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
Sentara Northern Virginia Medical Center Woodbridge, VA $3,872.50 $2,464.00 – $3,486.00
Sentara Norfolk General Hospital Norfolk, VA $3,872.50 $3,299.54 – $4,564.00
Clara Maass Medical Center Belleville, NJ $3,986.00 $61.99 – $7,240.56
Orange County Anaheim Medical Center Anaheim, CA $4,134.00 not published
Baldwin Park Medical Center BALDWIN PARK, CA $4,134.00 not published
Downey Medical Center Downey, CA $4,134.00 not published
Riverside Medical Center RIVERSIDE, CA $4,134.00 not published
Panorama Medical Center PANORAMA CITY, CA $4,134.00 not published
San Bernardino - Fontana Medical Center FONTANA, CA $4,134.00 not published
South Bay Medical Center HARBOR CITY, CA $4,134.00 not published
San Marcos Medical Center SAN MARCOS, CA $4,134.00 not published
West Los Angeles Medical Center LOS ANGELES, CA $4,134.00 not published
Woodland Hills Medical Center WOODLAND HILLS, CA $4,134.00 not published
San Diego Clairemont Mesa Medical Center SAN DIEGO, CA $4,134.00 not published
Los Angeles Sunset Medical Center LOS ANGELES, CA $4,134.00 not published
Moreno Valley Medical Center MORENO VALLEY, CA $4,134.00 not published
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK $4,211.35 $204.46 – $6,823.84
West Virginia University Hospitals Morgantown, WV $4,234.50 $86.50 – $13,519.90
SSM Health Saint Louis University Hospital Saint Louis, MO $4,323.00 $171.97 – $3,984.97
Monmouth Medical Center Southern Campus Lakewood, NJ $4,350.00 $154.60 – $7,053.14
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr., MI $4,558.89 $78.17 – $357.00
Henry Ford West Bloomfield Hospital West Bloomfield, MI $4,558.89 $78.17 – $7,598.14
Henry Ford Wyandotte Hospital: Wyandotte, MI $4,558.89 $78.17 – $342.32
Henry Ford Macomb Hospital Clinton Twp, MI $4,558.89 $78.17 – $7,598.14
Redwood City Medical Center Redwood City, CA $4,620.00 not published
Oakland Medical Center Oakland, CA $4,620.00 not published
Sacramento Medical Center SACRAMENTO, CA $4,620.00 not published
San Leandro Medical Center SAN LEANDRO, CA $4,620.00 not published
Santa Clara Medical Center SANTA CLARA, CA $4,620.00 not published
San Rafael Medical Center SAN RAFAEL, CA $4,620.00 not published
Santa Rosa Medical Center SANTA ROSA, CA $4,620.00 not published
South San Francisco Medical Center SOUTH SAN FRANCISCO, CA $4,620.00 not published
South Sacramento Medical Center SACRAMENTO, CA $4,620.00 not published
Vacaville Medical Center VACAVILLE, CA $4,620.00 not published
Walnut Creek Medical Center WALNUT CREEK, CA $4,620.00 not published
Vallejo Medical Center VALLEJO, CA $4,620.00 not published
Antioch Medical Center ANTIOCH, CA $4,620.00 not published
Fremont Medical Center FREMONT, CA $4,620.00 not published
Fresno Medical Center FRESNO, CA $4,620.00 not published
Roseville Medical Center ROSEVILLE, CA $4,620.00 not published
San Jose Medical Center SAN JOSE, CA $4,620.00 not published
San Francisco Medical Center SAN FRANCISCO, CA $4,620.00 not published
Robert Wood Johnson University Hospital Rahway Rahway, NJ $4,627.00 $72.95 – $7,053.14
Newark Beth Israel Medical Center Newark, NJ $4,881.00 $113.78 – $7,276.94
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $5,110.00 $59.72 – $7,053.14
Jersey City Medical Center Jersey City, NJ $5,339.00 $68.04 – $7,600.27
Monmouth Medical Center Long Branch, NJ $5,419.00 $123.98 – $7,143.34
Emory Decatur Hospital Decatur, GA $5,507.00 $2,912.00 – $7,050.03
Emory Hillandale Hospital Lithonia, GA $5,507.00 $2,912.00 – $7,050.03
Emory Long-Term Acute Care Hospital Decatur, GA $5,507.00 $4,249.00 – $4,249.00

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