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/ PP(T)
Duluth, MN
See all hospitals reporting CPT 76377 →Price type
Essentia Health Duluth’s median price of $497 is 42% above the median hospital's median price ($349), higher than 61% 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: 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 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 | $247 | $247 | — | — | — | $247 – $247 |
| 3 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $297 | $297 | — | — | — | $297 – $297 |
| 4 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 5 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 6 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 7 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $320 | $320 | — | — | — | $320 – $320 |
| 8 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $320 | $320 | — | — | — | $320 – $320 |
| 9 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $335 | $335 | — | — | — | $335 – $335 |
| 10 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $336 | $336 | — | — | — | $336 – $336 |
| 11 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $336 | $336 | — | — | — | $336 – $336 |
| 12 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $412 | $412 | — | — | — | $412 – $412 |
| 13 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $423 | $423 | — | — | — | $423 – $423 |
| 14 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $434 | $434 | $22 | 5% | — | $412 – $455 |
| 15 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $447 | $447 | — | — | — | $447 – $447 |
| 16 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $490 | $490 | — | — | — | $490 – $490 |
| 17 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $490 | $490 | — | — | — | $490 – $490 |
| 18 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $497 | $497 | — | — | — | $497 – $497 |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $533 | $533 | — | — | — | $533 – $533 |
| 20 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $533 | $533 | — | — | — | $533 – $533 |
| 21 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $533 | $533 | — | — | — | $533 – $533 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $545 | $545 | — | — | — | $545 – $545 |
| 23 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $566 | $566 | — | — | — | $566 – $566 |
| 24 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $566 | $566 | — | — | — | $566 – $566 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $633 | $633 | — | — | — | $633 – $633 |
Last updated: Jan 1, 2026
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