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
CHI Health St. Francis Grand Island, NE not published $257.21 – $257.21
CHI Health St. Elizabeth Lincoln, NE not published $257.21 – $257.21
CHI Health Nebraska Heart Lincoln, NE not published $257.21 – $257.21
CHI Health Good Samaritan Kearney, NE not published $257.21 – $257.21
MEDICAL CITY ARLINGTON HOSPITAL RED OAK, TX not published $124.90 – $3,352.73
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX not published $126.80 – $3,347.22
OSF Little Company of Mary Medical Center Evergreen Park, IL not published $1,471.00 – $6,608.41
OSF Sacred Heart Medical Center – Urbana Danville, IL not published $2,059.00 – $4,342.00
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $126.80 – $3,347.22
Sentara Williamsburg Regional Medical Center Williamsburg, VA not published $3,299.54 – $3,396.58
Adventhealth Waterman Tavares, FL not published $3,462.26 – $6,986.16
AdventHealth Littleton Littleton, CO not published $244.86 – $6,470.23
Midwest Orthopedic Specialty Hospital Franklin, WI not published $801.95 – $801.95
Ascension Providence Waco, TX not published $123.86 – $292.61
Stephens Memorial Hospital Norway, ME not published $130.00 – $421.45
Wellstar West Georgia Medical Center Lagrange, GA not published $1,694.00 – $6,394.47
Wellstar Sylvan Grove Hospital Jackson, GA not published $1,694.00 – $9,087.85
Wellstar Spalding Regional Hospital Griffin, GA not published $1,694.00 – $6,517.95
Wellstar Paulding Hospital Hiram, GA not published $1,694.00 – $6,229.98
Wellstar North Fulton Hospital Roswell, GA not published $1,694.00 – $6,229.98
Ascension Saint Thomas Hickman Centerville, TN not published $1,185.00 – $1,246.50
Ascension Saint Thomas Rutherford Murfreesboro, TN not published $1,185.00 – $1,636.56
Corewell Health Wayne Wayne, MI not published $276.38 – $4,461.70
Corewell Health Troy Troy, MI not published $305.14 – $4,459.77
Ascension Saint Thomas River Park McMinnville, TN not published $633.43 – $1,246.50
Corewell Health Trenton Trenton, MI not published $277.42 – $4,461.70
Henry Ford Warren Hospital Warren, MI not published $205.57 – $1,381.00
Corewell Health Taylor Taylor, MI not published $278.97 – $4,461.70
Corewell Health Gross Pointe Grosse Pointe, MI not published $277.71 – $4,461.70
Corewell Health Zeeland Zeeland, MI not published $388.12 – $5,946.37
Corewell Health Greenville Greenville, MI not published $388.12 – $5,946.37
Ascension Saint Thomas DeKalb Smithville, TN not published $633.43 – $1,246.50
Corewell Health Blodgett Hospital East Grand Rapids, MI not published $274.94 – $5,946.37
62-1519754 BMH Golden Triangle Columbus, MS not published $1,277.00 – $8,305.84
62-1166050 BMH Carroll County Huntingdon, TN not published $2,364.00 – $5,922.62
62-0123940 BMH Collierville Collierville, TN not published $2,821.20 – $5,939.36
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks, OK not published $148.29 – $153.82
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK not published $148.29 – $263.94
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK not published $148.29 – $302.65
Henry Ford Madison Heights Hospital Madison Heights, MI not published $205.57 – $1,381.00
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK not published $148.29 – $302.65
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK not published $148.29 – $306.17
Ascension Saint Thomas Highlands Sparta, TN not published $633.43 – $1,246.50
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK not published $148.29 – $263.94
Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) Brazil, IN not published $30.78 – $152.57
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) Fishers, IN not published $30.78 – $152.57
St Elias Specialty Hospital Anchorage, AK not published $184.92 – $3,513.75
26-1214372 NEA Baptist Jonesboro, AR not published $250.00 – $5,976.72
Covenant Medical Center Lubbock, TX not published $184.92 – $6,330.82
Henry Ford Rochester Hospital Rochester, MI not published $232.28 – $249.23

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