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

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

Pittsburgh, PA

See all hospitals reporting CPT 76080 →

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Presbyterian’s median price of $1.7k is 204% above the median hospital's median price ($560), higher than 99% 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 Presbyterian

Negotiated rates from the hospital’s own file: 8 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	UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient	$20	$20	—	—	—	$20 – $20
2	Aetna chip/medicaid facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
3	Highmark medicaid facility · fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
4	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
5	Highmark medicare advantage facility · fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
6	Highmark managed care - social mission facility · fee schedule · outpatient	$198	$198	—	—	—	$198 – $198
7	MultiPlan worker's compensation facility · fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
8	Highmark managed care facility · fee schedule · outpatient	$266	$266	—	—	—	$266 – $266
9	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$374	$374	—	—	—	$374 – $374
10	Highmark commercial - indemnity facility · fee schedule · outpatient	$501	$501	—	—	—	$501 – $501
11	Highmark upmc emergent facility · fee schedule · outpatient	$531	$531	—	—	—	$531 – $531
12	Amerihealth Caritas medicare facility · fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
13	Cigna medicare transplant facility · fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
14	Highmark medicare facility · fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
15	UnitedHealthcare medicare facility · fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
16	Aetna medicare facility · fee schedule · outpatient	$575	$575	—	—	—	$575 – $575
17	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k
18	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$4.2k	$4.2k	—	—	—	$4.2k – $4.2k
19	MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges	$4.8k	$4.8k	—	—	—	$4.8k – $4.8k
20	MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges	$4.8k	$4.8k	—	—	—	$4.8k – $4.8k
21	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$5.1k	$5.1k	—	—	—	$5.1k – $5.1k
22	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$5.1k	$5.1k	—	—	—	$5.1k – $5.1k

Last updated: Mar 6, 2026

Compare to other hospitals

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.