X-ray of abscess, fistula, or sinus tract at UPMC East

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

ABS/FISTULA/SINUS TRACT STUDY

Monroeville, PA

See all hospitals reporting CPT 76080 →

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC East’s median price of $1.3k is 125% above the median hospital's median price ($560), higher than 96% 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 UPMC East

Negotiated rates from the hospital’s own file: 6 payers, 40 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	UnitedHealthcare unison kids facility · fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
2	Highmark medicaid facility · fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
3	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
4	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
5	Highmark managed care - social mission facility · fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
6	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$232	$232	—	—	—	$232 – $232
7	Highmark managed care facility · fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
8	Highmark commercial - indemnity facility · fee schedule · outpatient	$310	$310	—	—	—	$310 – $310
9	Highmark upmc emergent facility · fee schedule · outpatient	$477	$477	—	—	—	$477 – $477
10	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$549	$549	—	—	—	$549 – $549
11	UnitedHealthcare medicare facility · fee schedule · outpatient	$559	$559	—	—	—	$559 – $559
12	Aetna medicare facility · fee schedule · outpatient	$562	$562	$13	2%	—	$549 – $575
13	Highmark medicare facility · fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
14	Amerihealth Caritas medicare facility · fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
15	Cigna medicare facility · fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
16	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$575	$575	—	—	—	$575 – $575
17	UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
18	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
19	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
20	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
21	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
22	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
23	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
24	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
25	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k

Page 1 of 2 · 40 rates

Last updated: Mar 6, 2026

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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.