A gold color metal and enamel device 1 /14 inches (3.18 cm) in height consisting of a vertical scarlet staff entwined by two gold serpents, their bodies forming three loops with one at center, all centered upon a blue saltire with upper ends supporting the serpents' heads and lower ends attached to their tails in base and surmounted at center by a maroon cross bearing on its center a white cotton boll with four gold leaves.
Maroon and white are colors traditionally associated with the Army Medical Department. The staff with serpents entwined, is symbolic of healing and medicine. The blue saltire is from the flag of the state of Georgia and the cross, emblematic of hospital functions, is centered in reference to Augusta, Georgia, a leading medical center and location of the unit. The cotton boll is a further reference to Augusta, (one of the world's leading cotton markets), and suggests the importance of cotton in the field of medicine.
The distinctive unit insignia was originally approved for the 382d Field Hospital on 17 June 1971. It was redesignated for the 382d Combat Support Hospital, with the description and symbolism revised, on 15 April 1992.