Price Checker / CPT 76080
How much does X-ray Exam Of Fistula cost?
CPT 76080 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 28x the fair price — among the most extreme markups. Dispute this.
Fair price
$90–$180
What this should cost
With insurance
~$95,400
Typical out-of-pocket
Overcharged if over
$230
Push back above this
The average hospital charge of $3,948 is $3,808 over the fair price (about 28x the fair rate).
What hospitals charge for X-ray Exam Of Fistula
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| FRISBIE AMBULANCE , NH | — | — | 26752% |
| FRISBIE MEMORIAL HOSPITAL ROCHESTER, NH | — | — | 26752% |
| Cumberland Healthcare Cumberland, WI | $3,931 | — | 6586% |
| UPMC Magee , PA | $3,910 | $3,128 | 6551% |
| UPMC Mercy PITTSBURGH, PA | $3,778 | $3,022 | 6326% |
| Astria Sunnyside Hospital SUNNYSIDE, WA | $2,290 | $1,308 | 3795% |
| UPMC Muncy MUNCY, PA | $1,764 | $1,411 | 2901% |
| UPMC Wellsboro WELLSBORO, PA | $1,764 | $1,411 | 2901% |
| Highland District Hospital HILLSBORO, OH | $1,645 | $1,316 | 2698% |
| Soldiers & Sailors Memorial Hospital , NY | $1,479 | $592 | 2416% |
| Franklin Medical Center WINNSBORO, LA | $1,272 | $763 | 2064% |
| Dodge County Hospital EASTMAN, GA | $1,169 | $701 | 1888% |
| Putnam General Hospital EATONTON, GA | $478 | $239 | 713% |
| UM Bowie Health Center Bowie, MD | $216 | — | 268% |
Were you billed for this procedure?
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About X-ray Exam Of Fistula
CPT code 76080 refers to x-ray exam of fistula (billing description: "X-ray exam of fistula"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $59 in a facility (hospital or surgery center) and $59 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.