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 Immanuel Omaha, NE not published $257.21 – $257.21
CHRISTUS Trinity Mother Frances Hospital - Winnsboro Winnsboro, TX not published $126.80 – $198.17
CHRISTUS Trinity Mother Frances Hospital - South Tyler Tyler, TX not published $126.80 – $6,130.82
CHRISTUS Trinity Mother Frances Hospital - Jacksonville Jacksonville, TX not published $126.80 – $198.17
CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital Tyler, TX not published $126.80 – $6,130.82
CHRISTUS Good Shepherd Medical Center - Marshall Marshall, TX not published $126.80 – $6,194.26
CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE not published $257.21 – $257.21
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX not published $126.80 – $139.48
Texas Health Harris Methodist Hospital Southlake Southlake, TX not published $126.80 – $139.48
Texas Health Hospital Rockwall Rockwall, TX not published $126.80 – $136.94
Texas Health Presbyterian Hospital Plano Plano, TX not published $126.80 – $136.94
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX not published $126.80 – $139.48
CHI Health Mercy Council Bluffs Council Bluffs, IA not published $257.21 – $257.21
Texas Health Presbyterian Hospital Kaufman Kaufman, TX not published $126.80 – $136.94
Texas Health Heart & Vascular Hospital Arlington Arlington, TX not published $126.80 – $139.48
Texas Health Hospital Frisco Frisco, TX not published $126.80 – $136.94
Texas Health Presbyterian Hospital Dallas Dallas, TX not published $126.80 – $136.94
Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX not published $126.80 – $139.48
Texas Health Presbyterian Hospital Denton Denton, TX not published $126.80 – $139.48
Texas Health Harris Methodist Hospital Azle Azle, TX not published $126.80 – $139.48
Texas Health Center for Diagnostics and Surgery Plano Plano, TX not published $126.80 – $136.94
Texas Health Presbyterian Hospital Allen Allen, TX not published $126.80 – $136.94
Texas Health Arlington Memorial Hospital Arlington, TX not published $126.80 – $139.48
Texas Health Harris Methodist Hospital Alliance Fort Worth, TX not published $126.80 – $139.48
Moanalua Medical Center HONOLULU, HI not published not published
Adventhealth North Pinellas Tarpon Springs, FL not published $3,462.26 – $7,686.23
AdventHealth Castle Rock Castle Rock, CO not published $244.86 – $6,470.23
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee, WI not published $801.95 – $801.95
Kadlec Regional Medical Center Richland, WA not published $263.76 – $9,717.57
Ascension Seton Medical Center Austin (Ascension Seton) Austin, TX not published $111.47 – $1,562.18
Providence St Mary Medical Center Walla Walla, WA not published $2,852.89 – $6,834.94
Providence Milwaukie Hospital Milwaukie, OR not published $3,626.25 – $13,592.00
Adventhealth Hendersonville Hendersonville, NC not published $3,168.99 – $7,912.98
Ascension Seton Highland Lakes (Ascension Seton) Burnet, TX not published $111.47 – $1,562.18
Swedish Edmonds Hospital Edmonds, WA not published $2,225.00 – $12,677.36
Covenant Hospital Levelland Levelland, TX not published $554.26 – $3,513.75
Providence Saint John's Health Center Santa Monica, CA not published $1,528.38 – $9,297.00
SSM Health Ripon Community Hospital Ripon, WI not published $3,388.00 – $4,761.00
Mercy General Hospital Sacramento, CA not published $138.85 – $4,687.89
Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) Carmel, IN not published $30.78 – $152.57
Marion General Hospital Marion, OH not published $3,165.74 – $3,292.37
SSM Health Monroe Hospital Monroe, WI not published $3,220.41 – $4,743.00
St. Bernardine Medical Center San Bernardino, CA not published $138.85 – $8,035.25
Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) Kokomo, IN not published $30.78 – $152.57
Providence St Joseph Hospital Orange Orange, CA not published $3,624.60 – $7,888.83
Doctors Hospital Columbus, OH not published $3,266.75 – $9,206.00
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK not published $204.46 – $6,217.98
Mercy Medical Center Redding Redding, CA not published $275.96 – $4,120.64
Ascension St. Vincent Evansville (St. Mary's Health, Inc.) IN 47750|10388 Warrick Wellness Trail Newburgh, IN not published $30.78 – $152.57
south pointe hospital Warrensville Heights, OH not published $1,416.26 – $3,450.35

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