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
MRI REND 3D W I&R W PP SAME WRKST
Page, AZ
See all hospitals reporting CPT 76376 →Price type
Page Hospital’s median price of $35 is 84% below the median hospital's median price ($220), higher than 17% 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: 8 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 | Humana medicare advantage facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $29 | $29 | $20 | 70% | — | $9 – $50 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $46 | $46 | $32 | 70% | — | $14 – $77 |
| 4 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $46 | $46 | $32 | 70% | — | $14 – $77 |
| 5 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $46 | $46 | $32 | 70% | — | $14 – $77 |
| 6 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $46 | $46 | $32 | 70% | — | $14 – $77 |
| 7 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | $35 | 70% | — | $15 – $85 |
| 8 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $51 | $51 | $36 | 70% | — | $15 – $86 |
| 9 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $54 | $54 | $38 | 70% | — | $16 – $92 |
| 10 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $57 | $57 | $40 | 70% | — | $17 – $97 |
| 11 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $62 | $62 | $43 | 70% | — | $19 – $105 |
| 12 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $62 | $62 | $44 | 70% | — | $19 – $106 |
| 13 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | $47 | 70% | — | $21 – $115 |
| 14 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | $47 | 70% | — | $21 – $115 |
| 15 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | $47 | 70% | — | $21 – $115 |
| 16 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $52 | 70% | — | $23 – $128 |
| 17 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $77 | $77 | $53 | 70% | — | $23 – $130 |
| 18 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $77 | $77 | $53 | 70% | — | $23 – $130 |
| 19 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 20 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $78 | $78 | $54 | 70% | — | $24 – $133 |
| 21 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $79 | $79 | $55 | 70% | — | $24 – $134 |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $79 | $79 | $55 | 70% | — | $24 – $134 |
| 23 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 24 | Aetna banner employee plans facility · per diem · outpatient | $341 | $341 | — | — | — | $341 – $341 |
Last updated: Mar 2, 2026
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