X-ray of abscess, fistula, or sinus tract at Carle Eureka Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Abscess/Fistula/Tract Stdy S&I

Eureka, IL

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Pricing by billing methodology

Price type

How this price compares nationally

Carle Eureka Hospital’s median price of $612 is 9% above the median hospital's median price ($560), higher than 65% of the 2,356 hospitals reporting CPT 76080. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76080 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 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	Aetna commercial fee schedule · outpatient	$53	$51	$3	5%	—	$47 – $53
2	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$52	$52	—	—	—	$52 – $52
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$53	$53	—	—	—	$53 – $53
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
6	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
8	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
9	WellCare medicare advantage hmo case rate · outpatient	$586	$586	—	—	—	$586 – $586
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$612	$612	—	—	—	$612 – $612
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$612	$612	—	—	—	$612 – $612
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$612	$612	—	—	—	$612 – $612
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$612	$612	—	—	—	$612 – $612
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$653	$653	—	—	—	$653 – $653
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$839	$839	—	—	—	$839 – $839
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$843	$843	—	—	—	$843 – $843
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$899	$899	—	—	—	$899 – $899
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$899	$899	—	—	—	$899 – $899
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$911	$911	—	—	—	$911 – $911
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Last updated: Apr 15, 2026

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