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
Phoenix, AZ
See all hospitals reporting CPT 76377 →Price type
Dignity Health’s median price of $735 is 111% above the median hospital's median price ($349), higher than 76% 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, 16 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 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 2 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 3 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $163 | $163 | — | — | 2–20 | $163 – $163 |
| 4 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $218 | $218 | — | — | 77 | $218 – $218 |
| 5 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $224 | $224 | $9 | 4% | — | $215 – $233 |
| 6 | Aetna commercial|all plans fee schedule · outpatient | $245 | $245 | — | — | 2–20 | $245 – $245 |
| 7 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $322 | $322 | — | — | 2–20 | $322 – $322 |
| 8 | Optum commercial|optumhealth fee schedule · outpatient | $554 | $554 | $21 | 4% | — | $533 – $576 |
| 9 | Cigna commercial|lifesource fee schedule · outpatient | $649 | $649 | $25 | 4% | — | $624 – $674 |
| 10 | First Health commercial|all plans fee schedule · inpatient | $826 | $826 | $32 | 4% | — | $794 – $858 |
| 11 | First Health commercial|all plans fee schedule · outpatient | $826 | $826 | $32 | 4% | — | $794 – $858 |
| 12 | MultiPlan commercial|all plans fee schedule · inpatient | $932 | $932 | $36 | 4% | — | $896 – $968 |
| 13 | MultiPlan commercial|all plans fee schedule · outpatient | $932 | $932 | $36 | 4% | — | $896 – $968 |
| 14 | Cigna commercial|exchange fee schedule · outpatient | $1.2k | $1.2k | $26 | 2% | — | $1.1k – $1.2k |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $1.2k | $1.2k | $46 | 4% | 15 | $1.1k – $1.2k |
| 16 | Cigna commercial|localplus surefit fee schedule · outpatient | $1.2k | $1.2k | $46 | 4% | — | $1.1k – $1.2k |
Last updated: Feb 28, 2026
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