Ex palate/uvula lesion without closure 42104 cost at US hospitals

Ex palate/uvula lesion w/o closure 42104 · CPT 42104

$209.52

lowest cash price

$3,837.72

national median

$33,789.74

highest cash price

185

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $209.52–$33,789.74 — the variation is the story.

Most expensive published cash price

$33,789.74

Maryview Hospital — Portsmouth, VA

Median cash price over time

Sep 1, 2025 ($3,723.23) → Sep 1, 2026 ($3,837.72)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 $5,586.36 $5,586.36 $5,586.36
Arizona 10 not published by hospital not published by hospital not published by hospital
Arkansas 2 $2,851.77 $2,851.77 $2,851.77
California 77 $209.52 $4,134.00 $4,620.00
Colorado 14 not published by hospital not published by hospital not published by hospital
Florida 55 $8,307.00 $12,121.20 $12,121.20
Georgia 23 $5,507.00 $5,507.00 $5,507.00
Hawaii 2 $1,267.20 $1,267.20 $1,267.20
Illinois 29 $417.00 $16,337.70 $17,503.30
Indiana 25 not published by hospital not published by hospital not published by hospital
Iowa 16 $397.20 $533.60 $16,924.69
Kansas 9 $9,665.57 $9,665.57 $9,665.57
Kentucky 1 not published by hospital not published by hospital not published by hospital
Louisiana 6 not published by hospital not published by hospital not published by hospital
Maine 7 not published by hospital not published by hospital not published by hospital
Michigan 24 $4,558.89 $4,558.89 $4,558.89
Minnesota 10 not published by hospital not published by hospital not published by hospital
Mississippi 2 not published by hospital not published by hospital not published by hospital
Missouri 15 $4,323.00 $4,323.00 $12,357.00
Montana 2 $322.40 $322.40 $322.40
Nebraska 8 not published by hospital not published by hospital not published by hospital
Nevada 3 not published by hospital not published by hospital not published by hospital
New Hampshire 1 not published by hospital not published by hospital not published by hospital
New Jersey 21 $3,544.29 $3,986.00 $6,839.00
New Mexico 1 not published by hospital not published by hospital not published by hospital
New York 16 $3,837.72 $3,837.72 $6,419.65
North Carolina 14 $3,367.50 $3,728.50 $3,728.50
North Dakota 2 not published by hospital not published by hospital not published by hospital
Ohio 39 $439.40 $3,629.25 $19,285.14
Oklahoma 10 $3,578.41 $3,578.41 $4,211.35
Oregon 12 $334.08 $455.22 $624.00
Pennsylvania 5 $241.20 $241.20 $241.20
South Carolina 9 not published by hospital not published by hospital not published by hospital
South Dakota 2 not published by hospital not published by hospital not published by hospital
Tennessee 17 not published by hospital not published by hospital not published by hospital
Texas 96 $1,982.80 $2,473.34 $2,473.34
Virginia 18 $3,367.50 $3,872.50 $33,789.74
Washington 29 $3,610.80 $3,610.80 $3,610.80
West Virginia 7 $231.60 $3,811.00 $8,103.00
Wisconsin 17 $1,569.60 $1,569.60 $1,569.60

