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
Dr Fistula/Sinus Tract
Gary, IN
See all hospitals reporting CPT 76080 →Price type
The Methodist Hospitals, Inc.’s median price of $943 is 69% above the median hospital's median price ($560), higher than 90% 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, 22 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 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 2 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 3 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 4 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 6 | Anthem medicare advantage facility · fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 8 | Medicare medicare facility · fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 9 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $627 | $627 | — | — | — | $627 – $627 |
| 10 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $681 | $681 | — | — | — | $681 – $681 |
| 11 | UnitedHealthcare navigate and core payer facility · percent of total billed charges · outpatientfrom % of charges | $681 | $681 | — | — | — | $681 – $681 |
| 12 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · percent of total billed charges · outpatientfrom % of charges | $731 | $731 | — | — | — | $731 – $731 |
| 13 | Anthem pathway essentials facility · fee schedule · outpatient | $863 | $863 | — | — | — | $863 – $863 |
| 14 | Caresource caresource facility · fee schedule · outpatient | $949 | $949 | — | — | — | $949 – $949 |
| 15 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | Anthem individual on exchange facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Aug 18, 2026
See X-ray of abscess, fistula, or sinus tract pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.