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 RENDR TOMO MODLTY W/O PP(T)
Duluth, MN
See all hospitals reporting CPT 76376 →Price type
Essentia Health Duluth’s median price of $380 is 73% above the median hospital's median price ($220), higher than 61% of the 2,158 hospitals reporting CPT 76376. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 26 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 3 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $227 | $227 | — | — | — | $227 – $227 |
| 4 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $236 | $236 | — | — | — | $236 – $236 |
| 5 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $236 | $236 | — | — | — | $236 – $236 |
| 6 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $236 | $236 | — | — | — | $236 – $236 |
| 7 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $244 | $244 | — | — | — | $244 – $244 |
| 8 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $244 | $244 | — | — | — | $244 – $244 |
| 9 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $257 | $257 | — | — | — | $257 – $257 |
| 10 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $257 | $257 | — | — | — | $257 – $257 |
| 11 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $257 | $257 | — | — | — | $257 – $257 |
| 12 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $315 | $315 | — | — | — | $315 – $315 |
| 13 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $324 | $324 | — | — | — | $324 – $324 |
| 14 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $332 | $332 | $17 | 5% | — | $315 – $348 |
| 15 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $342 | $342 | — | — | — | $342 – $342 |
| 16 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $375 | $375 | — | — | — | $375 – $375 |
| 17 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $375 | $375 | — | — | — | $375 – $375 |
| 18 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $380 | $380 | — | — | — | $380 – $380 |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 20 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 21 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $417 | $417 | — | — | — | $417 – $417 |
| 23 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $433 | $433 | — | — | — | $433 – $433 |
| 24 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $433 | $433 | — | — | — | $433 – $433 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $485 | $485 | — | — | — | $485 – $485 |
Last updated: Jan 1, 2026
See 3D rendering of CT, MRI, or ultrasound imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.