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
RIG IMOGAM-HT 300 U IMSQ
SAN ANTONIO, TX
See all hospitals reporting CPT 90376 →Price type
Methodist Hospital’s median price of $1.9k is 277% above the median hospital's median price ($512), higher than 92% of the 1,368 hospitals reporting CPT 90376. 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, 24 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 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $582 | $582 | — | — | — | $582 – $582 |
| 2 | UnitedHealthcare charter fee schedule · outpatient | $582 | $582 | — | — | — | $582 – $582 |
| 3 | UnitedHealthcare nexusaco fee schedule · outpatient | $582 | $582 | — | — | — | $582 – $582 |
| 4 | UnitedHealthcare smallgroup fee schedule · outpatient | $582 | $582 | — | — | — | $582 – $582 |
| 5 | First Health chip percent of total billed charges · outpatientfrom % of charges | $791 | $704 | $194 | 28% | — | $435 – $885 |
| 6 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $791 | $704 | $194 | 28% | — | $435 – $885 |
| 7 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $791 | $704 | $194 | 28% | — | $435 – $885 |
| 8 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $797 | $797 | — | — | — | $797 – $797 |
| 9 | Cigna newbusinessnetwork fee schedule · outpatient | $852 | $852 | — | — | — | $852 – $852 |
| 10 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $918 | $918 | — | — | — | $918 – $918 |
| 11 | Cigna hmo fee schedule · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 12 | Cigna openaccessplus fee schedule · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 13 | Cigna ppo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.5k | $406 | 28% | — | $909 – $1.9k |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.7k | $469 | 28% | — | $1.1k – $2.1k |
| 20 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.7k | $477 | 28% | — | $1.1k – $2.2k |
| 21 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $3.3k | $2.9k | $809 | 28% | — | $1.8k – $3.7k |
| 22 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.4k | $1.2k | 28% | — | $2.7k – $5.5k |
| 23 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.0k | $1.4k | 28% | — | $3.1k – $6.3k |
| 24 | Optum mcd percent of total billed charges · outpatientfrom % of charges | $6.6k | $5.9k | $1.6k | 28% | — | $3.6k – $7.4k |
Last updated: May 1, 2026
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