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-FISTULOGRAM
Longview, TX
See all hospitals reporting CPT 76080 →Price type
Longview Medical Center LP’s median price of $540 is 4% below the median hospital's median price ($560), higher than 44% of the 2,356 hospitals reporting CPT 76080. 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, 38 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 | Cigna cigna all facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 2 | Medicaid node tx medicaid facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 3 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 4 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 5 | Molina node molina chip medicaid tx facility · per diem · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 6 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 7 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 8 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 9 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 10 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 11 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 12 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $362 | $362 | — | — | — | $362 – $362 |
| 13 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $416 | $416 | — | — | — | $416 – $416 |
| 14 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $475 | $475 | — | — | — | $475 – $475 |
| 15 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $475 | $475 | — | — | — | $475 – $475 |
| 16 | Humana node humana mcr adv facility · fee schedule · outpatient | $540 | $540 | — | — | — | $540 – $540 |
| 17 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $540 | $540 | — | — | — | $540 – $540 |
| 18 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $540 | $540 | — | — | — | $540 – $540 |
| 19 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $540 | $540 | — | — | — | $540 – $540 |
| 20 | Tricare node tricare facility · fee schedule · outpatient | $549 | $549 | — | — | — | $549 – $549 |
| 21 | Aetna node aetna mcr adv facility · other · outpatient | $551 | $551 | — | — | — | $551 – $551 |
| 22 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $551 | $551 | — | — | — | $551 – $551 |
| 23 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $551 | $551 | — | — | — | $551 – $551 |
| 24 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $563 | $563 | — | — | — | $563 – $563 |
| 25 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $591 | $591 | — | — | — | $591 – $591 |
Last updated: Apr 1, 2026
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