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
MR 3D W SEPARATE WKSTATN
Long Beach, CA
See all hospitals reporting CPT 76377 →Price type
Dignity Health’s median price of $145 is 58% below the median hospital's median price ($349), higher than 28% of the 2,074 hospitals reporting CPT 76377. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | Anthem commercial|exchange fee schedule · outpatient | $120 | $110 | $26 | 24% | — | $59 – $132 |
| 2 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $120 | $110 | $26 | 24% | — | $59 – $132 |
| 3 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $128 | $118 | $28 | 24% | — | $63 – $141 |
| 4 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $128 | $118 | $28 | 24% | — | $63 – $141 |
| 5 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $135 | $124 | $29 | 24% | — | $66 – $148 |
| 6 | Kaiser commercial|all plans fee schedule · outpatient | $145 | $133 | $31 | 24% | — | $71 – $159 |
| 7 | Kaiser commercial|all plans fee schedule · inpatient | $145 | $148 | $6 | 4% | — | $145 – $159 |
| 8 | MultiPlan commercial|all plans fee schedule · outpatient | $166 | $152 | $36 | 24% | — | $82 – $182 |
| 9 | Anthem commercial|all other plans fee schedule · outpatient | $180 | $165 | $39 | 24% | — | $89 – $197 |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $166 | $170 | $7 | 4% | — | $166 – $182 |
| 11 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $199 | $182 | $43 | 24% | — | $98 – $218 |
| 12 | Aetna commercial|all other plans fee schedule · outpatient | $207 | $190 | $45 | 24% | — | $102 – $227 |
| 13 | Aetna commercial|hmo fee schedule · outpatient | $207 | $190 | $45 | 24% | — | $102 – $227 |
| 14 | Aetna commercial|ppo fee schedule · outpatient | $207 | $190 | $45 | 24% | — | $102 – $227 |
| 15 | Anthem commercial|mcs fee schedule · outpatient | $207 | $190 | $45 | 24% | — | $102 – $227 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $1.6k | $1.7k | $160 | 9% | — | $1.6k – $1.9k |
| 17 | Cigna commercial|ppo fee schedule · outpatient | $1.6k | $1.7k | $160 | 9% | — | $1.6k – $1.9k |
Last updated: Feb 28, 2026
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