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
CT 3d Recon W Indep Workstation
Ozark, MO
See all hospitals reporting CPT 76377 →Price type
Mercy Hospital Springfield’s median price of $862 is 147% above the median hospital's median price ($349), higher than 83% 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: 10 payers, 21 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 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 5 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 6 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 9 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 10 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 11 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 12 | Ambetter hb sprg ambetter exchange mo facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 13 | Aetna hb sprg aetna commercial facility · fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 14 | Medica hb sprg lebn medica exchange facility · per diem · outpatient | $836 | $836 | — | — | — | $836 – $836 |
| 15 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $965 | $965 | — | — | — | $965 – $965 |
| 16 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Jun 4, 2026
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