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
RADEX OSSEOUS SURVEY INFANT
Kyle, TX
See all hospitals reporting CPT 77076 →Price type
Ascension Seton’s median price of $103 is 42% below the median hospital's median price ($178), higher than 12% of the 2,354 hospitals reporting CPT 77076. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 67 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 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 2 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 3 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 4 | Blue Cross Blue Shield 3597_blue cross chip/star kids (hay) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 5 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 6 | Blue Cross Blue Shield 3696_chirp blue cross star (hay) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 7 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 8 | Blue Cross Blue Shield 4222_chirp blue cross star (hay) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 9 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 10 | UnitedHealthcare 3740_chirp uhc star (hay) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 11 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 12 | UnitedHealthcare 3751_chirp uhc star plus (hay) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 13 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 14 | UnitedHealthcare 4256_chirp uhc star (hay) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 15 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 16 | UnitedHealthcare 4267_chirp uhc star plus (hay) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 17 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 18 | UnitedHealthcare 4314_uhc star kids (hay) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 19 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 20 | UnitedHealthcare 4325_uhc star kids (hay) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 21 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $103 | $103 | — | — | — | $103 – $103 |
| 22 | Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 23 | Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient | $103 | $103 | — | — | — | $103 – $103 |
| 24 | Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 25 | Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient | $103 | $103 | — | — | — | $103 – $103 |
Last updated: Jan 1, 2026
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