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 CT/MRI/US/OTH NOT IND
CONROE, TX
See all hospitals reporting CPT 76376 →Price type
Hca Houston Healthcare Conroe’s median price of $363 is 65% above the median hospital's median price ($220), higher than 60% 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: 10 payers, 39 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 mybluehealth fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Blue Cross Blue Shield bav fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Blue Cross Blue Shield hmo fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 6 | Aetna qhpexchange fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 7 | Aetna nbhmo fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 8 | Aetna nbpos fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 9 | Aetna nbppo fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 10 | Aetna commhmo fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 11 | Aetna commpos fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 12 | Aetna commppo fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 13 | Aetna oonhmo fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 14 | Aetna oonpos fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 15 | Aetna oonppo fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 16 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $174 | $174 | $119 | 69% | — | $54 – $293 |
| 17 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $174 | $174 | $119 | 69% | — | $54 – $293 |
| 18 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $174 | $174 | $119 | 69% | — | $54 – $293 |
| 19 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $174 | $174 | $119 | 69% | — | $54 – $293 |
| 20 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $174 | $174 | $119 | 69% | — | $54 – $293 |
| 21 | Aetna asahmo fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 22 | Aetna asapos fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 23 | Aetna asappo fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 24 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $192 | $192 | $132 | 69% | — | $60 – $324 |
| 25 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
Last updated: May 14, 2026
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