Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HB Exc Lesion Palate Uvula W/O Closure
Low
$108
Average
$3.4k
Median
$3.2k
High
$74.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1244 hospitals; the 90th percentile is 20.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,818 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $7.7k | $7.5k | $2.1k | 28% | 6–60 | $3.3k – $10.0k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $12.4k | $12.9k | $5.7k | 45% | 6–60 | $6.5k – $24.3k |
| 3 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | 2–20 | $3.7k – $3.7k |
| 4 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $823 | $823 | $39 | 5% | 2–20 | $784 – $863 |
| 5 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $407 | $407 | — | — | 1–10 | $407 – $407 |
| 6 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 7 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 8 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · per diem · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 9 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 10 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 11 | Princeton Community Hospital Assn Inc. Princeton, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 12 | Saint Luke’s South Hospital, Inc Leawood, KS case rate · outpatient | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 13 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 14 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.8k | $1.8k | $1.1k | 63% | — | $668 – $2.9k |
| 15 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 16 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 17 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 18 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 19 | AGH MESA LLC Mesa, AZ case rate · outpatient | 2 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $207 | $207 | $89 | 43% | — | $118 – $295 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $541 | $575 | $73 | 13% | — | $507 – $676 |
| 23 | ALASKA REGIONAL HOSPITAL Anchorage, AK case rate · outpatient | 3 | $5.5k | $4.7k | $2.0k | 43% | — | $1.9k – $6.6k |
| 24 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 10 | $333 | $351 | $93 | 26% | — | $225 – $489 |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
← Payers reporting CPT 42104 · Snapshot 20261112T124536Z-e251e855