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 IND
Plano, TX
See all hospitals reporting CPT 76377 →Price type
Medical City Plano’s median price of $698 is 100% above the median hospital's median price ($349), higher than 74% 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, 27 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 bluepremier fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 5 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 6 | Humana comm fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 7 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $158 | $128 | $45 | 35% | — | $65 – $162 |
| 8 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $158 | $128 | $45 | 35% | — | $65 – $162 |
| 9 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $158 | $128 | $45 | 35% | — | $65 – $162 |
| 10 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $158 | $128 | $45 | 35% | — | $65 – $162 |
| 11 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $158 | $128 | $45 | 35% | — | $65 – $162 |
| 12 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 13 | Blue Cross Blue Shield ppo fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 14 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $304 | $248 | $86 | 35% | — | $126 – $313 |
| 15 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $316 | $257 | $90 | 35% | — | $130 – $325 |
| 16 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $392 | $319 | $111 | 35% | — | $162 – $404 |
| 17 | Aetna qhphix other · outpatient | $584 | $584 | — | — | — | $584 – $584 |
| 18 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $762 | $620 | $216 | 35% | — | $315 – $784 |
| 19 | Aetna newbusiness other · outpatient | $800 | $800 | — | — | — | $800 – $800 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $1.0k | $815 | $284 | 35% | — | $413 – $1.0k |
| 21 | Aetna comm other · outpatient | $856 | $856 | — | — | — | $856 – $856 |
| 22 | Aetna meritain other · outpatient | $856 | $856 | — | — | — | $856 – $856 |
| 23 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.2k | $967 | $337 | 35% | — | $491 – $1.2k |
| 24 | Aetna oon other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | Aetna wcomp percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.0k | $352 | 35% | — | $512 – $1.3k |
Last updated: Mar 1, 2026
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