All hospitals

Hospital Location Cash price Negotiated range
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA $209.52 $24.20 – $523.31
Beckley ARH Hospital Beckley, WV $231.60 $99.59 – $115.86
WILLITS HOSPITAL INC Willits, CA $232.80 $121.00 – $268.23
UPMC Cole Coudersport, PA $241.20 $90.83 – $1,041.88
Providence St Joseph Medical Center Polson, MT $322.40 $9,283.38 – $9,283.38
MID-COLUMBIA MEDICAL CENTER The Dalles, OR $334.08 $120.16 – $696.00
MercyOne Genesis Davenport West Medical Center Davenport, IA $397.20 not published
MercyOne Genesis Davenport Medical Center Davenport, IA $417.00 not published
MercyOne Genesis Silvis Medical Center Silvis, IL $417.00 $639.40 – $2,663.48
MercyOne Genesis DeWitt Medical Center DeWitt, IA $417.00 $507.35 – $2,679.00
MercyOne Genesis Aledo Medical Center Aledo, IL $417.00 $2,970.16 – $2,970.16
akron general Akron, OH $439.40 $1.10 – $3,236.25
mercy hospital Canton, OH $439.40 $1.10 – $3,230.78
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR $455.22 $120.16 – $292.50
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg, CA $512.16 $20.00 – $268.23
UnityPoint Health - Allen Hospital Waterloo, IA $533.60 $122.59 – $2,688.10
UnityPoint Health - Finley Hospital Dubuque, IA $533.60 $122.59 – $2,851.40
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA $533.60 $122.59 – $3,226.74
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA $533.60 $122.59 – $3,124.54
UnityPoint Health - Jones Regional Medical Center Anamosa, IA $533.60 $122.59 – $326.88
UnityPoint Health - Marshalltown Marshalltown, IA $533.60 $122.59 – $3,155.82
UnityPoint Health - St. Lukes Downtown Sioux City, IA $533.60 $122.59 – $2,872.13
UnityPoint Health - Trinity Bettendorf Bettendorf, IA $533.60 $122.59 – $2,790.66
UnityPoint Health - Trinity Moline Rock Island, IL $533.60 $122.59 – $2,522.98
UnityPoint Health - Trinity Muscatine Muscatine, IA $533.60 $122.59 – $2,800.85
UnityPoint Health - Trinity Regional Medical Center Fort Dodge, IA $533.60 $122.59 – $2,764.11
UnityPoint Health - St. Luke's Hospital Cedar Rapids, IA $533.60 $122.59 – $2,852.49
SONORA COMMUNITY HOSPITAL Sonora, CA $564.74 $50.00 – $268.23
Providence Seaside Hospital Seaside, OR $624.00 not published
Providence Hood River Memorial Hospital Hood River, OR $624.00 not published
UKIAH ADVENTIST HOSPITAL Ukiah, CA $971.00 $20.00 – $4,566.99
CASTLE MEDICAL CENTER Kailua, HI $1,267.20 $105.79 – $6,930.00
UnityPoint Health - Meriter Hospital Madison, WI $1,569.60 $124.81 – $686.70
Princeton Community Hospital Princeton, WV $1,884.67 $86.50 – $19,742.48
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110, TX $1,982.80 $71.00 – $7,975.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Suite 100, TX $1,982.80 $71.00 – $7,975.81
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park, TX $1,982.80 $71.00 – $7,975.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR Taylor, TX $1,982.80 $71.00 – $7,975.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham, TX $2,473.34 $71.00 – $7,975.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station, TX $2,473.34 $85.00 – $7,975.81
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple, TX $2,473.34 $126.80 – $7,975.81
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco, TX $2,473.34 $71.00 – $7,975.81
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple, TX $2,473.34 $71.00 – $7,975.81
Mercy Orthopedic Hospital Fort Smith Fort Smith, AR $2,851.77 $108.98 – $5,513.22
Sentara Albemarle Regional Medical Center Elizabeth City, NC $3,367.50 $3,168.99 – $3,232.37
Sentara Martha Jefferson Hospital Charlottesville, VA $3,367.50 $1,571.00 – $3,388.50
Sentara RMH Medical Center Harrisonburg, VA $3,367.50 $3,299.54 – $3,396.58
Ocean University Medical Center Brick, NJ $3,544.29 $283.45 – $4,253.14
Southern Ocean Medical Center Manahawkin, NJ $3,544.29 $283.45 – $4,253.14
Mercy Hospital Oklahoma City Oklahoma City, OK $3,578.41 $48.18 – $6,897.67

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