T120946Z-9134e7f7