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
Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) Boonville, IN not published $30.78 – $152.57
SSM Health St. Mary's Hospital - Jefferson City Jefferson City, MO not published $1,778.00 – $5,977.46
Adventhealth South Overland Park Overland Park, KS not published $2,788.00 – $9,102.85
Adventhealth Murray Po Box 1406, GA not published $2,246.00 – $6,118.21
St. Mary Medical Center Long Beach, CA not published $138.85 – $6,593.02
California Hospital Medical Center Los Angeles, CA not published $138.85 – $4,590.40
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton, WI not published $142.91 – $789.30
Ascension Seton Northwest (Ascension Seton) Austin, TX not published $111.47 – $1,562.18
Providence Portland Medical Center Portland, OR not published $3,626.25 – $13,592.00
Henry Ford Providence Novi Hospital Novi, MI not published $193.22 – $850.49
Sequoia Hospital Redwood City, CA not published $138.85 – $14,886.15
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) Williamsport, IN not published $30.78 – $152.57
Henry Ford River District Hospital China Township, MI not published $205.57 – $1,381.00
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) Elwood, IN not published $30.78 – $152.57
SSM Health Waupun Memorial Hospital Waupun, WI not published $3,388.00 – $4,761.00
St. Elizabeth Community Hospital Red Bluff, CA not published $248.19 – $4,120.64
Riverside Methodist Hospital Columbus, OH not published $3,196.84 – $9,206.00
Providence Newberg Medical Center Newberg, OR not published $3,626.25 – $6,743.94
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI not published $2,459.51 – $6,329.15
Methodist Hospital of Sacramento Sacramento, CA not published $138.85 – $4,261.72
Wamego Health Center (Wamego Hospital Association) Wamego, KS not published $150.00 – $1,147.39
Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) Winchester, IN not published $30.78 – $152.57
Woodland Memorial Hospital Woodland, CA not published $138.85 – $4,261.72
Mercy Hospital of Folsom Folsom, CA not published $138.85 – $4,261.72
Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS not published $499.36 – $499.36
Ascension St. Vincent Naab Surgery Center Indianapolis, IN not published $30.78 – $152.57
UPMC Mercy Pittsburgh, PA not published $95.15 – $3,401.07
Corewell Health Pennock Hastings, MI not published $388.12 – $388.12
Providence Cedars-Sinai Tarzana Medical Center Tarzana, CA not published $1,528.00 – $7,332.00
Advocate Trinity Hospital Chicago, IL not published $3,126.00 – $6,490.83
UPMC Hamot Erie, PA not published $95.15 – $4,496.91
UPMC Community Osteopathic Harrisburg, PA not published $116.78 – $4,217.85
Mid Coast Hospital Brunswick, ME not published $130.00 – $421.45
Waldo County General Hospital Belfast, ME not published $130.00 – $421.45
Spring Harbor Hospital Westbrook, ME not published $131.02 – $421.45
Pen Bay Medical Center Rockport, ME not published $130.00 – $421.45
Advocate South Suburban Hospital Hazel Crest, IL not published $3,126.00 – $6,490.83
Advocate Sherman Hospital Elgin, IL not published $3,371.00 – $6,490.83
Advocate Childrens Hospital - Park Ridge Park Ridge, IL not published $3,126.00 – $6,490.83
Advocate Illinois Masonic Medical Center Chicago, IL not published $3,126.00 – $6,490.83
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO not published $149.77 – $2,680.00
Sanford USD Medical Center Sioux Falls, SD not published $135.81 – $3,374.38
Swedish Medical Center Cherry Hill Seattle, WA not published $3,839.27 – $12,284.47
Petaluma Valley Hospital Petaluma, CA not published $2,570.00 – $4,657.00
SSM Health DePaul Hospital - St. Louis Bridgeton, MO not published $149.77 – $3,984.97
Adventhealth Shawnee Mission Shawnee Mission, KS not published $2,788.00 – $9,102.85
Mark Twain Medical Center San Andreas, CA not published $138.85 – $138.85
Arroyo Grande Hospital Santa Maria, CA not published $138.85 – $4,120.64
San Martin Hospital Las Vegas, NV not published $135.52 – $3,655.87
Arizona General Hospital Laveen Phoenix, AZ not published $142.69 – $3,560.23

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