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
Bayshore Medical Center Holmdel, NJ $3,589.62 $3,589.62 – $4,307.55
Jersey Shore University Medical Center Neptune City, NJ $3,589.62 $283.45 – $4,307.55
Riverview Medical Center Red Bank, NJ $3,589.62 $283.45 – $4,307.55
Raritan Bay Medical Center Perth Amboy, NJ $3,592.74 $294.49 – $4,311.29
JFK Johnson Rehabilitation Institute (JRI) Edison, NJ $3,592.74 $75.60 – $3,592.74
Virginia Mason Medical Center Seattle, WA $3,610.80 $2.99 – $578.50
University Hospitals Beachwood Medical Center Beachwood, OH $3,629.25 $900.00 – $7,944.33
University Hospitals Elyria Medical Center Elyria, OH $3,629.25 $3,136.68 – $5,646.02
University Hospitals St. John Medical Center Westlake OH, OH $3,629.25 $3,387.27 – $6,097.09
University Hospitals Lake West Medical Center Willoughby OH 44094|7590 Auburn Road, OH $3,629.25 $3,136.68 – $5,646.02
University Hospitals Parma Medical Center Parma OH 44129|7007 Powers Boulevard, OH $3,629.25 $3,136.68 – $5,646.02
University Hospitals Portage Medical Center Ravenna OH 44266, OH $3,629.25 $3,387.27 – $6,097.09
University Hospitals Cleveland Medical Center Cleveland OH 44106|3999 Richmond Road, OH $3,629.25 $3,136.68 – $6,273.36
University Hospitals Regional Hospitals - Geauga Medical Center Chardon, OH $3,629.25 $3,136.68 – $5,646.02
University Hospitals Ahuja Medical Center Beachwood, OH $3,629.25 $900.00 – $5,646.02
Atrium Health Anson Wadesboro, NC $3,728.50 $99.43 – $7,084.15
Atrium Health Mercy Charlotte, NC $3,728.50 $99.43 – $6,860.44
Atrium Health Pineville Charlotte, NC $3,728.50 $99.43 – $6,860.44
Atrium Health Stanly Albermarle, NC $3,728.50 $99.43 – $7,158.72
Atrium Health Behavioral Health Charlotte Charlotte, NC $3,728.50 $100.42 – $6,562.16
Atrium Health Cleveland Shelby, NC $3,728.50 $99.43 – $7,084.15
Atrium Health Cabarrus Concord, NC $3,728.50 $99.43 – $7,084.15
Atrium Health Lincoln Lincolnton, NC $3,728.50 $99.43 – $7,084.15
Atrium Health Union Monroe, NC $3,728.50 $99.43 – $7,084.15
Carolinas Rehabilitation Charlotte Charlotte, NC $3,728.50 $100.42 – $6,860.44
Atrium Health University City Charlotte, NC $3,728.50 $99.43 – $6,860.44
Atrium Health Carolinas Medical Center Charlotte, NC $3,728.50 $99.43 – $6,711.30
Community Medical Center Toms River, NJ $3,786.00 $64.26 – $7,053.14
United Hospital Center Bridgeport, WV $3,811.00 $205.80 – $5,981.27
Camden Clark Medical Center Parkersburg, WV $3,811.00 $205.80 – $5,538.40
Hackensack University Medical Center Hackensack, NJ $3,819.23 $294.49 – $4,010.20
Palisades Medical Center North Bergen, NJ $3,819.23 $294.49 – $4,162.96
Thomas Hospitals South Charleston, WV $3,827.50 $205.80 – $16,016.74
Bellevue Hospital Center NY 10016, NY $3,837.72 $0.01 – $6,207.95
Kings County Hospital Center Brooklyn, NY $3,837.72 $0.01 – $6,207.95
Lincoln Medical Center Bronx, NY $3,837.72 $0.01 – $4,676.66
Metropolitan Hospital Center New York, NY $3,837.72 $0.01 – $4,676.66
Harlem Hospital Center New York, NY $3,837.72 $0.01 – $4,676.66
Woodhull Medical Center Brooklyn, NY $3,837.72 $0.01 – $6,207.95
Queens Hospital Center Jamaica, NY $3,837.72 $0.01 – $6,207.95
Elmhurst Hospital Center NY 11373, NY $3,837.72 $0.01 – $4,676.66
Jacobi Medical Center Bronx, NY $3,837.72 $0.01 – $6,207.95
South Brooklyn Health Brooklyn, NY $3,837.72 $0.01 – $4,676.66
North Central Bronx Bronx, NY $3,837.72 $0.01 – $6,207.95
Sentara Halifax Regional Hospital South Boston, VA $3,872.50 not published
Sentara Leigh Hospital Norfolk, VA $3,872.50 $3,299.54 – $4,564.00
Sentara Virginia Beach General Hospital Virginia Beach, VA $3,872.50 $3,299.54 – $4,564.00
Sentara Princess Anne Hospital Virginia Beach, VA $3,872.50 $3,299.54 – $4,564.00
Sentara Obici Hospital Suffolk, VA $3,872.50 $3,299.54 – $4,564.00
Sentara CarePlex Hospital Hampton, VA $3,872.50 $3,299.54 – $3,396.58

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