3D rendering of CT, MRI, or ultrasound imaging at Holy Name

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

3D RNDR I&R CT MRI US/OTH X

Teaneck, NJ

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Pricing by billing methodology

Price type

How this price compares nationally

Holy Name’s median price of $295 is 33% above the median hospital's median price ($221), higher than 56% of the 2,132 hospitals reporting CPT 76376. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76376 at Holy Name

Negotiated rates from the hospital’s own file: 7 payers, 18 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	Aetna whole health facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
2	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$124	$124	$66	53%	—	$58 – $190
3	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$130	$130	$69	53%	—	$61 – $200
4	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$141	$141	$75	53%	—	$66 – $216
5	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	$79	53%	—	$70 – $229
6	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$172	$172	$92	53%	—	$80 – $263
7	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$195	$195	$104	53%	—	$91 – $298
8	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$262	$262	$140	53%	—	$123 – $402
9	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$372	$372	$198	53%	—	$174 – $570
10	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$389	$389	$207	53%	—	$182 – $596
11	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$475	$475	$253	53%	—	$222 – $727
12	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$506	$506	$269	53%	—	$237 – $775
13	UnitedHealthcare uhc facility · other · outpatient	$643	$643	—	—	—	$643 – $643
14	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$661	$661	$352	53%	—	$309 – $1.0k
15	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$700	$700	$373	53%	—	$328 – $1.1k
16	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$721	$721	$384	53%	—	$338 – $1.1k
17	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$721	$721	$384	53%	—	$338 – $1.1k
18	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$721	$721	$384	53%	—	$338 – $1.1k

Last updated: Nov 10, 2025

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