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
medina hospital Medina, OH not published $1,245.04 – $3,450.35
St Patrick Hospital - Broadway Campus Missoula, MT not published $3,421.14 – $9,283.38
Providence Mission Hospital - Mission Viejo Mission Viejo, CA not published $3,281.00 – $7,888.83
Santa Rosa Memorial Hospital Santa Rosa, CA not published $2,995.00 – $4,737.00
Mercy Medical Center Mt. Shasta Mt Shasta, CA not published $236.04 – $746.32
Northridge Hospital Medical Center Northridge, CA not published $138.85 – $1,094.40
Dominican Hospital Santa Cruz, CA not published $138.85 – $13,945.78
Mercy Medical Center Merced Merced, CA not published $138.85 – $4,120.64
Sierra Nevada Memorial Hospital Grass Valley, CA not published $138.85 – $4,261.72
marymount hospital Garfield Heights, OH not published $1,200.33 – $3,450.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY McKinney, TX not published $126.80 – $7,975.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE Rowlett, TX not published $126.80 – $7,975.81
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth, TX not published $126.80 – $7,975.81
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis, MO not published $149.77 – $3,984.97
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook, IL not published $576.00 – $5,755.71
Adventhealth Wesley Chapel Wesley Chapel, FL not published $3,462.26 – $7,686.23
AdventHealth Orlando Orlando, FL not published $3,462.26 – $9,175.00
Adventhealth Gordon Calhoun, GA not published $964.00 – $6,674.50
AdventHealth Avista Louisville, CO not published $244.86 – $6,542.05
Ascension St. Francis Hospital, Inc. Milwaukee, WI not published $801.95 – $801.95
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh, WI not published $142.91 – $789.30
Ascension Seton Edgar B. Davis (Ascension Seton) Luling, TX not published $111.47 – $1,562.18
Ascension Seton Cedar Park Hospital Cedar Park, TX not published $111.47 – $1,562.18
Mercy San Juan Medical Center Carmichael, CA not published $138.85 – $5,327.15
Glendale Memorial Hospital Health Center Glendale, CA not published $216.95 – $4,120.64
St Jude Medical Center Fullerton, CA not published $3,465.00 – $7,888.83
Providence Saint Joseph Medical Center Burbank, CA not published $1,528.00 – $7,332.00
lodi hospital Lodi, OH not published $2,075.47 – $2,403.17
hillcrest hospital Mayfield Heights, OH not published $1,330.34 – $3,450.35
AdventHealth Porter Denver, CO not published $244.86 – $6,470.23
lutheran hospital Cleveland, OH not published $1,215.67 – $3,450.35
fairview hospital Cleveland, OH not published $1,276.91 – $3,450.35
euclid hospital Euclid, OH not published $1,359.21 – $3,450.35
cleveland clinic childrens hospital for rehabilitation Cleveland, OH not published $2,165.99 – $2,507.99
avon hospital Avon, OH not published $1,326.68 – $3,450.35
Sanford Behavioral Health Thief River Falls Thief River Falls, MN not published $3,405.22 – $3,405.22
Sanford Aberdeen Medical Center Aberdeen, SD not published $3,080.92 – $3,405.22
Sanford Fargo Medical Center Fargo, ND not published $135.81 – $3,374.38
Sanford Medical Center Bismarck Bismarck, ND not published $135.81 – $3,405.22
Sanford Thief River Falls Medical Center Thief River Falls, MN not published $3,405.22 – $3,405.22
Sanford Tracy Hospital Tracy, MN not published $3,405.22 – $3,405.22
Sanford Worthington Medical Center Worthington, MN not published $2,372.92 – $3,341.89
Sanford Bemidji Medical Center Bemidji, MN not published $2,322.73 – $3,341.89
Covenant Children's Hospital Lubbock, TX not published $181.85 – $7,034.24
Redwood Memorial Hospital Fortuna, CA not published $8,005.00 – $25,998.00
Healdsburg Hospital Healdsburg, CA not published $3,125.00 – $5,198.77
SSM Health St. Mary's Hospital - St. Louis Richmond Heights, MO not published $149.77 – $3,984.97
Chandler Regional Medical Center Chandler, AZ not published $142.69 – $205.50
Arizona General Hospital Mesa Mesa, AZ not published $142.69 – $3,560.23
St. Joseph's Medical Center Stockton Stockton, CA not published $138.85 – $4,601.27

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